First Families of Iron County
|
Instructions to applicant: Fill in all blanks, beginning with yourself as #1. TYPE OR PRINT all information. A check or money order for $10.00 must accompany the application. |
A. Applicant’s Name:
(as it will appear on the certificate)
(street address)
(city, state, zip)
B. Name of ANCESTOR:
(name of qualifying ancestor who was in Iron County in 1857, as it will appear on the certificate)
Birth:
(date) (place)
Death:
(date) (place)
Baptism:
(date) (place)
Married:
(date) (place)
SPOUSE:
(name) (maiden when applicable)
Birth:
(date) (place)
Death:
(date) (place)
C. Where in Iron County did ancestor settle?
(community, general area, if known)
Emigrated from
(if known) (township) (county) (state, country)
First Families of Iron County
LINE OF DESCENT CHART
1. I, (name) was born on (date)
at (place) (county) (state)
married to (spouse)
2. Child of married to
Born Place
Married Place
Died Place
3. Child of married to
Born Place
Married Place
Died Place
4. Child of married to
Born Place
Married Place
Died Place
5. Child of married to
Born Place
Married Place
Died Place
6. Child of married to
Born Place
Married Place
Died Place
7. Child of married to
Born Place
Married Place
Died Place
8. Child of married to
Born Place
Married Place
Died Place
9. Child of married to
Born Place
Married Place
Died Place
List Sources of proof as to descent by generation (please number photocopied proofs to correspond to generation numbers).
1.
2.
3.
4.
5.
6.
7.
8.
9.