81443-188889_012

State File Number: 1

County: Summit

Child's First Name: Albert

Child's Middle Name 1: Leslie

Child's Middle Name 2:

Child's Middle Name 3:

Child's Surname: Sorenson

Child's Suffix:

Sex: Male

Month of Birth (Number): 1

Day of Birth: 1

Year of Birth: 1914

Father's First Name: Daniel

Father's Middle Name 1: Eurastus

Father's Middle Name 2:

Father's Surname: Sorenson

Father's Title or Suffix:

Mother's First Name: Vera

Mother's Middle Name 1:

Mother's Middle Name 2:

Mother's Maiden Name: Mitchell

Is there an Amendment?: No

Document Type: Certificate of Birth