APPLICATION

A | FF/PFVWC USE ONLY       PROVED ANCESTORS 
  1. __________________ 
  2. __________________ 
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  FIRST FAMILIES  
AND/OR
PIONEER FAMILIES
OF
VAN WERT COUNTY  

OHIO

VWC logo
B|  FF/PFVWC USE ONLY

 Name_________________

 FFVWC #______________

 PFWC# _______________

 Date Rec'd_____________

 Date Accepted__________

 Fee Rec'd______________

 VW Gen. Soc.
 Dues paid for year: ________

INSTRUCTIONS: Fill in blocks C and D on this page. On pages 2 and 3 list the ancestral line of the ancestor to be proved, beginning with yourself as #1. Type or handprint all information.
C Applicant's Name

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Full Name of Husband or Wife


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Street Address

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City

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County

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Zip+4

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ANCESTORS OF APPLICANT WHO SETTLED IN VAN WERT COUNTY
BEFORE 31 DECEMBER 1860 / 1880
D


1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

NAME OF ANCESTOR


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Year first proved
in Van Wert County

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State or Country
Ancestor came from
(if known)

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APPROVED BY
FF/PFVWC CHAIRMAN: ____________________________ DATE: _______________