|
Husband’s
Name
|
|
|
Date
and Place of Birth |
|
|
Godparents’
Names |
|
|
Date
and Place of Marriage |
|
|
Marriage
Witnesses |
|
|
Occupation
and Address |
|
|
Date
and Cause of Death |
|
|
Place
of Burial |
|
|
Father’s
Name |
|
|
Mother’s
Name (include maiden name) |
|
|
Wife’ Name |
|
|
Date
and Place of Birth |
|
|
Godparents’
Names |
|
|
Date
and Place of Marriage |
|
|
Marriage
Witnesses |
|
|
Date
and Cause of Death |
|
|
Place
of Burial |
|
|
Father’s
Name |
|
|
Mother’s
Name (include maiden name) |
|
Children
|
1. |
Name and Sex |
|
|
|
Date
and Place of Birth |
|
|
|
Place
of Birth |
|
|
|
Date
of Christening |
|
|
|
Godparents |
|
|
|
Spouse |
|
|
|
Date
and Place of Marriage |
|
|
|
Marriage
Witnesses |
|
|
|
Date
and Cause of Death |
|
|
|
Place
of Burial |
|
|
2. |
Name and Sex |
|
|
|
Date
and Place of Birth |
|
|
|
Place
of Birth |
|
|
|
Date
of Christening |
|
|
|
Godparents |
|
|
|
Spouse |
|
|
|
Date
and Place of Marriage |
|
|
|
Marriage
Witnesses |
|
|
|
Date
and Cause of Death |
|
|
|
Place
of Burial |
|
|
3. |
Name and Sex |
|
|
|
Date
and Place of Birth |
|
|
|
Place
of Birth |
|
|
|
Date
of Christening |
|
|
|
Godparents |
|
|
|
Spouse |
|
|
|
Date
and Place of Marriage |
|
|
|
Marriage
Witnesses |
|
|
|
Date
and Cause of Death |
|
|
|
Place
of Burial |
|
|
4. |
Name and Sex |
|
|
|
Date
and Place of Birth |
|
|
|
Place
of Birth |
|
|
|
Date
of Christening |
|
|
|
Godparents |
|
|
|
Spouse |
|
|
|
Date
and Place of Marriage |
|
|
|
Marriage
Witnesses |
|
|
|
Date
and Cause of Death |
|
|
|
Place
of Burial |
|
|
5. |
Name and Sex |
|
|
|
Date
and Place of Birth |
|
|
|
Place
of Birth |
|
|
|
Date
of Christening |
|
|
|
Godparents |
|
|
|
Spouse |
|
|
|
Date
and Place of Marriage |
|
|
|
Marriage
Witnesses |
|
|
|
Date
and Cause of Death |
|
|
|
Place
of Burial |
|
|
6. |
Name and Sex |
|
|
|
Date
and Place of Birth |
|
|
|
Place
of Birth |
|
|
|
Date
of Christening |
|
|
|
Godparents |
|
|
|
Spouse |
|
|
|
Date
and Place of Marriage |
|
|
|
Marriage
Witnesses |
|
|
|
Date
and Cause of Death |
|
|
|
Place
of Burial |
|
|
7. |
Name and Sex |
|
|
|
Date
and Place of Birth |
|
|
|
Place
of Birth |
|
|
|
Date
of Christening |
|
|
|
Godparents |
|
|
|
Spouse |
|
|
|
Date
and Place of Marriage |
|
|
|
Marriage
Witnesses |
|
|
|
Date
and Cause of Death |
|
|
|
Place
of Burial |
|