Family Record Sheet

Father

Born
Died

Mother

Name
Born
Died
NameBertha Simon
BornFebruary 19, 1913
DiedNovember 9, 1994

Spouse

BornJanuary 11, 1908
DiedFebruary 23, 1973

Marriage Information

Date
Place

Spouse's Father

BornDecember 18, 1875
 in Shelby County, Ohio, 
Died

Spouse's Mother

BornAbout 1880
Died

Children

Name Gender Birth Date Birth Place