‘ : — DATE OF DATE OF _ . NO.‘ CHILDS NAME. [NAME OF PARLNTS.’ BIRTH. lBAPTISM. BY WHOM BAPTIZEI

’ a/Mzw @fi: 94 Q? ”3:7 fix was

C . n "/(.,/L\ ’ 7/) / ”t A ."U( 1/.ng 791(9); 3”? 4V4 1 g (M / 4/! I V y k v A >‘ LL guwix ' / if“ k) ‘ f1 M '9 {/k g/ p I L x . "7 ‘ 1 / /. k U1 .L\

.'._._.1—~_~ _....._ __'____ _-_‘—_;___ ———T__‘_____

. , v ,I/

é ‘ 7 'y I ‘ ‘ . / / J , ,

'1'“ /’ ( . ’ Lé‘f‘tL‘HN/V‘Ll f ‘1"1/"+, Vii/”A" filM‘7 :5 I / V7

A! . UV V I, ‘ : I, ‘/ ‘1, ,‘ , , _‘ , L *7 Y‘ ‘ ‘ M

/ /w_ / ‘ /, i4 — fife)” -f/