81443-188580_221

State File Number: 46

County: Piute

Child's First Name: Bardell

Child's Middle Name 1:

Child's Middle Name 2:

Child's Middle Name 3:

Child's Surname: Parker

Child's Suffix:

Sex: Male

Month of Birth (Number): 9

Day of Birth: 14

Year of Birth: 1914

Father's First Name: William

Father's Middle Name 1: Maroni

Father's Middle Name 2:

Father's Surname: Parker

Father's Title or Suffix:

Mother's First Name: Mary

Mother's Middle Name 1: Jane

Mother's Middle Name 2:

Mother's Maiden Name: Lamb

Is there an Amendment?: Yes

Document Type: Certificate of Birth