81443-188585_779

State File Number REQUIRED: 2044

County REQUIRED: Salt Lake

Child's First Name: Lyle

Child's Middle Name 1: Kimball

Child's Middle Name 2:

Child's Middle Name 3:

Child's Surname: Woolley

Child's Suffix:

Sex: Female

Month of Birth (Number): 6

Day of Birth: 29

Year of Birth: 1914

Father's First Name: Ronald

Father's Middle Name 1: M

Father's Middle Name 2:

Father's Surname: Woolley

Father's Title or Suffix:

Mother's First Name: Sarah

Mother's Middle Name 1: M

Mother's Middle Name 2:

Mother's Maiden Name: Brown

Is there an Amendment? REQUIRED: Yes

Document Type REQUIRED: Amendment or Supplement