W‘isfqnmaaé’ggaigggiitil 3. 0rd Qf B rths

Ciergym an's ;

Child 3 Name Name of F111he1Mddrc Date of Birth Signature

1 Baptism

1W1”

MW” 0/736; m

i N 0. i

raw/fl W/fié @420 ZW WWMfl-y may/f W17 Mfie Wang/.LW W/mm¢4¢% M”, 447 flaw/3e mmfm W/wg' OWQMA 4/31 Am

Z/LM 1 ,5 J1 -,,é: v.5

#50 MM/3é/ M MWMZO- Clea/M 2);;st «2&7; ‘W

«4/5; garage 72””7 mefl Mxfifw 54/5 7’ Ma/36WWW aMW Mon/~35; @351" i . __.. i ..

l

z/55 Jaye/3’4 MMAWM W meflflgysfi"