| Adoptee's Birthdate: |
September 10, 1966 |
| Birthplace: |
Brook,
Indiana, United States |
| Adoptee's Gender: |
Male |
| Multiple Birth: |
|
| BirthMother's Age: |
19 |
| Attorney/Agency |
Montgomery County Public Welfare |
|
| Adoption Date: |
September 20, 1966 |
| Adoption Location: |
Crawfordsville,
Indiana, United States |
| Maternity Home: |
|
| Orphanage: |
|
| Hospital: |
George Ade Memorial |
| Doctor: |
|
|
| local Cert: |
19708 |
| Fedral Cert: |
|
| Caseworker: |
Roy R. Newman |
| Case Number: |
300 |
| Judge: |
Howard Sommer |
| Decree Date: |
October 02, 1967 |
|
