81443-180374-0272
Facsimile
Transcription
Status: Complete
State File Number: 3061
County: Salt Lake
Child's First Name:
Child's Middle Name 1:
Child's Middle Name 2:
Child's Middle Name 3:
Child's Surname:
Child's Suffix:
Sex: Male
Month of Birth (Number): 11
Day of Birth: 01
Year of Birth: 1912
Father's First Name: Dwight
Father's Middle Name 1: Webster
Father's Middle Name 2:
Father's Surname: Wadleigh
Father's Title or Suffix:
Mother's First Name: Alice
Mother's Middle Name 1:
Mother's Middle Name 2:
Mother's Maiden Name: Bush
Is there an Amendment?: Yes
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