Lee County Genealogical Society
Keokuk Public Library
210 No. 5th St.
Keokuk, Iowa, 52632
GENEALOGICAL RESEARCH REQUEST
Lee County Genealogical Society
P.O. Box 303
Keokuk, IA 52632-0303We request a payment of $6.00 per hour for all research plus expense for copies and postage. Please send a minimum of $10.00 for
the basic research with this request form along with an indication of how much you are willing to spend on the research. We can notifiy you by E-Mail or mail on how much the cost will be. We will bill you for copies and time spend. Remember, copies of wills and court records are expensive. Please print or type all information.
ANCESTOR'S VITAL INFORMATION
Surname ___________________________________________________ Given Name _______________________________________
Birth Date _________________________ Place ______________________________________________________________________
Death Date ________________________ Place ______________________________________________________________________
Parents Names if Known _______________________________________________________
Spouse's Maiden Name _______________________________________ Given Name ____________________________________
Marriage Date ______________________ Place ______________________________________________________________________
Township(s) or Town(s) if Known __________________________________________________________________________________
Time Period to Search _________________________________________________________
EXPLAIN YOUR RESEARCH REQUEST IN FULL ON THE REVERSE SIDE... THANKS!
Name ______________________________________________________________________________________
Street ______________________________________________________________________________________
City ___________________________________________________________ State _______________
Zip Code _________________________________
Telephone _______________________________
E-Mail _______________________________________________________________________________
Amount of enclosed check-$______________
The Lee County Iowa Genealogical Society was organized in 1964