Family Record Sheet

Father

Born
Died

Mother

Name
Born
Died
NameLiving
BornLiving
Died

Spouse

NameLiving
BornLiving
Died

Marriage Information

Date
Place

Spouse's Father

BornDecember 12, 1928
 in Farmington, San Juan, New Mexico
Died
Florida

Spouse's Mother

BornMay 24, 1929
 in Wirtz, Franklin County, Virginia
Died
 in Piqua, Miami County, Ohio

Children

Name Gender Birth Date Birth Place
Living M Living
Living M Living