‘ 13 , V ’ DATE OF DATE OF ; . ; NO.’ CHILDS NAME. ‘NAME OF PARENTS.’ BIRTH. IBAPTISM. 'BY WHOM BAPTTZED. ; L '. iéz- /§///é /7 / ‘L . ‘ //§f’ ' ‘/ é/zga/xr/ f/f/ ( [/1]. WW " \2 E ,, 7 ,7 ; / )3de A /y/f my y/Z/