81443-188585_760

State File Number REQUIRED: 2037

County REQUIRED: Salt Lake

Child's First Name: Dorothy

Child's Middle Name 1: Lovina

Child's Middle Name 2:

Child's Middle Name 3:

Child's Surname: Tilt

Child's Suffix:

Sex: Female

Month of Birth (Number): 6

Day of Birth: 28

Year of Birth: 1914

Father's First Name: Edward

Father's Middle Name 1: A

Father's Middle Name 2:

Father's Surname: Tilt

Father's Title or Suffix:

Mother's First Name: Lovina

Mother's Middle Name 1: Elizabeth

Mother's Middle Name 2:

Mother's Maiden Name: Neve

Is there an Amendment? REQUIRED: No

Document Type REQUIRED: Certificate