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Genealogy Questionnaire
Isle Madame Historical Society ( Please include any research that was done prior to contacting us ) Your name: ____________________________________________ Address: ______________________________________________ E-mail address: ______________________ Date: ______________________________ Name to search for: _____________________________________ Relationship to the above: _________________________________ Fill in as much as possible about the person sought. Date of Birth: __________________ Place: ____________________ Date of Death: _________________ Place: ____________________ Father and Mother: ________________________________________ Brothers and Sisters: ______________________________________ Aunts and Uncles: _________________________________________ Spouce: ________________________________________________ Children: ________________________________________________ Religion: _____________________ Residence: _________________ Occupation: ______________________________________________ Other information you can add such as stories, nicknames, etc: _______ ________________________________________________________ (Please include any research that was done prior to contacting us)
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