This text was obtained via automated optical character recognition.
It has not been edited and may therefore contain several errors.

---

Family Group Sheet
Husband t D?J	Day Month Year	City. Town o, Place U County </, Province, etc	State or Country		Add. Info, on Husbar
Birth	117$	omana^ (in.	Va -		a<A<e- *-
Chr'nd					
Marr.	my tzob	Sum -heir kf r			vt/Ivk^s -fan*
Death	'Znfidxsr !23H	Qen t~l i'-hon HnK Ct5	fni is		
Burial		T^r^WfVRA ?b K-iSt - rfy/orv-Lr - &~rcr nn i 11 fairV 72^ t			
Places of Residence \/ /\		' s,c. nvsi			
Occupation p j /] iT) +7?V~ Church Affiliation Jr b / S C O DCK I			Military Rec 0^~		
Otftct ?i*?s. *f any No Mak* s?pa<at? sh??t lo> ttct' mao					
His Father	tbg.n~t~lgy	N	I	XOH
Maiden Name / \~2-Ct lot? ~t~ ( ) CjZK ^
Wife?s Full Maiden Name	b?.CXZ<X^ "&> YYX C
Wife's Dal*	Day Month Year	City, Town or Place	County or Province, etc. *	State or Country	Add. Info, on Wife
Birth	178^	?	1a-uj Cc>	S-C,	
Chr'nd					
Death	3lH 1 Vc#	P&xr 11 n \v n	l~-nk~ Co	nii ss	
Burial					
Places of Residence
s c
ms
Occupation
Church Affiliation
Military Rec.
s?*i
He, Fame, OgC^f,'eU
cey
Mother s Maiden Name
L_ (A ? y Hz*, h t t'sc^ H~I 'cKS
County or Province, etc. State or Country Add. I
Sex
Chil4'*n't Names xi Full l*?fang?d *n otde* ol b<rlh|
~lbecdomQ
Day Month Year
i&i
l6~<Od~IS
City, Town or Place
'a iI~f7\ k. Co nr), 3^
ittmhla^ H^(VnnnCr) /TVss
Add. Info on Childrer
Full Name of Spouse
I
bhz<z. Tu. I id N i'xqh
Marr
Full Name of Spouse
Ro4eric. Seal
Pli ntorla N i toh
Full Name of Spouse
Or^erh! II
Death
Strata tJixch
Birth
Full Name of Spouse
RobVnsrih
Death
ok) i kha lV< %d)o
Full Name of Spouse
'Dickon'g L.?
Full Name of Spouse
h,^ Breuu^r
Full Name of Spouse
Birth
Full Name of Spouse
Death
8urial
Compiler
Address
City. State. Zip
Date