81443-180368-0716

State File Number: 372

County: Salt Lake

Child's First Name: William

Child's Middle Name 1: Hyram

Child's Middle Name 2:

Child's Middle Name 3:

Child's Surname: Clawson

Child's Suffix:

Sex: Male

Month of Birth (Number): 02

Day of Birth: 06

Year of Birth: 1912

Father's First Name: Thomas

Father's Middle Name 1: A

Father's Middle Name 2:

Father's Surname: Clawson

Father's Title or Suffix:

Mother's First Name: Elizabeth

Mother's Middle Name 1:

Mother's Middle Name 2:

Mother's Maiden Name: Groesbeck

Is there an Amendment?: Yes