Family Record Sheet

Father

BornJuly 17, 1925
 in Ft. Wayne, Indiana, 
Died

Mother

BornOctober 23, 1926
 in Piqua, Miami County, Ohio
Died
NameLiving
BornLiving
Died

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
Living M Living