[Texas Society, Sons of the American Revolution (TXSSAR) Membership Records: 233-313] Page: 32 of 389
[381] p. ; 36 cm.View a full description of this book.
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Full maiden name of applicant's wife-..! .....-..................
NAMES OF CHILDREN AND GRANDCHILDREN OF APPLICANT.
(Added to blank by order of Trustees. July, 1915.)
Name. Date of Birth. Residence.
- -- -- ------------ ----- ------------ ---------- ---------- --------------------------------- ------------------ ......
-------------- -- -- -- ---. ... .... . . . _._.... ...- . . .. ...J. ...--- -i--- -------- -- --------------.
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CCU
-(5---------------ant) --------------------------
(Name in full.) (Also to be signed at bottom of second page.)
[The following form of acknowledgment is required]
STATE OF .,
COUNTY OF .........../.f
Personally appeared-- - - - -- - - - -
--------"---"----------.....................--------"--"--------------------------------------------- -----------"------------------"-
ner of the above and foregoing application and statement, and made oath before me that the statements
i rein contained are true to the best of his knowledge and belief.
Official Signature,
[L- ---------- -----------
L.S.]
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Sons of the American Revolution. Texas Society. [Texas Society, Sons of the American Revolution (TXSSAR) Membership Records: 233-313], book, 1925-04-01/1927-06-30; (https://texashistory.unt.edu/ark:/67531/metadc967178/m1/32/: accessed July 16, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu; crediting UNT Libraries Special Collections.