| Husband: | Page ______ of ______ |
| Wife: |
| M/F (Children continued.) | List each child (living or dead) in order of birth. |
| Name: Birth: Marriage: Death: Buried: |
Spouse: Place: Place: Place: Place: |
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| Name: Birth: Marriage: Death: Buried: |
Spouse: Place: Place: Place: Place: |
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| Name: Birth: Marriage: Death: Buried: |
Spouse: Place: Place: Place: Place: |
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| Name: Birth: Marriage: Death: Buried: |
Spouse: Place: Place: Place: Place: |
|
| Name: Birth: Marriage: Death: Buried: |
Spouse: Place: Place: Place: Place: |
|
| Name: Birth: Marriage: Death: Buried: |
Spouse: Place: Place: Place: Place: |
|
| Name: Birth: Marriage: Death: Buried: |
Spouse: Place: Place: Place: Place: |
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| Name: Birth: Marriage: Death: Buried: |
Spouse: Place: Place: Place: Place: |
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