Rmsmn. 9F

 

 

Father’s and'Mother’: Name

I. No. ' Child’s Name. '
Q
Q
Q'

27 ff 252m; éx/n/tzr/ 6/; I/I/Al/O‘ H m {7,9 ié¢1 /f‘/}//’r~//Z’ 43/21;

7 212...); 222:. 2 - ,, . > ,,
/2//12/W/2//22 112/222 1/244 /12,.2222/2
12, 22-. 2222.217 2122 J%/// 25222 /2. 2222/22: 22¢ ,, 2,444
2 29222 22.... 2.222.. 2 M 27/22
f 2 rim, 22,2» 2 «.72 2..., 1222222 /’/2/2.12
17’ ”WI/<2 /%2%‘

(/2222. 51%2722 a

.2 9/ 4174/4 (21/214921- (444/

5/ 2/2222 1; 222/ 272/2274

K 2 .22. .2. 2 21 72
/‘ _}// W/( 1/ /7}r /Z
I, ; flaw/fa [/‘Léty (3%??? (9% X/flfl flgfl

E‘f-i ~ 2 422222222
7 fik/2222/ g,
Q (300? W247 %,é;%/¢{ {1/

/ 1/22 2.522: 2122»

/ ’ 7%2. $1M
<2) fl7lé—V

 
 
   
    
    
  

-. I 6% 222,222“. cJ/72/fl 22w

22222

paw, Trade, Residence; 1

ym-

  
 
 

Q Q /2 Z4: 1/ '1 I (//’¢’7/‘¢ D/%1J ”/I/-%/ ”7% dfiééffl//

 
  
     
    
   
  
   
      
     
     
      
    
 

2223292131623 .
Civil Slate. Winn born... When baptized. ‘By win»;

. 12/222,”. Wk 12’3/1/2: [/22 /o"’=’// 21/2/22 24,24,444 Q
<72 2 2/3 // 22- ,, I 22/ 2,, / ,4 44/ HQ
2’15222227 1272;; 22/5/22; (17% ”/29“ 64W) Q
274/22 2; 22/2722 2/ 7222/ 22M». 22 3/2.." Q .. 2222/12”. 2 .Q
{572 2MV M22 2 21/315,; //m /f/:’ 2?ng flax/22227424 ) Q}
14/22/21 A/ 22 /2,,,222 M22 /’f 222 1Q,/£.> ”Q
{fl/2222222222.. Q 222 2’? 272/, 5./22 . 23.722; {2” 12222.22 , Q
”22/222222 222 2171/ 222! 222 221/115 1211/!) 132 Q Q
,, ‘ 7 21/2225 42.... 22.222 W 6.2 22242

5/14/2512 I Q
W/m. /2/?/. 211734424
1122/9721 f/g (2//2,>.Q 112% ‘

Q.

’21 1/7/fl/g/ /9 ///,V/f '
’ 4? ,2: 22/2/22 2“” "
z, 2.2 $2 ' .,
/Il:’m ”(23/21/129 c .
%fizrva//flzfz/ 1/671’ 1 1472;“ éffir.) [QZ Zf/zflJZ/%Ifl/flf I

       
  

‘ ' £22222 $112212
V2 / //Zf/1722/2%,2/22 ‘
//2r‘2 ,/,..2//22@./4/2

' .222 20/