81443-180368-0642
Facsimile
Transcription
Status: Complete
State File Number: 342
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: 02
Year of Birth: 1912
Father's First Name: James
Father's Middle Name 1: E
Father's Middle Name 2:
Father's Surname: Madsen
Father's Title or Suffix:
Mother's First Name: Mabel
Mother's Middle Name 1:
Mother's Middle Name 2:
Mother's Maiden Name: Don
Is there an Amendment?: No
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