[Texas Society, Sons of the American Revolution (TXSSAR) Membership Records: 233-313] Page: 34 of 389
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APPLICATION FOR MEMBERSHIP
National Number - --..----. State Number--------------
ISSUED BY AUTHORITY OF THE NATI NAL BOARD OF TRUSTEES
. ------------1 1
TO THE BOARD OF MANAGERS OF
TEXAS STATE SOCIETY
OF THE
SONS OF THE AMERICAN REVOLUTION
I, - U-'i~.-~.-~-- leing of the age of years
I , ....... - --- -- --.-- --.-- - -- - -- - - - - -- - - - --------------- -- - - ---------- in g o h g f - -- - - e r
hereby apply for membership in this Society by right of lineal descent in the following line from ----------
who was born in ...............-on the d1 h- lay of - e ,aber 17 32
and died in --------- - ir---- o----- .- .......... the - - t-l-day of -- 1-7 -
and who assisted in establishing American Independence.
I w as born in ....-...-......-.-.--..-County of ---
State of -- ---- --on the -day of 1 (
(1) I am the son of-- --- -------- born ,- died , andwife -------.--.---------------------------------------hornd---------(lied
grandson of. ------------------born
wife .--- '-r o-.-. ---t-------------------------- born---------died- .I
great-grandson of -..G-born
wife..------o--- born died---------(lied-
great-great-grandson of ----------------------born- ,
wife.-.... --nah nta leheCCa BQ.i -born. - died...,....
great-great-great-grandson of ...... ..J--..--.-----------.J .-..born- ,
w ife.------- - -----. ----.------.--- ----..-..:..-bornd---------(ied,-
great-great-great-great-grandson of .-..-....-- .---.---------------born......,
wife -.......... i et-h-- u - ----------------------- ------------------- born .---------died -,-
great-great-great-great-great-grandson of-...........-----------------------------born-,
wife -------.........-.-- ...........-.............------------------------------------------born..---------,died.0
married-- ---
(lie(------ --- and
married---------
died -----------a-nd
iarricl--------
(lied---------- and
married --------
died -------- and
married --------
died--------- and
married--------
(liedl------------and
married-----------and he, the said -...........O.Il..J.QSQ h___.- ......-- ....--------------.. . ... .(No..-5 ) is the ancestor who assisted ifl
establishing American Independence, while acting in the capacity of .-- 3mastar....-.C.o 1.. ;:..iliti-
Member Genl.t Asenbly etc.
NOTE: It is not absolutely necessary for admission to membership that all blank spaces provided for dates
and pre-Revolutionary ancestors be filled, but it is extremely desirable.
Nominated aind reco m by th undersigned mem- Signature of applicant, (Name in full)
ber4.,fhctbjqo 5
Addr
Occupation
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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/m1/34/: accessed July 16, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu; crediting UNT Libraries Special Collections.