[Texas Society, Sons of the American Revolution (TXSSAR) Membership Records: 233-313] Page: 52 of 389
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APPLICATION FOR MEMBERSHIP
National Number ---State Number
ISSUED BY AUTHORITY OF THE NATIONAL BOARD OF TRUSTEES
TO THE BOARD 0 F MANAGERS OF
TEXAS STATE SOCIETY
OF THE
SONS OF THE AMERICAN REVOLUTION
I, - Ohm-NG-rt M--Q " %es k----- ------------------------------------------------ being of the age of. -- - years
hereby apply for membership in this Society by right of lineal descent in the following line from---------
o__-. roe-hock-------- - - -- - - --
who was born in -..Ab y Co- mty, - ................- on the....- ....--------------... - day of -17 41
and died in .....-........-.--- ----------. ......-on the. ... ... ..--------------.... ... day of 1
and who assisted in establishing American Independence.
I w as born in - .-.-.......--..-..........County of
State of . 4 - ------..-..-....-....-. on the.-.-..--... -.1t . (lay of uotobor 1x75
(1) I am the son of -----d -No0t--oebt k-------------l.... born -..., died 1916 , andwife ---I-ydi8--HortA.A4pW-;------------------------born....1A31., died 1908,
grandson of ---J m--.---Etofebe-ok------------------------------born -181a,
wife --oe ---$1---------------------------born.- - ., died 4.,
great-grandson of -.....acoh. ....Gr 0k.---------------------------born '86,
wife born.1Cathe87i(..7 7se (l-ed---------------------------------.87born-.-.- V A , died-.-
great-great-grandson ofb... J- D l * UGIO-b-O - - ............................. born 17413 ,
wife ..-- halgae..Vau..Schai k----- .------------- ....-born......-------- died 1753-,
great-great-great-grandson of.........---------------------- ---.--------------- born ,
wife-..-.- ...--.......... ..----------------------------------- ---- born-died.,.
great-great-great-great-grandson of -----------------------------born-------
wife -..-- .....-.- ...----------------------------------------------born-------- died.
great-great-great-great-great-grandson of --------------------------born- ,
wife ...- ...---.---- ---------------------------------------------born..--------died-married T.7
died....l8-o. , and
married....1846
died ...1844 , and
married-10Q0_-
died--------and
marriedl77h-
died-------, and
married-------
died--d--------an
married-------
died -------- and
mnarried---------and he, the said --.......7 -3-.--Gr-0S bQck................ ..(No.- ) is the ancestor who assisted il
establishing American Independence, while acting in the capacity of--------------------------------
w
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.
Nominate nd re d by e undersigned m- Si ure of ap " nt, (Name in full)
bar ,fthe
Occupation,/his
(2)
his
(3)
his
(4)
his
(5)
his
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his
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his
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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/m1/52/?q=waco+tornado&rotate=270: accessed July 16, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu; crediting UNT Libraries Special Collections.