81443-180368-0665

State File Number: 352

County: Salt Lake

Child's First Name: Gladys

Child's Middle Name 1:

Child's Middle Name 2:

Child's Middle Name 3:

Child's Surname: Parker

Child's Suffix:

Sex: Choose Sex

Month of Birth (Number):

Day of Birth:

Year of Birth: 1912

Father's First Name: Henry

Father's Middle Name 1: Livingston

Father's Middle Name 2:

Father's Surname: Parker

Father's Title or Suffix:

Mother's First Name: Frances

Mother's Middle Name 1: Dalma

Mother's Middle Name 2:

Mother's Maiden Name: Gronning

Is there an Amendment?: No