81443-188585_752

State File Number REQUIRED: 2034

County REQUIRED: Salt Lake

Child's First Name: Wayne

Child's Middle Name 1: Bryant

Child's Middle Name 2:

Child's Middle Name 3:

Child's Surname: Saville

Child's Suffix:

Sex: Male

Month of Birth (Number): 6

Day of Birth: 28

Year of Birth: 1914

Father's First Name: John

Father's Middle Name 1: Leroy

Father's Middle Name 2:

Father's Surname: Saville

Father's Title or Suffix:

Mother's First Name: Maggie

Mother's Middle Name 1: May

Mother's Middle Name 2:

Mother's Maiden Name: Morris

Is there an Amendment? REQUIRED: No

Document Type REQUIRED: Certificate