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Northeast Pennsylvania Genealogical Society
Individual Research Form
Individual's Name
: ____________________________
Identification #
: __________
Father's Name: ________________________ Mother's Name: ___________________
Event Date(s) Place Comments
Born: ____________ __________________________ ________________________
Christened:
______________ _____________________________ ____________________________
Died:
______________ _____________________________ ____________________________
Buried:
______________ _____________________________ ____________________________
Other Information
Nickname: ________________ Sex: _____ Married Name: __________________
Marriage
Spouse:
________________________
Marriage Date:
___________________________
Marriage Place:
___________________________
Marriage Source:
___________________________
Notes:
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30 April 2001