81443-180368-0631
Facsimile
Transcription
Status: Complete
State File Number: 339
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: Male
Month of Birth (Number): 02
Day of Birth: 02
Year of Birth: 1912
Father's First Name: A
Father's Middle Name 1: A
Father's Middle Name 2:
Father's Surname: Hedberg
Father's Title or Suffix:
Mother's First Name: Jessie
Mother's Middle Name 1:
Mother's Middle Name 2:
Mother's Maiden Name: Evans
Is there an Amendment?: No
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