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_______________________________________________________________________________________________________ 
|                                         Family Group Sheet                                           |
| Date:                                                                                   Page 1 of ___|
|______________________________________________________________________________________________________|
| HUSBAND                                                                                              |
|______________________________________________________________________________________________________|
| BORN:                        PLACE:                                                                  |
| CHR.:                        PLACE:                                                                  |
| MARR:                        PLACE:                                                                  |
| DIED:                        PLACE:                                                                  |
| BUR.:                        PLACE:                                                                  |
| FATHER:                                                                                              |
| MOTHER:                                                                                              |
|______________________________________________________________________________________________________|
| WIFE                                                                                                 |
|______________________________________________________________________________________________________|
| BORN:                        PLACE:                                                                  |
| CHR.:                        PLACE:                                                                  |
| DIED:                        PLACE:                                                                  |
| BUR.:                        PLACE:                                                                  |
| FATHER:                                                                                              |
| MOTHER:                                                                                              |
|______________________________________________________________________________________________________|
|  CHILDREN                                                                                            |
|______________________________________________________________________________________________________|
| 1. NAME:                                                                                             |
|___ BORN:                      PLACE:                                                                 |
|    CHR.:                      PLACE:                                                                 |
|    DIED:                      PLACE:                                                                 |
|    BUR.:                      PLACE:                                                                 |
|    SPOUSE:                                                                                           |
|    MARR:                      PLACE:                                                                 |
|______________________________________________________________________________________________________|
| 2. NAME:                                                                                             |
|___ BORN:                      PLACE:                                                                 |
|    CHR.:                      PLACE:                                                                 |
|    DIED:                      PLACE:                                                                 |
|    BUR.:                      PLACE:                                                                 |
|    SPOUSE:                                                                                           |
|    MARR:                      PLACE:                                                                 |
|______________________________________________________________________________________________________|
| 3. NAME:                                                                                             |
|___ BORN:                      PLACE:                                                                 |
|    CHR.:                      PLACE:                                                                 |
|    DIED:                      PLACE:                                                                 |
|    BUR.:                      PLACE:                                                                 |
|    SPOUSE:                                                                                           |
|    MARR:                      PLACE:                                                                 |
|______________________________________________________________________________________________________|
|4.  NAME:                                                                                             |
|___ BORN:                      PLACE:                                                                 |
|    CHR.:                      PLACE:                                                                 |
|    DIED:                      PLACE:                                                                 |
|    BUR.:                      PLACE:                                                                 |
|    SPOUSE:                                                                                           |
|    MARR:                      PLACE:                                                                 |
|______________________________________________________________________________________________________|

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Phone:(____)____-_______                                                               
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