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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