81443-180368-0597
Facsimile
Transcription
Status: Complete
State File Number: 325
County: Salt Lake
Child's First Name:
Child's Middle Name 1:
Child's Middle Name 2:
Child's Middle Name 3:
Child's Surname:
Child's Suffix:
Sex: Female
Month of Birth (Number): 02
Day of Birth: 01
Year of Birth: 1912
Father's First Name: Richard
Father's Middle Name 1: S
Father's Middle Name 2:
Father's Surname: Moxley
Father's Title or Suffix:
Mother's First Name: Emma
Mother's Middle Name 1: M
Mother's Middle Name 2:
Mother's Maiden Name: Lewis
Is there an Amendment?: No
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