Family Record Sheet

Father

BornAbout 1812
 in Ohio, 
Died

Mother

BornJune 24, 1820
 in Washington County, Indiana, 
Died
NameSusanna Hollingsworth
BornAbout 1847
 in Indiana, 
Died

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