Family Record Sheet

Father

BornLiving
Died

Mother

NameLiving
BornLiving
Died
NameScott Richard Simon
BornFebruary 20, 1966
 in Sidney, Shelby County, Ohio
DiedMay 12, 1966

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