| Husband: | Page ______ of ______ |
| Birth: Marriage: Death: Buried: |
Place: Place: Place: Place: |
| Father: | Mother: |
| Wife: | |
| Birth: Marriage: Death: Buried: |
Place: Place: Place: Place: |
| Father: | Mother: |
| M/F (Sex of the Children) | List each child (living or dead) in order of birth. |
| Name: Birth: Marriage: Death: Buried: |
Spouse: Place: Place: Place: Place: |
|
| Name: Birth: Marriage: Death: Buried: |
Spouse: Place: Place: Place: Place: |
|
| Name: Birth: Marriage: Death: Buried: |
Spouse: Place: Place: Place: Place: |
|
| Name: Birth: Marriage: Death: Buried: |
Spouse: Place: Place: Place: Place: |
|
| Name: Birth: Marriage: Death: Buried: |
Spouse: Place: Place: Place: Place: |
Deseret Census Service 9802 S.R. 24, Moxee, WA 98936 (888) 423-6787