| Adoptee's Birthdate: |
May 05, 1969 |
| Birthplace: |
|
| Adoptee's Gender: |
Female |
| Multiple Birth: |
|
| BirthMother's Age: |
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| Attorney/Agency |
|
|
| Adoption Date: |
NA |
| Adoption Location: |
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| Maternity Home: |
|
| Orphanage: |
|
| Hospital: |
Lakeland Memorial Hospital |
| Doctor: |
Dr. Dorman (pediatrician) |
|
| local Cert: |
|
| Fedral Cert: |
|
| Caseworker: |
|
| Case Number: |
69-1533 |
| Judge: |
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| Decree Date: |
September 12, 1969 |
|
