Craig County Centennial Lineage Project

The Applicant’s Great-Grand parents

Generation # 4  :_____________________________________________is the child of
Father:_______________________________________________________________________
Born:____________________________ Place:________________________________
(date)                                       (town, county, state)
Died:____________________________ Place:________________________________
(date)                                       (town, county, state)
Married:________________________________ Place:________________________________
(date)                                        (town, county, state)
Mother:_______________________________________________________________________
Born:____________________________ Place:________________________________
(date)                                       (town, county, state)
Died:____________________________ Place:________________________________
(date)                                       (town, county, state)
Proofs:_______________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
(enclose photo copies of all proofs)