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AppleWorks Document  |  1987-05-11  |  3KB  |  35 lines
  1. O=====|====|====|====|====|====|====|====|====|====|====|====|====|====|====|===
  2. INDIVIDUAL WORK SHEET                             CODE NUMBER:________
  3. NAME (in full) ____________________  _________________  ______________E
  4.                        (last)             (first)          (middle)
  5. BIRTH DATE _____________ /___________ /____________2
  6.               (month)        (day)        (year)
  7. BIRTH PLACE __________________________________________________________
  8. FATHER'S NAME ____________________  ___________________ CODE # _______8
  9.                      (last)               (first)     H
  10. MOTHER'S NAME ____________________  ___________________ CODE # _______3
  11.                     (maiden)              (first)
  12. OCCUPATIONS __________________________________________________________
  13. ______________________________________________________________________
  14. MILITARY SERVICE _____________________________________________________
  15. DEATH DATE _______/_______/______  BURIAL DATE _______/_______/_______
  16. BURIAL PLACE _________________________________________________________
  17. MARRIAGE DATE _______/_______/________              MARRIAGE # _______
  18. MARRIAGE PLACE _______________________________________________________
  19. SPOUSE'S NAME _______________________  ________________ CODE # _______3
  20.                   (maiden / last)         (first)
  21. RESIDENCES                                              DATES
  22. _____________________________________________  _________  to  ________
  23. _____________________________________________  _________      ________
  24. _____________________________________________  _________      ________
  25. _____________________________________________  _________      ________
  26. _____________________________________________  _________      ________
  27. _____________________________________________  _________      ________
  28. OTHER BIOGRAPHICAL INFORMATION (education, hobbies, etc.)
  29. ______________________________________________________________________
  30. ______________________________________________________________________
  31. ______________________________________________________________________
  32. SOURCES USED FOR RESEARCH AND VERIFICATION
  33. ______________________________________________________________________
  34. ______________________________________________________________________
  35.