81443-180368-0724

State File Number: 376

County: Salt Lake

Child's First Name: Robert

Child's Middle Name 1: LeRoy

Child's Middle Name 2:

Child's Middle Name 3:

Child's Surname: Eite

Child's Suffix:

Sex: Male

Month of Birth (Number): 2

Day of Birth: 7

Year of Birth: 1912

Father's First Name: Robert

Father's Middle Name 1:

Father's Middle Name 2:

Father's Surname: Eite

Father's Title or Suffix:

Mother's First Name: Ella

Mother's Middle Name 1:

Mother's Middle Name 2:

Mother's Maiden Name: Busby

Is there an Amendment?: No