HomeMy WebLinkAboutBurlewN Date
NI � 601
Husband's full name: A/nhVVI n 'i�r.r�a„l
Date of birth: 13 - -- -
Place of birth:
Date of marriage:
—rPlace of marriage:______
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-w-rol Father's full name:
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Mother's full maiden name:�`�L
OT 6 Wife's full maiden name: S
Date of birth: (2I
0 - Place of birth: i ,lE��jfcc� ff
Father's full name:
Mother's full maiden name:
Children:
1st. - child's full name: �n„r. ��,Irto,L) 0), l.lin
Date of birth:
Place of birth:��
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2nd. - child's full name: Un �Phl t�«YIQ�� JGKi"2 Ph
Date of birth: I p ! IS -1 ti 7
Place of birth: LI Q rc
3rd. - child's full name:
Date of birth: -JI4 161F
Place of birth: /
4th. - child's full name: �n r iC S7p.
Date of birth
Place of birth: J-�nir
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of residence .-for
OccupatilIons:: SAA� r I ki-�! ,
i ��14'M Lr -c. _r4 ntzl L, aY
Other -comments: