81443-180368-0707

State File Number: 368

County: Salt Lake

Child's First Name: Grant

Child's Middle Name 1: Hall

Child's Middle Name 2:

Child's Middle Name 3:

Child's Surname: Leonard

Child's Suffix:

Sex: Male

Month of Birth (Number): 02

Day of Birth: 05

Year of Birth: 1912

Father's First Name: William

Father's Middle Name 1: W

Father's Middle Name 2:

Father's Surname: Leonard

Father's Title or Suffix:

Mother's First Name: Lucy

Mother's Middle Name 1: A

Mother's Middle Name 2:

Mother's Maiden Name: Hall

Is there an Amendment?: No