- I“? "r1 .

3 p: ..

_ 3‘" _ . ,. 1AA 7":

, , I ' DATEVOF DATE OF ;~i ‘»"'

. CHILDS NAME. “NAME OF PARENTS. BIRTH. IBAPTISM. IB’Y ‘WHOM BA a} I ; l

._, . I » ['4‘ I [had/Vt, g}//¢0 0' L00 x (42/27/f‘ / fit /7 "‘

A /////%.

I/ééw K firaK flnI/OZ‘ITWA. /6’//“é /(§/g¢

__—.—

[/‘h’flfi [t Z 5 K @éu/ /Z flI7/ flrf/jaflffl W . /6 é /6 /( I! !___.____..____ WWW f W_________ .

I.