Finding and Order Establishing Registration of Birth - Fairfield County Court of Common Pleas

State File No. Case File No. County Day Month Year Name of Applicant Full name at time of birth City and County of Birth Date of Birth

Sex

Male Female

Name of Parent Mother before first marriage Age of Parent Mother at time of birth Birthplace of Parent Mother Name of Parent Father before first marriage Age of Parent Father at time of birth Birthplace of Parent Father Evidence row 1 document or name of witness Evidence row 1 record date Evidence row 1 documented place of birth Evidence row 1 birth date Evidence row 1 parent name one Evidence row 1 parent name two Evidence row 2 document or name of witness Evidence row 2 record date Evidence row 2 documented place of birth Evidence row 2 birth date Evidence row 2 parent name one Evidence row 2 parent name two Evidence row 3 document or name of witness Evidence row 3 record date Evidence row 3 documented place of birth Evidence row 3 birth date Evidence row 3 parent name one Evidence row 3 parent name two Evidence row 4 document or name of witness Evidence row 4 record date Evidence row 4 documented place of birth Evidence row 4 birth date Evidence row 4 parent name one Evidence row 4 parent name two Judge and ex-officio Clerk name Certifying county Registration of the birth of Case Number Court city Ohio Certificate day Certificate month Certificate year Probate Judge Deputy Clerk