81443-180374-0274

State File Number: 3061

County: Salt Lake

Child's First Name: Arthur

Child's Middle Name 1: Bush

Child's Middle Name 2:

Child's Middle Name 3:

Child's Surname: Wadleigh

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:

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