Family Record Sheet

Father

Born
Died

Mother

Name
Born
Died
Name? Stevens
Born
Died

Spouse

BornDecember 28, 1946
DiedAbout December 1978

Marriage Information

Date
Place

Spouse's Father

Born
Died

Spouse's Mother

BornAugust 8, 1918
 in Darke County, Ohio, 
Died

Children

Name Gender Birth Date Birth Place