81443-188889_016

State File Number: 2

County: Summit

Child's First Name: Virginia

Child's Middle Name 1: Irene

Child's Middle Name 2:

Child's Middle Name 3:

Child's Surname: Eldredge

Child's Suffix:

Sex: Female

Month of Birth (Number): 1

Day of Birth: 1

Year of Birth: 1914

Father's First Name: Otto

Father's Middle Name 1: Horace

Father's Middle Name 2:

Father's Surname: Eldredge

Father's Title or Suffix:

Mother's First Name: Esther

Mother's Middle Name 1: L

Mother's Middle Name 2:

Mother's Maiden Name: Hanson

Is there an Amendment?: Yes

Document Type: Amendment or Supplement