| Send to K.L.F.Rasmussen. Genealogy, 112 E. Broadway Ave., Yale, Oklahoma 74085 _________________________________________________________ |
| - - - WIFE INFORMATION - - - FULL NAME ______________________________________________________________________ MAIDEN ______________________________________________________________________ BIRTH DATE & PLACE _____________________________________________________________ BAPTISM DATE & PLACE ___________________________________________________________ DEATH DATE & PLACE _____________________________________________________________ BURIAL DATE & PLACE ____________________________________________________________ CAUSE OF DEATH _________________________________________________________________ MOTHER'S FULL NAME (use maiden) ________________________________________________ FATHER'S FULL NAME _____________________________________________________________ - - - HUSBAND INFORMATION - - - FULL NAME ______________________________________________________________________ MAIDEN ______________________________________________________________________ BIRTH DATE & PLACE _____________________________________________________________ BAPTISM DATE & PLACE ___________________________________________________________ DEATH DATE & PLACE _____________________________________________________________ BURIAL DATE & PLACE ____________________________________________________________ CAUSE OF DEATH _________________________________________________________________ MOTHER'S FULL NAME (use maiden) ________________________________________________ FATHER'S FULL NAME _____________________________________________________________ MARRIAGE DATE & PLACE __________________________________________________________ MARRIAGE NOTES (Use back.) DIVORCE DATE & PLACE ___________________________________________________________ DIVORCE NOTES (use back.) (If either person remarried, include them along with children from that marriage.) - - - CHILDREN - - - Include Birth Dates & Places (Use back if needed.) 1. ______________________________________________________________________________ 2. ______________________________________________________________________________ 3. ______________________________________________________________________________ 4. ______________________________________________________________________________ 5. ______________________________________________________________________________ INCLUDE SUCH INFORMATION IF KNOWN (OPTIONAL) - THIS IS A LIST OF EXAMPLES YOU CAN GET IDEAS FROM. Adoptions, annulments, medical notes, research notes, census info, citizenships, color-race, court records, cremation info, divorces, education/graduation/degree info, emigrations, engagements, God parents, hobbies, immigrations, land records, military records, naturalizations, obituaries, occupations/retirement, pension info, physical descriptions, prison info, property info, religions, SSN of non-living, wills. --- SUBMITTER INFORMATION --- NAME ____________________________________________________________________________ ADDRESS,CITY,STATE,ZIP __________________________________________________________ __________________________________________________________ EMAIL ADDRESS ___________________________________________________________________ ___________________________________________________________________________________________ PRINT NAME SIGN DATE _________________________________________________________ |