| Adoptee's Birthdate: |
June 24, 1965 |
| Birthplace: |
|
| Adoptee's Gender: |
Male |
| Multiple Birth: |
|
| BirthMother's Age: |
2 |
| Attorney/Agency |
|
|
| Adoption Date: |
August 04, 1965 |
| Adoption Location: |
Indpls. Ind,
, USA |
| Maternity Home: |
|
| Orphanage: |
|
| Hospital: |
|
| Doctor: |
|
|
| local Cert: |
65-277905 |
| Fedral Cert: |
|
| Caseworker: |
James J. Mallon |
| Case Number: |
|
| Judge: |
Victor S. Pfau |
| Decree Date: |
Febuary 10, 1966 |
|
