81443-188889_115

State File Number: 43

County: Summit

Child's First Name: Ragnad

Child's Middle Name 1: Ferdinad

Child's Middle Name 2:

Child's Middle Name 3:

Child's Surname: Holmquist

Child's Suffix:

Sex: Choose Sex

Month of Birth (Number):

Day of Birth:

Year of Birth: 1914

Father's First Name: Erik

Father's Middle Name 1:

Father's Middle Name 2:

Father's Surname: Holmquist

Father's Title or Suffix:

Mother's First Name: Amy

Mother's Middle Name 1:

Mother's Middle Name 2:

Mother's Maiden Name: Anderson

Is there an Amendment?: No

Document Type: Certificate of Birth