Search billions of records on Ancestry.com

You are at http://www.rootsweb.com/~wibhgsbc/Pioneer-Century-Appl-Pg2.htm <--Click here to break out of someone else's frames.

            Blue Hills Genealogical Society Barron County, Inc
       PIONEER/CENTURY CERTIFICATE APPLICATION
                                                                
 
    
Please PRINT or TYPE all entries:
   CHILDREN of PIONEER or CENTURY ANCESTOR  (List all children. If there are children from more than one
   marriage, separate those of each marriage by entering "Children from marriage with _______" before each grouping)

 

NAME

 DATE & PLACE
OF BIRTH

 DATE & PLACE
OF DEATH

DATE
MARRIED 

NAME of SPOUSE 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EVIDENCE (List all documents submitted to show evidence of settlement and descent) / REMARKS


_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________


                                    Return to Pioneer/Century Application - Page 1