r,‘ w
146?“
‘, s ,.

______
HQ. CHILDS NAME. INAME OF PARENTS. DATE OF ’ DATE OF ’BY WHOM BAPTIZE

 

 

      
         

BIRTH. BAPTISM.
“9’” c / , m ’
”Mum flMa' 1/9”“?"7' 4 &

/s/ ‘ It L I V , I‘ 4 ‘ I
ggdaé/ifa 7%. it? f27f7‘
‘ //

  

 

 

 

 

 

 

 

 

H A
/% Elihu/9 o/flwx w/Ma/g/
gxg‘bfu. Xuzw/é // r7 r