Reg Dist. No.: 25, Primary Reg. Dist. No.: 2501, Registrar’s No.: 11741, Birth No.: 134-87-111928, Chiild-Name: (First) Naomi (Middle) Ruth (Last) Spears, Sex: Female, Date of Birth (Month, Day, Year) June 17, 1987, Hour: 10:23am, Hospital-NAME: Grant Medical Center, (City, Village or Location of Birth) Columbus, (County of Birth) Franklin, ATTENDANT-NAME: Alfred B. Jefferson, MD., Mailing Address: 1829 East Long Street Columbus, Ohio 43203, Mother-Maiden Name: (First) Diane, (Last) Jones, Age (At time of this birth) 34, State of Birth: Ohio, Residence-State: Ohio, County: Franklin, City, Village or Location: Columbus, Street and Number of Residence: 1511 Wilson Ave., (Inside City Limits) yes, Father-Name: (First) Wrenches (Middle) Lee (Last) Spears, Age (At time of this birth) 36, State of Birth: Arizona, Informant’s Name or Signature: Diane Spears, Relation to child: Mother