5. _______________________________________________________________________________________

    born on ____________at___________________________________________________________________ 
                                                                                City                                       County                                          State

    died on ____________at____________________________________________________________________
                                                            City                                      County                                           State 
    and_______________________________ (his, her) (wife, husband)

    born on ____________at____________________________________________________________________
                                                            City                                       County                                           State
   
died on _____________at____________________________________________________________________
                                                            City                                       County                                            State
   
married on ___________at___________________________________________________________________
                                                            City                                       County                                            State
   
The said _________________________________________________________was the (son, daughter) of

6. ________________________________________________________________________________________

    born on ______________at__________________________________________________________________
                                                              City                                     County                                             State
    died on _____________at___________________________________________________________________
                                                              City                                     County                                             State
    
and_______________________________ (his, her) (wife, husband)

    born on _____________at___________________________________________________________________
                                                              City                                     County                                             State
    died on _____________at____________________________________________________________________
                                                              City                                     County                                             State
    
married on ____________at__________________________________________________________________
                                                              City                                     County                                             State
   
The said _________________________________________________________was the (son, daughter) of

7. _______________________________________________________________________________________

    born on ______________at________________________________________________________________
                                                               City                                      County                                            State
    
died on ______________at_________________________________________________________________
                                                               City                                      County                                            State
    
and_______________________________ (his, her) (wife, husband)

    born on _____________at_________________________________________________________________
                                                                City                                       County                                          State
    
died on _____________at_________________________________________________________________
                                                                City                                       County                                          State
    
married on ____________at________________________________________________________________
                                                                City                                       County                                          State

SPECIFICATIONS FOR PIONEER FAMILIES OF HILL COUNTY
Any person who is a direct descendent of an individual who settled in Hill County, Texas on or before December 31, 1903, may become a member on the acceptance of an application with proof of such descent and the payment of a $10.00 fee.  

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