Family Record Sheet

Father

BornNovember 22, 1865
Died

Mother

BornNovember 24, 1870
Died
NameConley Simmons
BornOctober 28, 1902
DiedJune 4, 1965

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