81443-188580_272
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2 revisions | Turk at Oct 15, 2021 08:54 PM | |
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81443-188580_272State File Number REQUIRED: County REQUIRED: Choose County 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: Choose Sex Month of Birth (Number): Day of Birth: Year of Birth: 1914 Father's First Name: Father's Middle Name 1: Father's Middle Name 2: Father's Surname: Father's Title or Suffix: Mother's First Name: Mother's Middle Name 1: Mother's Middle Name 2: Mother's Maiden Name: Is there an Amendment? REQUIRED: No Document Type REQUIRED: Choose | 81443-188580_272 |