Family Record Sheet

Father

Born
Died

Mother

Name
Born
Died
NameLiving
BornLiving
Died

Spouse

BornNovember 28, 1922
 in Mendota, Illinois, 
Died

Marriage Information

Date
Place

Spouse's Father

BornMay 21, 1890
 in Russia, Loramie Township, Shelby County, Ohio
Died
 in Heart attack, 

Spouse's Mother

BornJune 14, 1901
Died
 in Cancer, 

Children

Name Gender Birth Date Birth Place
Living M Living
Douglas Goubeaux M February 5, 1953