| Adoptee's Birthdate: |
December 07, 1969 |
| Birthplace: |
e. chicago,
Indiana |
| Adoptee's Gender: |
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| Multiple Birth: |
|
| BirthMother's Age: |
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| Attorney/Agency |
|
|
| Adoption Date: |
December 07, 1969 |
| Adoption Location: |
e. chicago,
Indiana |
| Maternity Home: |
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| Orphanage: |
|
| Hospital: |
st. catherines |
| Doctor: |
gonzales |
|
| local Cert: |
|
| Fedral Cert: |
|
| Caseworker: |
charles zandstra |
| Case Number: |
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| Judge: |
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| Decree Date: |
NA |
|
