 |
Adoptee |
 |
|
| First Name |
Kristen |
| Birth First Name |
Jean |
| Birth Middle Name |
Louise |
| Birth Lastname |
Provance |
| Birth Date |
Jan 04, 1984 |
| Birth Place |
Illinois |
| Gender |
female |
| Handicap |
none |
| Handicap |
none |
| Race |
White: |
| Religion |
Unknown |
| Married |
no |
| Military |
no |
|
|
|
|
Birthmother |
|
|
| First Name |
Mary |
| Middle Name |
Ellen |
| Last Name |
Garvens |
| Nick Name |
Murry Duck |
| Maiden Name |
Provance |
| Birth Date |
Dec 13, 1962 |
| Handicap |
none |
| Handicap |
none |
| Race |
White: |
| Married at Birth |
no |
| Married at Adoption |
no |
| Age at Birth |
21 |
| Age at Adoption |
21 |
| Occupation |
Admin. Asst. |
| Old Occupation |
same |
| Brothers |
George Provance 4-13-67 |
| Sisters |
Julie Breitbach 12-27-61Theresa Provance 12-31-69 |
| Military |
yes |
| Location |
Fankfurt Germany |
| Branch |
Army |
| Other Information |
My daughter was born At Victory Memorial Hospital in Zion Illinois. Jan 4.. her adopted parents occupations at the time were, Father governement employee and mother taught school at a Catholic SChool (I think) Adoption Agency used was Easter House.. Melissa J. Giardina was the woman I worked with. Dr. Young K. Jeong was my attending ob. |
|
|
|
|
Birthfather |
|
|
| Birth Date |
NA |
| Handicap |
none |
| Handicap |
none |
| Race |
White: |
| Other Information |
States he is not sure he is the father |
|
|
|
|
Other |
|
|
Relation
to Adoptee |
Maternal Grandmother |
| First Name |
Mary |
| Middle Name |
Ellen |
| Last Name |
Stephens |
| Maiden Name |
Wheelock |
| Birth Date |
Sep 19, 1940 |
| Gender |
female |
| Handicap |
none |
| Handicap |
none |
| Race |
White: |
| Occupation |
Rn |
| Old Occupation |
Nursing Director |
| Married |
yes |
| Spouse Name |
Calvin Stephens |
| Spouse Info |
|
| Military |
no |
|
|
|
