D.O.B.: 12/14/76 TIME: 2:55 A.M. WEIGHT: 7 lbs. 4 ozs. CITY OF BIRTH: Fort Pierce, St. Lucie County, Florida AGENCY: Children's Home Society of West Palm Beach, Florida DATE of PERMANENT COMMITMENT to the CHS of FL: 2/14/1977 DIRECTOR: Karen Borchers CASE WORKER: Mrs. Nelly B. Grimes COURT: Juvenile & Family Division of the 15th Judicial Circuit Court, Palm Beach County, FL DATE of PLACEMENT with PETITIONERS: 2/21/1977 BIRTH CERTIFICATE NUMBER: 109-76-200962 B-MOM: in her mid-teens; 5'4" and 95 lbs. Dark blonde, Brown eyes: student B-DAD: in his early 20's, 5'11" and 125lbs. Medium Brown, Brown eyes: mechanic ETHNIC: Cherokee, English, German, Swedish, Scotch, Irish, and Native American Birth Grandfather is a disabled veteran SPECIAL REQUEST: That I be placed in a Strong Baptist/Christian home