Family Record Sheet

Father

BornOctober 19, 1838
 in Surry County, North Carolina, 
Died
 in Carroll County, Virginia, 

Mother

BornOctober 14, 1836
 in Surry County, North Carolina, 
Died
 in Surry County, North Carolina, 
NameMahala Alice Smith
BornAugust 22, 1868
 in Surry County, North Carolina, 
DiedDecember 16, 1946
 in Surry County, North Carolina, 

Spouse

Born
Died

Marriage Information

Date
Place

Spouse's Father

Name
Born
Died

Spouse's Mother

Name
Born
Died

Children

Name Gender Birth Date Birth Place