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FAMILY RECORD FORM

FAMILY RECORD FORM

Family of BUSWELL

ELMER - LAURENCE - LUCY - HOWARD -

HENRY - MARY- FLORA

Children of: (parent's name)
Name:
Address:
City/State:
Phone:
Internet Address:
Date of Birth:
Place of Birth:
Date of Death:
Place of Death:
To Whom Married*:
Date of Marriage:
Place of Marriage:

*Spouse's Information: (name listed above)

Date of Birth:
Place of Birth:
Date of Death:
Place of Death:
If applicable, divorce date:

Children: First Name, Middle Name, Last Name, Date of Birth

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