YOUR FULL MAIDEN NAME
 Your Date Of Birth and Place of Birth
 Your Father's Full Name
 Your Mother's Full Maiden Name
 Died  at
 Date of Death
 Your Father's Date of Birth and Place of Birth
 Date of Death
 Date of Death
 Mother Died  at
 Father Died  at
 You Were Married at
 Date of Marriage
 Spouse's Full Maiden Name
 Your Mother's Date of Birth and Place of Birth
 Your Spouse's Date of Birth and Place of Birth
 Date of Death
 Spouse Died at
 You Were Married Second at
 Date of Marriage
 Notes and Comments on Second Marriage
 Your Second Spouse's Date of Birth and Place of Birth
 Spouse Died at
 Your Second Spouse's Full Maiden Name
 Child's Full Name
 Date of Birth and Place of Birth
 Date of Death
 Date of Death
 Died at
 Married to
 Your Children: List Oldest to Youngest
Fill out this family information sheet as complete as possible. Use the reverse side or additional paper for more children or marriages. A short biography or other extra information makes things more interesting. Thanks for taking the time to fill out this family information sheet. After filling out please return to:
Greg and Marilyn Kopchak
2233 Keeven Lane
Florissant, MO 63031
314-831-9482
 Notes and Comments on First Marriage
Family Information Sheet
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