81443-180368-0711

State File Number: 371

County: Salt Lake

Child's First Name: Eugene

Child's Middle Name 1: Emerson

Child's Middle Name 2:

Child's Middle Name 3:

Child's Surname: Yramans

Child's Suffix:

Sex: Male

Month of Birth (Number): 02

Day of Birth: 05

Year of Birth: 1912

Father's First Name: Edwin

Father's Middle Name 1: Emerson

Father's Middle Name 2:

Father's Surname: Yramans

Father's Title or Suffix:

Mother's First Name: Cora

Mother's Middle Name 1:

Mother's Middle Name 2:

Mother's Maiden Name: Hughes

Is there an Amendment?: No