_ 24?}.

I

 

 

 

 

 

 

 

 

_ NO.‘ CHILD'S NAME. 'NAME OF PARENTS.

 
    
      

DATE OF DATE OF
BIRTH. ‘BAPTISM.

 

JBY WHOM BAPTIZE?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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