CERTIFICATE OF BIRTH

The Church of Jesus Christ of Latter-day Saints
Salt Lake City, Utah, 13 October 1967

I hereby certify that the following is a true and accurate extract from the records of The Church of Jesus Christ of Latter-day Saints, which records are in my custody:

Name -HERMA CLARK SMITH-

Date of birth Tenth day of December, Nineteen Hundred and Four.

Place of birth Paris, Bear Lake, Idaho

Father's name Hyrum D. Clark

Mother's maiden name Mary A. Robinson

Recorded in Star Valley Stake Auburn Ward Record of Members #10940, Children Blessed, Line 61
Entered on record 3 January 1905

[Seal: CHURCH OF JESUS CHRIST OF LATTER-DAY SAINTS CHURCH HISTORIAN]

Joseph Fielding Smith
Historian of the Church and ex officio Custodian of its Records

Any erasure or change on this certificate makes it null and void.