Family Record Sheet

Father

Born
Died

Mother

Name
Born
Died
NameLiving
BornLiving
Died

Spouse

NameLiving
BornLiving
Died

Marriage Information

Date
PlaceSt. Mary's Church,  Piqua,  Ohio

Spouse's Father

NameLiving
BornLiving
Died

Spouse's Mother

NameLiving
BornLiving
Died

Children

Name Gender Birth Date Birth Place
Living M Living Upper Valley Medical Center, Miami County, Ohio
Living M Living Upper Valley Medical Center, Miami County, Ohio