, No. . ' Child’s Name. Father’aandlotfier'sNamc. // , 7 1. I ,f/ z I ,, 7 7 , 7 ' 1' flff‘ AI/ // f, 66/1715/ /1/r‘/ //2/////7/z 1 z/lz/é/ div/wavy r / // z )1 fl/Qfll/ (”24 I I/J'zfl)’ 12/ ?/;//é: ///)‘7‘/( 4318.612. 2112;4/ //£ /Z["f”2y/Fz I I7: /Vl/r/(n 2.2 l 1 /fl:’/ //€/2/7 {/K/fl/cKfl/17/;i ‘1; AI/f/fl/zz/ _/ ’,//l/-1zrn?/L4/ {/2 //;/,/27 )1 {2/ £12): 2/ 0 A ,, 7/ /a ///:Z(/ )1// éziy//; /2122 22/724/ ¢24X Ja/f Ill/la /}z 42/” 2/1/22, (find/2) , 7 I 71/511 2/27/22424/2/ éc/ ~71u .//? 7 1 107 ’f/‘v—a/flz; 11 4/6 {7 ///A/ya 4e / m/g/Zlé fl/a/J/ L1— 1 é? a. 32/7 12/ , 2227/; 224.. 346W ”41/ W7 ‘ m 4W: /? , ///7 L¢4 ,r rizv.//%Z: 6m% 4 WV-CC, h/L/a/l/L 7/: %a/ fog. //1./¢{’(l. {1’7U7 [Io 9/3/21/ ' I L' ,2 t 4 2 ,3”! W '1.» 21114121., L' / 4 ' L‘ ,‘JQ’ZZ/ 17/211161?" (/7 1‘2"? x, //(2/2/W;1/7;t¢/ ’ l ,/ v 1/ r (firm/A /22 2‘22- {111/ (7 //(Ztr (zW/ng (- /I«;1‘ “ v wf/l‘tt/M 4/1/ .’ . I ’7 V , ///Z/4/} (/214—‘, //22 «AM/2i 2412212477257 {A / /// _ @112 . [,- Z W z __ ‘___ _\ _—__ Father“; 151111., Civil State. /2/ ”441” flzaz/ é” xh/a/H (4/ Awaé a, 7/{711/6/7 ‘ //2,,L, 4 %:L,d4. ./ {/46} (2c 1, c 1 [z ht/ ( 12,, [(1% / Vata A01 # (11/ 4/ clu/ $42 19V 242 / ///./1., /470 / /,//' am Zfi/énd/ fla/1z7//Mg~ / (/4512 /// . a ,J/ ,1 - //¢/_ “1‘ (2 fl / 7 7 11,, /)éf //( d// /2(" ///// :/:;7 f/,/’ :/:;Iv 2/2,1741,1172’;:}7o/’/7’/ (2‘,/‘ ‘L a 22/” //5 z, /./m/AV 4’7, / It / 211/ -// flu? , /{( 2'21, / [1/ 111/ /// M.,%.ay/ / 6/," 1/1/2412 ~ 2,,c../ /l‘4u ' / ZLQ ”my I“ ,6 / A / [1? 2/2 a 2 It 4A1“ (‘17 / é / Jo My /r¢/ éLctt/é ,é/lzr/[ycw/q/ I I) 1, / » 7/41.» // V’é:/ «.— étr/(u~&//?"Z/—. - //L::‘ 417;, 4’4. (17.11%: hi, 14.4% 6“ CV