Comes now Tony Bazzani and files a verified petition praying for Vermillion Circuit Court to make and enter an order of record of the time and place of his (her) birth.

The Court having examined the evidence in support of said petition and being duly advised in the premises finds that the following facts should be entered of record in connection with said birth; as follows, VIZ:

Full Name: Tony Bazzani

Date of Birth: July 10, 1883

Place of Birth: Fanano, Italy

Color: White

Father's Name: Joseph Bazzani

Birthplace: Fanano, Italy

Mother's Maiden Name: Louisia Freschi

Birthplace: Fanano, Italy

Number of Child to Family: 5th

Physician or Midwife in Attendance: --

And said Facts having been established to the satisfaction of the Court, together with proof of publication, the Clerk of said Court is hereby directed to record the same in accordance with law.

/s/ G. Edward Bingham
Judge, Vermillion Circuit Court