Family Record Sheet

Father

BornApril 9, 1904
 in Surry County, North Carolina, 
Died
 in Surry County, North Carolina, 

Mother

BornJune 14, 1903
Died
 in 28642, 
NameLiving
BornLiving
Died

Spouse

NameLiving
BornLiving
Died

Marriage Information

Date
PlaceAshe Or Allegheny County,  North Carolina, 

Spouse's Father

Name
Born
Died

Spouse's Mother

Name
Born
Died

Children

Name Gender Birth Date Birth Place