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H'USBA'ND:~' : ':

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HUSBAND

Boptizt'dEndowed _

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, 0 Buriol.:......;:a~9 m..hb ,,/9 i.(/1 , . _ Place.

) Father.:..zJ..iJ~.lI5....J.t-Hbe..'\""! rc-1Y"'k-71 MOlh~r. ~_ 11" '.

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, t Sex • 0/ ) . ,CHILDREN' I . \-'!Mf,.., &ORN. I WHEU r.olN i $:. I 'DIED I P;rs. H~=~~ Wd.)~ ,I'; Usl-ct. child (WMIIter Jiyi"JI Of' dead) in ot'~ orbirth Dar Mo, Yr. 1••••·11 c-nty r'AUA'''' Do, IN>, Yr. Lilt Adcf"iona: "'cnrictq •• with0..-_

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~>~~~~~%~?Qb~~M __=Plo~1~~~f~;~!i~'!l~-'~ • -ChI' '. __ Place•• D = 'f -

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,'"Is.x II,, ,7 I CHILDREN I WlifN aoltN~ ••:; list eoch dUJd(wtletMrliying Of' d.od) ;" ord.r of iW!h Day M4. Yr.

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Nome (in full).Wife __

HUSBAND

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Whel'e Wa$ intormation' ;ho":'~ -';"'Ihis

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--\ BUrigl'~~' ~ Plac~ .) foth~r~ <Lra- ..•.. t:7e:fi. . Mother~~e..... (f()hn~('J(I . _Ea-rksMame~--- ~ L ~ PlacetOt~ w•.•••. - .... _ 1..r""' •• - •

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. ~. Fother _ MOlher~

• 'tOt- Husb.(If _) -

IS:.~:}iI CHILDREN I WHEN aClRNI' ,';' Us, --" child (wk •..., Jiying cw deod) in onI.r 01 birth Day 1&:>. Yr.

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HUSBA'ND~~Nome (in ful

Wife __

HUSBAND

Baptiz("d _Endowed _

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Baptized _Endowed _Sealed to H

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family record abtain~?

Name ond address of person' submit­ting this sheet.

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Name and address of person submit­ting this sheet.

BAPTIZED

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Nome (in fullWife __

HUSBAND

Boptizt"d _Endowed _

WIFE

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MAUlED(fin. Hvsbond or Wife)

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•... ..2 -0 r.: .'.(hr':',:·· . '.' .' .•.• Ploc~ .:...- :0-.; -- , -'. ~ • % • D~th Place. 0 .

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~o~ ·Chr .' . -- Ploce Nome and address of persa~ submit-IIi~~Death -../ •. ' • - _ PI~ce ------------------ ting this sheet.

c .2. . .Burial . -=I- -fj" \ Place .

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Is:: ~It'l CHILDREN I WHEN BORN I WHERE BOItHF ,I;' U" --" dUJd (wfwtt"-' Jiying cw deod> in onMr of bWth Day IN:>. Yr. tow •• County

Where was intormation' ;ho';:'~ ',;n'lhis

family record obtain~?

aAPTJZEDCOot.}

(1.lot

HUSBAND

Baptizt'd.Endowed

WIFE

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MARRIEO

(firs' Hvsbond 01'WIf.)List Adcf'tt••••••t ~ wltlo 0... _

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'J 8irth_~__-/.~ K __-r~_ .. Place I -~- __ --------"""""-(')C:~:T"1-=------D '. PI'-.:! ~ -rhr .. __ ace· _ca D - ., - PI1D~ Death-J. ,ace _

~ c ~ . Burial . Y1' . \ Piece . --' --"';;ti!

. .; ~I .~'h":IIi(, VYlIl.S ." nU 1"ij7J I(.)r" ,MO'h~ <£.5C',,;' I!Jl:!e.,. -t)" VI VI.

. 'fOol- Husb. :.J ' • ~ ..Jrd_,.)-Is.,. •9/1 CHILDREN I WHEN BORN I WHERE BORN I -.;;-I DIED

~ ,I; Ust eoch dUId (whetMr 10.,;"11 or dead) in ord. of bmh Day 1M. Yr. To••'" County ' __ 0_. IDoy MOo.

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aAJOTIZro

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HUSBA'ND~~

Nome (in fulWife __

HUSBAND

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I BoplizedEndowed_Sealed to

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Yr.

Where wo~ information' ;ho';'~~n' this

fomily record abtCJin~?

Name ond address of perso"- submit­ting this sheet.

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---rTTi r1' r ~/ ~ ()~ J/\ JA ..•• I~:~ .IWTfL4J{() V)~ .t11 ~L~D err' Birt~ ~b 1/ .pR 9~ ." Ploce ~e rU?",,) { /t' -e , _ ..:!'. ·Chr· __ Place . Nome and address of person submit-I» D = .j - PI~8~ Death-",;'. _ - _ .ace ling this sheet.

~ .~ . .Burial ~ .. \ Place_·· 11' ~-'-_

.. ~•. Father~h-. ·It. rt.:Lr~S Mothert11iu.lly)e-. npoflj TO_uLor farkst<>tt- Husb. .• ....J J .

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. Is,:"t 'y) CHILDREN 1- WHEN lORN I WHERE lOIN I 5:_ I DIEDf ~ list -m dUJd (...t..t"-' liviftv ow deocf) i" onMr of birth Dar J40.. Yr. to ••.•• County I Country IDo,. IN>..

HUSBAND

Baptizt'dEndowed __

1•• lohO •.••h•••~

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HUSBA'ND~S ~ .:" j

Nome(in full)_Wife

TEMP

WIFE

Baptized _Endowed_Sealed 10 Husb

MAUtED(firs. Hvsbond or W"rfe)

List Add-'tioftolMooriava w•••••0.... _h •.•••• Sid_ Df ~t

Yr.

Where Wai information' ~ho';'~"';n',his

family record obICJine~?

Family Representative:

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Where WQS information' ~ho;-';~n' this

family record obtoin~?

HUSBAN

Nome (inWife _

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HUSBAN

,

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I BaptizeEndowe

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.Dat••.

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Family Representative:

DIEDMA

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