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Text File  |  1994-12-29  |  3KB  |  64 lines
  1.  
  2.  
  3. PEDIGREE OF  ..............................................Date:............
  4.  
  5.          Address............................................................
  6.  
  7.          Postal..................................Phone......................
  8.  
  9.  
  10. ____________________________________________________________________________
  11.  
  12.  
  13.  
  14.  
  15.                   My Grandfather............................................
  16.                          Birth Date.........................................
  17.                          Birth Place........................................
  18.                          Wife's Maiden Name.................................
  19.                          Marriage Date......................................
  20.                          Marriage Place.....................................
  21.  
  22.           My Father's Name..........................................
  23.                   Birth Date........................................
  24.                   Birth Place.......................................
  25.                   Wife's Maiden Name................................
  26.                   Marriage Date.....................................
  27.                   Marriage Place....................................
  28.                 
  29.  
  30. My Full Name (Maiden).............................................
  31.         Date Born.................................................
  32.         Place Born................................................
  33.         Spouse's Name (Maiden)....................................
  34.         Marriage Date.............................................
  35.         Marriage Place............................................
  36.  
  37.                   My Mother's Maiden Name...................................
  38.                                          ...................................
  39.                               Birth Date....................................
  40.                               Birth Place...................................
  41.  
  42.                         Her FATHER'S Name...................................
  43.                               His Birth Date................................
  44.                               His Birth Place...............................
  45.                               Marriage......................................
  46.                         Her MOTHER'S Maiden Name............................
  47.                               Her Birth Date................................
  48.                               Her Birth Place...............................
  49.  
  50.                         Her Grandfather's Name..............................
  51.                                  Birth Date.................................
  52.                                  Place Born.................................
  53.                                  Marriage...................................
  54.                             His Wife's Maiden Name..........................
  55.                                  Birth Date.................................
  56.                                  Place of Birth.............................
  57.  
  58. Notes/Comments:.............................................................
  59.       ......................................................................
  60.       ......................................................................
  61.       ......................................................................
  62.       .................................................................12/94
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