ࡱ> mol7 !bjbjUU *j7|7|l\(`000H s!x'''''''$) +p'!!!'!0H(!!!!0H'!!'!^!I"I"0 `Ȧ}z!I"W"l(0(I"^,!^,I"!MILITARY REGISTRY  WAR:  FORMTEXT       OTHER SERVICE : FORMTEXT       NAME OF PARTICIPANT:  FORMTEXT       COUNTY FROM WHICH SERVED (Check One): FORMCHECKBOX  Allegan FORMCHECKBOX  Berrien FORMCHECKBOX  Cass FORMCHECKBOX  Kalamazoo FORMCHECKBOX  Van Buren  FORMCHECKBOX  Other  FORMTEXT       COUNTRY FOR WHICH SERVICE WAS PERFORMED:  FORMTEXT       BRANCH OF SERVICE : FORMTEXT      LENGTH OF SERVICE FORMTEXT       DESCRIPTION OF SERVICE: FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       EVIDENCE OF SERVICE : (Attach Copies) FORMTEXT       FORMTEXT       Pension: (check one) Yes  FORMCHECKBOX No  FORMCHECKBOX Rejected  FORMCHECKBOX Unknown  FORMCHECKBOX  - PERSONAL HISTORY - Birthdate & Place:  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       Birth Date City of Birth County of Birth State or mm-dd-yyyy Country Deathdate & Place:  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       Death Date City of Death County of Death State or mm-dd-yyyy Country Burial : FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       Cemetery City County State or Country Does grave have a marker ?Yes  FORMCHECKBOX No  FORMCHECKBOX  Parents: FORMTEXT       Siblings: FORMTEXT       FORMTEXT       FORMTEXT      Spouse: FORMTEXT       Marriage:  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       Date City where Married County where Married State or mm-dd-yyyy Country Other Spouses: FORMTEXT       FORMTEXT       Children: (please list name, birthdate, spouse) 1. FORMTEXT      2. FORMTEXT      3. FORMTEXT      4. FORMTEXT      5. FORMTEXT      6. FORMTEXT      7. FORMTEXT      8. FORMTEXT      ( If required, please attach a separate sheet for additional children) All known residences of participant: FORMTEXT       FORMTEXT       FORMTEXT       SUBMITTED BY: Name: FORMTEXT       Address:  FORMTEXT       FORMTEXT       FORMTEXT    FORMTEXT       Street City State Zip Relationship to Participant: FORMTEXT       Date of Submission: FORMTEXT       Military Registery is a project of the Van Buren Regional Genealogical Society, P.O. 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