Family Record Sheet

Father

Born
Died

Mother

BornNovember 25, 1919
 in Darke County, Ohio, 
Died
NameMary Ann Berger
BornSeptember 25, 1953
DiedSeptember 26, 1953

Spouse

Name
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