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Text File  |  1993-11-23  |  3KB  |  63 lines

  1.  
  2.  
  3. PEDIGREE OF  ..............................................Date:............
  4.  
  5.          Address............................................................
  6.  
  7.          Postal..................................Phone......................
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  16.                   My Grandfather............................................
  17.                          Birth Date.........................................
  18.                          Place..............................................
  19.                          Wife's Name(Maiden)................................
  20.                          Marriage Date......................................
  21.                          Marriage Place.....................................
  22.  
  23.  
  24.           My Father's Name..........................................
  25.                   Birth Date........................................
  26.                   Place.............................................
  27.                   Wife's Name(Maiden)...............................
  28.                   Marriage Date.....................................
  29.                   Marriage Place....................................
  30.                 
  31. My Full Name......................................................
  32.         Date Born.................................................
  33.         Place Born................................................
  34.         Spouse's Name (Bef. Marriage).............................
  35.         Marriage Date.............................................
  36.         Marriage Place............................................
  37.  
  38.                   My Mother's Maiden Name...................................
  39.                                          ...................................
  40.                               Birth Date....................................
  41.                               Place.........................................
  42.                               Her FATHER'S Name.............................
  43.                               His Birth Date................................
  44.                               His Birth Place...............................
  45.                               Her MOTHER'S Name.............................
  46.                               Her Birth Date................................
  47.                               Her Birth Place...............................
  48.  
  49.                          Her Grandfather's Name..............................
  50.                                                ..............................
  51.                                  Birth Date..................................
  52.                                  Place Born..................................
  53.                                  His Wife's Name.............................
  54.                                  Birth Date..................................
  55.                                  Place of Birth..............................
  56.  
  57. Notes:.......................................................................
  58.       .......................................................................
  59.       .......................................................................
  60.       .......................................................................
  61.       .......................................................................
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