VIP Personal Information
|
|
- Lucas West
- 6 years ago
- Views:
Transcription
1 Page of 8 If FemaleMaiden DOB Race Social Security # Birth City StateCountry Birth Hospital MM DD YYYY Address Apt # City State Zip County Country Inside City Limits Religious Preference Education: level completed. ElemSecond (0-): College Degree Earned: Alias Alias Phone (H) Phone (W) Phone (Cell) Marital Status Legal Next of Kin Address Relationship: Wife Husband Father Mother Brother Sister Son Daughter Employer Friend Home City State Zip On SiteCell Phone Permanent Contact Married Never Married Widowed Divorced Separated Unknown Please place name and contact info here. Work ( MM DD YYYY ) Mother Living Deceased Unknown MaidenBirth name Wedding Date Spouse Living Deceased Unknown MaidenBirth name Father Living Deceased Unknown Please place other here Contact Address City State Zip Home Phone Work Phone Cell Phone Date of Contact Type of Contact Relationship Wife Husband Father Mother Brother Sister Son Daughter Employer Friend Contact Address City State Zip Home Phone Work Phone Cell Phone Date of Contact Type of Contact Relationship Wife Husband Father Mother Brother Sister Son Daughter Employer Friend Contact Address City State Zip Home Phone Work Phone Cell Phone Date of Contact Type of Contact Relationship Wife Husband Father Mother Brother Sister Son Daughter Employer Friend
2 Page of 8 Height: Approx. Weight (Pounds): Hair Color Auburn Blonde Brown Black Gray Red Salt & Pepper White Please place other here Hair Information Hair Length Hair Accessory Extensions Hair Piece Hair Transplant Wig Hair Curly Wavy Straight NA : Facial Hair Type Facial Hair Color Bald Shaved Short < " Medium Male Patern Baldness: Long Clean Shaven Moustache Blonde Brown Black Gray Beard & Moustache Beard Red Salt & Pepper Goatee Stubble White Sideburns Lower Lip Facial Hair tes NA Eye Info Eye Color Optical Lens Blue Brown Green Hazel Gray Black Contacts Glasses Implants ne ColorDescrip: Desc. Eye Status Missing R Missing L Glass R Glass L Cataract NA NAIL Info Fingernail Type Fingernail Color Characteristics Toenail Color Characteristics Natural Artificial Unknown Length Extremely Long Long Medium Short Bitten Decorated Misshapen YellowedFungus NA Toenail description Bitten Decorated Misshapen YellowedFungus NA Body Piercing(s)? Photos? Photo Location # Location Side Quantity (include evidence of old piercings) Photo Tattoo(s) Photos? Photo Location # Location Side
3 Page of 8 Dental Info Dentist Address City State Zip Additional Dental Informationnd Dentist: Unknown Phone Never Went Dental Work Dentures Both Braces Partials Tooth Jewelry Physician Info Physician Address Address City State Zip Phone Phone Practice Physician Type Seen for Records Requested Records Obtained Medical Radiographs? Physician(s) Unknown Address Medical Radiographs Location Potential Type of Radiographs - and dates taken if known Old Fractures: : Objects in Body: Surgery Gall Bladder Appendectomy Pacemaker Bullets Implants Needles Shrapnel Tracheotomy Laparotomy Caesarean Mastectomy Reconstructive Open heart Please place other objects here Please place other surgery here Diabetic? Unknown If Female pregnancy in the past months? Unknown Unique Characteristics of: Scars, Operations, birthmarks, burns, missing organs, amputations, other special characteristics Prosthetic(s) Prosthetic Location Additional Information
4 Page 4 of 8 Group Status: Alone Group Group FamGrp : Type: Family, Church Group, Sports,Military seen with If Family Group, list names here location victim was seen Military Service Unknown Military DNA Taken: Unknown Country Approximate Service Date Service #: Military Branch Ever Finger Printed: Immigration Status Resident Alien Card (Green Card) Fingerprints Footprints Ever been Arrested Print located Arrested By: Usual Occupation: Employer Type of Business Phone Employer Address Please list last employer if retired. Additional employers enter in additional data section List memberships: Clubs, Fraternities, etc. Additional Data
5 Page 5 of 8 WATCH: # Type Make Band Material Color Inscription Photo Available Gold color is denoted by yellow, silver color is denoted by white # Jewelry Typestyle Material Color Stone Color Size Where Worn Frequently Worn? Inscription Photo Available JEWELRY: Commonly Carried Personal Effects Cell phone Unknown Cell phone type: Service provider: Cell phone number Cell phone description
6 Page 6 of 8 # Clothing Items Color Size CLOTHING: Wallet: Purse: Contents Contents Pockets: Contents Left Contents Right
7 Page 7 of 8 Potential Living Biological Donors All Biololgical Relatives of Missing Individual----MotherFatherSpouseSisterBrotherChildrenUncleAuntCousin DOB DOB DOB 4 DOB 5 DOB 6 DOB 7 DOB 8 DOB Primary donor for Nuclear DNA Analysis An appropriate family member for nuclear DNA Analysis is someone that is biologically related to and only one generation removed from the deceased. The following are the family members who are appropriate donors to provide reference specimens, and in the order of preference (family members highlighted in bold print are the most desirable):. Natural (Biological) Mother and Father, AND. Spouse and Natural (Biological) Children, AND. A Natural (Biological) Mother or Father and victim s biological children, OR 4. Multiple Full Siblings of the Victim (i.e., children from the same Mother and Father
8 Page 8 of 8 Interview_Location Interview_Date (MMDDYYYY) Interview_Time Interviewer Info: Interviewer Interviewing_Organization Interviewer Home Information Interviewer Address: Interviewer home phone: Street, City State, Zip Interviewer cell phone: Interviewer work phone: Interviewer On-Site Information Interviewer on-site address Street, Hotel, Room # Interviewer on-site phone: Interviewer on-site cell: Reviewer Info: Reviewer Reviewer Signature Reviewing agency
Webb-Shinkle Mortuary
Webb-Shinkle Mortuary 200 South Tracy Avenue P.O. Box 325 Clearwater, Kansas 67026-0325 Phone: (620) 584-2244 (800) 522-8939 Fax: (620) 584-2143 Funeral arrangements for: (Use full name)_ Usual Residence
More informationInformation About the Person Making Arrangements (Next of Kin / Responsible Party)
FUNERAL ARRANGEMENT QUESTIONNAIRE Date Prepared SECTION 1: BASIC INFORMATION Primary Information About the Deceased Personal Information Name (Last) (First) (Middle) Suffix (e.g., Sr., Jr.) Sex (M / F)
More informationPre-Planning. NOT a legally binding document
Pre-Planning Thank You for entrusting our family owned Funeral Home with your future arrangements. Our staff is dedicated to the highest level of professionalism, empathy & discretion. Enclosed is the
More informationADVANCED PLANNING EMPLOYMENT STATUS:
ADVANCED PLANNING Full Name (first, middle, last): Name for Newspaper/Nick Name: Address-Permanent (city, state, zip): Address-Other (city, state, zip): Sex: Male Female Ethnicity: White Black American
More informationSuffix (e.g., Sr., Jr.) Sex (M / F) Social Security No. Residential Facility Name City County State. City of Birth. Name Address Phone
SECTION 1: BASIC INFORMATION FUNERAL PLANNING CHECKLIST Date Prepared Primary Personal Information Personal Information (Last) (First) (Middle) Suffix (e.g., Sr., Jr.) Sex (M / F) Social Security No. Citizenship
More informationThe information you provide below will be used to create the legal Certificate of Death. The death certificate is a permanent document.
Page 1 of 5 Form R-360A-09012014 Commonwealth of Massachusetts Department of Public Health Registry of Vital Records and Statistics Informant Worksheet for Certificate of Death The information you provide
More information5 Legal Requirements Before Cremation You have permission to reprint this ebook with this required author credit: Sign up for Jodi M.
PUBLISHED BY Jodi M. Clock While every caution has been taken to provide my readers with most accurate information and honest analysis, please use your discretion before taking any decisions based on the
More informationPORT MOODY POLICE DEPARTMENT
Revised 2017-05-17 APPLICATION DATE YEAR MONTH DAY PORT MOODY POLICE DEPARTMENT EMPLOYMENT APPLICATION (Recruit) Carefully read the following instructions before commencing the task of completing the application
More informationMy Personal Wishes. Wight & Comes Funeral Chapel th Street NE ~ PO Box 724 Watertown, SD A Guide to Funeral Planning
My Personal Wishes A Guide to Funeral Planning Name 605-886-5876 1111 4 th Street NE ~ PO Box 724 Watertown, SD 57201-0724 www.wightandcomes.com Wight & Comes Funeral Chapel 605-886-5876 1111 4 th Street
More informationPORT MOODY POLICE DEPARTMENT
Revised. 2008-08-27 APPLICATION DATE YEAR MONTH DAY PORT MOODY POLICE DEPARTMENT EMPLOYMENT APPLICATION (EXEMPT CANDIDATE) Carefully read the following instructions before commencing the task of completing
More informationSONS AND DAUGHTERS OF PEARL HARBOR SURVIVORS, INC.
SONS AND DAUGHTERS OF PEARL HARBOR SURVIVORS, INC. INSTRUCTIONS for filling out the LINEAGE Membership Application FORM 1. Use this form for Lineal Membership or Minor Lineal Membership, under the age
More informationCIVILIAN PERSONAL HISTORY FORM
CIVILIAN PERSONAL HISTORY FORM Personal information on this form is being collected pursuant to Section 29 of the Municipal Freedom of Information and Protection of Privacy Act and under the authority
More informationMaiden Names: Unlocking the mystery of the Mrs. Jim Lawson Professional Genealogist
Maiden Names: Unlocking the mystery of the Mrs. Jim Lawson Professional Genealogist www.kindredquest.com 1 Women make up half the population, but seem to be the hardest to find on a family tree. Hard,
More informationFollow your family using census records
Census records are one of the best ways to discover details about your family and how that family changed every 10 years. You ll discover names, addresses, what people did for a living, even which ancestor
More informationPlease complete the information in this packet and return it PRIOR to your appointment with the Familial Cancer Risk Assessment Center.
Please complete the information in this packet and return it PRIOR to your appointment with the Familial Risk Assessment Center. The information gathered from these questionnaires will be used to assess
More informationThe 1999 Population Census in the Republic of Kazakhstan CENSUS QUESTIONNAIRE 3C
1111111111 samples of letters and numbers 1111111111111 Approved by the Committee Of Statistics and Analysis No 20 of 29.06.98 The 1999 Population Census in the Republic of Kazakhstan Enumerators and other
More informationIf you have any questions, please contact us. We re here to help.
Dear Friends, Many times families are at a loss concerning their loved one s final wishes. At times like these, decisions are often extremely difficult to make. Because we care, we have created this booklet
More informationDISASTER VICTIM IDENTIFICATION (DVI)
DISASTER VICTIM IDENTIFICATION (DVI) HOW TO USE THE YELLOW ANTE-MORTEM (AM) FORM Please write legibly. I. GENERAL INSTRUCTIONS The AM Form is designed for listing any information that may be obtained from
More informationMrs. Mary Abel (Dr. Herman Abel)
Mrs. Mary Abel (Dr. Herman Abel) Mary Ashley Abel Birth: Jun. 26, 1867 Richmond Center New York, USA Death: Jul. 28, 1957 Canandaigua New York, USA Family links: Parents: George A. Ashley (1838-1906) Deborah
More informationNational Asylum Support Service. Application form. Please read the guidance notes before you fill in this form.
National Asylum Support Service Application form Please read the guidance notes before you fill in this form. Please fill in this form in BLOCK CAPITALS using black ink. Section 1 About you please read
More informationWhat To Do If A Death Has Occurred
What To Do If A Death Has Occurred Since most deaths occur in health care institutions such as hospitals and nursing homes, the attending staff may provide you with some preliminary information. If the
More informationJamaican Passport Application Form
Jamaican Passport Application Form PLEASE READ THE INFORMATION SHEET CAREFULLY BEFORE COMPLETING THIS FORM A APPLICANT S PERSONAL DATA Surname Profession or Occupation First Name Middle Name(s) Maiden
More informationFree Online Training
Using DNA and CODIS to Resolve Missing and Unidentified Person Cases B.J. Spamer NamUs Training and Analysis Division Office: 817-735-5473 Cell: 817-964-1879 Email: BJ.Spamer@unthsc.edu Free Online Training
More informationHow to narrow your search criteria
How to narrow your search criteria By Elizabeth Doherty Herzfeld Finding ways to narrow your search saves time and frustration. As a professional genealogist, I must find ways to get the information for
More informationOur Letter of Intent for our Loved One
Our Letter of Intent for our Loved One The Letter of Intent As part of the special needs planning process, you should complete a Letter of Intent. Although this is not a legally binding document, it can
More informationWhat to Do if a Death Has Occurred
What to Do if a Death Has Occurred Since most deaths occur in health care institutions such as hospitals and nursing homes, the attending staff may provide you with some preliminary information. If the
More informationResident Application
The House of New Beginnings A Residential Half-way House for Recovering Men 545 Floyd Street, Corydon, IN 47112 Fax: 812-738-3706 Phone: 812-738-3179 Resident Application Please complete all questions.
More informationlifetime, in one day.
funeral & crem ation services LUVERNE CHAPEL 209 Elm St. Luverne, MN 56156 507-283-2777 Engebretson@iw.net JASPER CHAPEL 417 Wall St. E. Jasper, MN 56144 507-348-4321 PIPESTONE CHAPEL 710 4th St. SE, Box
More informationATX Cremation - (512) Hours
What to Do if a Death Has Occurred Since most deaths occur in health care institutions such as hospitals and nursing homes, the attending staff may provide you with some preliminary information. If the
More informationRegistry Publication 62
Births, Deaths, Missing Persons Background The Civil Aviation (Births, Deaths and Missing Persons) Regulations 1948 1 place requirements on the pilot in command and owner of aircraft to report births deaths
More informationLocating Irish Origins
Locating Irish Origins North American Research March 2015 Meet today s presenter Marie E. Daly Senior Genealogist OVERVIEW Presentation (60 mins.) Strategies for success Resources for beginning Irish genealogy
More informationLetter for Top Surgery and Consent FtoM
Letter for Top Surgery and Consent FtoM Current Legal Name: Choosen Name: Today's Date: Your Address: City: State: Zip Code: Cell Phone: Work Phone: Email: Date of Birth: Home Phone: SS # - ************************************************************************
More informationHealth Care Proxy. Appointing Your Health Care Agent in New York State
Health Care Proxy Appointing Your Health Care Agent in New York State The New York Health Care Proxy Law allows you to appoint someone you trust for example, a family member or close friend to make health
More informationHRS: Aging, Demographics, and Memory Study
ADAMS ID: _ Interview Date: MM/DD/YEAR Follow-Up (1=Yes, 0=No) VERSION: 1 = Beige HRS: Aging, Demographics, and Memory Study INFORMANT QUESTIONNAIRE CODEBOOK Waves C & D (2008 2010) ADAMS1InformantQnaireCD.doc
More informationPURSE FUNERAL HOME IMPORTANT INFORMATION. Please Read Carefully
Michigan's Finest J. GILBERT - ^. -_--_ WWW.PURSEF-UNERALHOME.COM IMPORTANT INFORMATION Please Read Carefully NOTICE: This document has been prepared to assure that the person(s) contracting cremation
More informationThis Workbook has been developed to help aid in organizing notes and references while working on the Genealogy Merit Badge Requirements.
This Workbook has been developed to help aid in organizing notes and references while working on the Genealogy Merit Badge Requirements. Visit www.scoutmasterbucky.com for more information SCOUT S INFORMATION
More informationLocating Irish Origins
Locating Irish Origins North American Research Marie Daly, Senior Genealogist Voice of Marie E. Daly, Senior Genealogist Keys to Success Widen your search Include relatives, friends, neighbors Look at
More informationWhat To Do If A Death Has Occurred
What To Do If A Death Has Occurred Since most deaths occur in health care institutions such as hospitals and nursing homes, the attending staff may provide you with some preliminary information. If the
More information1/8/2013. Free Online Training. Using DNA and CODIS to Resolve Missing and Unidentified Person Cases. Click Online Training
Free Online Training Using DNA and CODIS to Resolve Missing and Unidentified Person Cases B.J. Spamer NamUs Training and Analysis Division Office: 817-735-5473 Cell: 817-964-1879 Email: BJ.Spamer@unthsc.edu
More informationFamily Records of the
Family Records of the Jefferson, McDaniels, Horton s, Austins, Howards, Wilsons families of Virginia & West Virginia Compiled by Teresa R. Wilson Kemp For www.plantationquilts.com Our Family Place Page
More informationPedigree Charts. The family tree of genetics
Pedigree Charts The family tree of genetics Pedigree Charts I II III What is a Pedigree? A pedigree is a chart of the genetic history of family over several generations. Scientists or a genetic counselor
More informationPlanning Ahead. Owned and Operated by the Dingmann Family Chapel Locations:
Owned and Operated by the Dingmann Family www.dingmannfuneral.com info@dingmannfuneral.com Chapel Locations: 305 E Park St PO Box 388 Annandale, MN 55302 320-274-8811 85 N Main St PO Box 69 Kimball, MN
More informationAppendix B. Additional Tools to Help with the Assessment Process
Appendix B Additional Tools to Help with the Assessment Process Family and Social Assessment Tools Genograms What Is a Genogram? It is a graphic representation of family members and their relationships
More informationFUNERAL DIRECTOR INSTRUCTIONS
FUNERAL DIRECTOR INSTRUCTIONS The purpose of this handbook is to acquaint funeral directors with the Illinois vital registration system and to provide instructions for completing an Illinois death record
More informationWelcome to ELIOTT s Extended Donor Profile
Welcome to ELIOTT s Extended Donor Profile ELIOTT voluntarily provided the following information which will be disclosed to future parents as an aid in their selection General Information and characteristics
More informationTools & Techniques You Need for a Successful Job Hunt
JOB SEARCH TOOLKIT: Tools & Techniques You Need for a Successful Job Hunt The following section is entitled: Chapter 10: Interview Tips Table of Contents Introduction Chapter 1: What Kind of Job Are You
More informationMaterial may not be used for resale or shared electronically.
All About Me Lapbook Materials and information may be used for your own personal and school use. Material may not be used for resale or shared electronically. Homeschool Share Mirror, Mirror on the Print
More informationFrances Gertrude Fanny : Stuchowitz Stachowitz Supovitz Parents Children January 13, 1907 Arrival in NYC
Frances Gertrude Fanny : Stuchowitz Stachowitz Supovitz b: October 12, 1901 148 Jubilee Street, Mile End Old Town Western London, England d: October 13, 1987 +Saul Supovitz b: June 15, 1898 in Russia d:
More informationAPPLICATION FOR ENROLLMENT
CTGR-9615 Grand Ronde Rd.; Grand Ronde OR 97347 1-800-422-0232 ext.2253 APPLICATION FOR ENROLLMENT Name: First Middle Last Maiden Gender Female. Male Date of Birth Social security Number Address: Mailing
More informationBeach Cities. Fax: C REMATION S OCIETY
Beach Cities C REMATION S OCIETY Fax To: Fax: Phone: Re: From: Pages: Date: CC: Urgent X For Review Please Comment Please Reply Please Recycle 500 E AST I MPERIAL A VENUE S UITEB E L S EGUNDO, C ALIFORNIA
More informationNEXT CHAPTER EVERYDAY
. CUSTOMER NAME : ADDRESS : POSTCODE : DATE : PHONE: 0161 871 4452 FAX: 0161 601 3502 EMAIL: sales@bgcstudios.co.uk BUDGET GREETING CARDS LTD, PRELUDE HOUSE, CHAPTER STREET, MANCHESTER, M40 2AY VA001 C50
More informationSan Joaquin County First Families Certificate Program
San Joaquin County First Families Certificate Program The San Joaquin Genealogical Society and The San Joaquin County Historical Society have partnered to offer the First Families of San Joaquin County
More informationPre-Arrangement Resource Kit
Pre-Arrangement Resource Kit What To Do When Someone Passes Away Since most deaths occur in health care institutions such as hospitals, nursing homes and hospices, the attending staff should provide guidance
More information1. NAME 2. SOCIAL SECURITY NUMBER # 3. CLOCK NUMBER 4. PRESENT OCCUPATION 5. PLANT 6. ADDRESS. 7. (Zip Code) 8. TELEPHONE NUMBER 9.
Part 1 INITIAL ASBESTOS MEDICAL QUESTIONNAIRE 1. NAME 2. SOCIAL SECURITY NUMBER # 3. CLOCK NUMBER _ 4. PRESENT OCCUPATION 5. PLANT 6. ADDRESS _ 7. (Zip Code) 8. TELEPHONE NUMBER 9. INTERVIEWER 10. DATE
More informationFinal Arrangements. A pre-planning guide CGFFE Aetna Inc
Final Arrangements A pre-planning guide CGFFE01305 2013 Aetna Inc. 051013 Instructions Date Dear Loved One, Realizing that death is inevitable and being aware of the fact that the modern approach to this
More informationDetermining Relatedness from a Pedigree Diagram
Kin structure & relatedness Francis L. W. Ratnieks Aims & Objectives Aims 1. To show how to determine regression relatedness among individuals using a pedigree diagram. Social Insects: C1139 2. To show
More informationIN THIS ISSUE: QUESTIONS / NEWS Q: From Dee Bremer...going to purchase a ydna kit for a cousin..would you go with Y37 or 67 with a difference of $80?
IN THIS ISSUE: From the Administrator... 1 Questions/News......1 George Varner of Missouri Direct Line 2 Riggs/Varner Connection. 2 Nancy Ann Varner....2 May 2017 FROM THE ADMINISTRATOR Previous newsletters
More informationASBESTOS PROGRAM PART 1 INITIAL MEDICAL QUESTIONNAIRE
ASBESTOS PROGRAM PART 1 INITIAL MEDICAL QUESTIONNAIRE This mandatory form contains the medical questionnaire that must be administered to personnel who are exposed to asbestos above the permissible exposure
More informationTheodore Thorner b: October 15, 1878 in Poland Minnie Sommerman Parents Children June 1, 1905 August 2, 1906 Petition for Naturalization
Theodore Thorner b: October 15, 1878 in Poland d: June 02, 1963 in California +Minnie Sommerman b: April 18, 1887 in Austria d: December 14, 1951 m: November 29, 1906 Parents Gedalia Lazer/ Eleazar Chrzadowski
More informationUsing the FamilySearch Family Tree (23 March 2012)
Using the FamilySearch Family Tree (23 March 2012) 2012 by Intellectual Reserve, Inc. All rights reserved Printed in the United States of America Published by FamilySearch, International Salt Lake City,
More informationVoluntary Paternity Acknowledgment. Angie Saleeby Vital Records Operations Manager PHSIS
Voluntary Paternity Acknowledgment Angie Saleeby Vital Records Operations Manager PHSIS Voluntary Acknowledgment of Paternity Program Hospitals must establish an in-hospital paternity acknowledgment program
More informationThe Snohomish Tribe of Indians Application for Enrollment
The Snohomish Tribe of Indians Application for Enrollment DATE APPLIED Enrollment # Enrollment For Office Use Only NAME (First, Middle, Last)* Maiden of Birth Current Mailing Address Copy of State Issued
More information2. Please use maiden names where applicable, and all given names of ancestors.
WHATCOM COUNTY WASHINGTON PIONEER / EARLY SETTLER CERTIFICATES sponsored by Whatcom Genealogical Society PO Box 1493, Bellingham, WA 98227-1493 Web site: http://wagenweb.org/whatcom/wgs/wgs.htm Eligibility:
More informationApplication to record an overseas birth in the register of births (section 36 of the Civil Status Act)
Application to record an overseas birth in the register of births (section 36 of the Civil Status Act) Receipt stamp, Registry Office I in Berlin Embassy Consulate General Consulate Honorary Consul of
More informationCh ange of name fo r adul ts
Ch ange of name fo r adul ts Instruction and Application Booklet Please read the instructions carefully before completing the application sections of this booklet. Vital Statistics Branch 506-453-2385
More informationOut of Province Service Request Ordering Certificates / Documents
egistry Connect uthorized gent for the Government lberta, Vital Statistics PO Box 386, Edmonton, lberta, Canada 5J 2J6 elephone (780) 415-2225, Fax (780) 415-2226 E-mail: registry.connect@aara.ca his form
More informationHow Do I Start My Family History?
How Do I Start My Family History? Step 1. Write Down What You Already Know about Your Family Using the example below, fill out the attached Pedigree Work Sheet with the information you already know about
More informationApplication to record an overseas birth in the register of births (section 36 of the Civil Status Act)
Application to record an overseas birth in the register of births (section 36 of the Civil Status Act) Receipt stamp Note - identifying the competent registry office The birth should be registered at the
More informationREMEMBRANCE JEWELRY COLLECTION
REMEMBRANCE JEWELRY COLLECTION Remembrance Jewelry your funeral professional to place cremated remains inside a pendant or bracelet Nambé Flight, Strength and Cross include black leather cord Key Pendant,
More informationin: Bracken County, Kentucky Died: November 06, 1890 in: Pendleton County, Kentucky Other Spouses: Virginia E. Harcum Cookendorfer,
Husband: William Squire Cummins Born: 1825 in: Washington, Bracken County, Kentucky Married: March 22, 1845 in: Pendleton County, Kentucky Died: November 06, 1890 in: Pendleton County, Kentucky Father:
More informationRoad Blocks Where Do We Go Now? What is a Road Block? A Road Block is a perceived dead-end that you have reached in your genealogical research Road
Road Blocks Where Do We Go Now? What is a Road Block? A Road Block is a perceived dead-end that you have reached in your genealogical research Road Blocks may be small or large Road Blocks leave us frustrated
More informationBeginning Research ORGANIZING FAMILY HISTORY. By Barry Tripp
Beginning Research ORGANIZING FAMILY HISTORY By Barry Tripp FAMILY HISTORY Overview GETTING STARTED Where to get help Create a familysearch.org account GATHERING INFORMATION FROM HOME Sources RECORD WHAT
More informationFirst Families of Ashland County
First Families of Ashland County Rules of Evidence The rules of evidence applying to membership in First Families of Ashland County, Ohio follow and use the standards by which all FFOAC proof is judged.
More informationNYC Birth Certificate Correction Checklist
NYC Birth Certificate Correction Checklist To change the name & gender on a birth certificate issued by New York City, assemble the following. Corrections take 6-8 weeks. * One certified copy of the name
More informationUS Citizenship Course
CAMPBELL ADULT AND COMMUNITY EDUCATION US Citizenship Course Part 3 Alison Mc Lin: amclin@cuhsd.org Class Website: USCitizenshipPrepCourse.com 2.3 Information About You Complete this table with your own
More informationFamily Communication Survey
Please do not write in this box: ID: Family: Family Communication Survey The purpose of this survey is to determine the characteristics of communication between parents and their adolescent children. Please
More informationADMINISTRATIVE INFORMATION FOR SCHOLARSHIP STUDENTS
ADMINISTRATIVE INFORMATION FOR SCHOLARSHIP STUDENTS 2013 SCHOLARSHIP ADMINISTRATIVE CHECKLIST Make sure to fill out each form to the best of your ability, and then return the forms via regular mail. Copies
More information200 Opportunities to Discover ENGLISH.
BASIC QUESTIONS 200 Opportunities to Discover ENGLISH Basic Questions English TABLE OF CONTENTS 1. CAN...3 2. HOW...4 3. HOW LONG...5 4. HOW MANY...6 5. HOW MUCH...7 6. HOW OFTEN...8 7. WHAT...9 8. WHEN...10
More information0-4 years: 8% 7% 5-14 years: 13% 12% years: 6% 6% years: 65% 66% 65+ years: 8% 10%
The City of Community Profiles Community Profile: The City of Community Profiles are composed of two parts. This document, Part A Demographics, contains demographic information from the 2014 Civic Census
More informationFull Name: Age: D.O.B: Current Address: Street Address Apartment/Unit # Permanent. Address: Phone:
P.O. Box 40 Hillsboro, NH 03244 (603)464-5555 www.hismansion.com Full Name: Age: D.O.B: Last First M.I. Current Street Address Apartment/Unit # City State ZIP Code Permanent Street Address Apartment/Unit
More informationFor Official Use Only Application Number. Application for Antigua and Barbuda Passport for Applicants Under 16 Years Form M. Surname: First Name:
For Official Use Only Application Number. Application for Antigua and Barbuda Passport for Applicants Under 16 Years Form M Section 1 Personal Information. Please refer to Note 1 Surname: First Name: Middle
More informationHalley Family. Mystery? Mystery? Can you solve a. Can you help solve a
Can you solve a Can you help solve a Halley Halley Family Family Mystery? Mystery? Who was the great grandfather of John Bennett Halley? He lived in Maryland around 1797 and might have been born there.
More informationWelcome to IVANHOE s Extended Donor Profile
Welcome to IVANHOE s Extended Donor Profile IVANHOE voluntarily provided the following information which will be disclosed to future parents as an aid in their selection General information and characteristics
More informationFinding a Male Hodge(s) Descendant for Y-Chromosome DNA Testing. Prepared by Jan Alpert
Finding a Male Hodge(s) Descendant for Y-Chromosome DNA Testing Prepared by Jan Alpert Why Test Male Y-Chromosome DNA All males carry the Y-Chromosome of their fathers As a result the same DNA markers
More informationPersonal History Form
UNITED NATIONS DEVELOPMENT PROGRAMME Personal History Form INSTRUCTIONS: Please answer each question clearly and completely. Type or print in ink. Read carefully and follow all directions. If you need
More informationAsbestos Surveillance: INITIAL MEDICAL QUESTIONNAIRE
Asbestos Surveillance: INITIAL MEDICAL QUESTIONNAIRE 95 Leonard Ave. Bldg.1 Suite 401 Washington, PA 15301 WHS Greene Plaza 220 Greene Plaza Waynesburg, PA 15370 P: 724-223-3528 F: 724-229-2401 Name: Present
More informationCHAPTER 44:02 CIVIL AVIATION (BIRTHS, DEATHS AND MISSING PERSONS) ACT ARRANGEMENT OF SECTIONS
LAWS OF GUYANA 3 CHAPTER 44:02 CIVIL AVIATION (BIRTHS, DEATHS AND MISSING PERSONS) ACT ARRANGEMENT OF SECTIONS SECTION 1. Short title. 2. Interpretation. 3. Returns relating to births and deaths by owners
More informationCensus Records, City Directories, Maps
This is a very high-level explanation of the complex topic, census records. An excellent source of detailed information can be found in The Source, A Guidebook of American Genealogy, Loretto Dennis Szucs,
More informationGENOGRAM PACKET. Name: Date:
Name: Date: What is a Genogram? Why do one? A genogram is like a family history, but it focuses on how people interact in your family. In a genogram, every family member is connected to every other family
More informationGet Your Census Worth: Using the Census as a Research Tool
Get Your Census Worth: Using the Census as a Research Tool INTRODUCTION Noted genealogist and author Val D. Greenwood said that, there is probably no other single group of records in existence which contain
More informationGattaca. Comprehension Work
Gattaca Comprehension Work Gattaca Comprehension Work Grade 9 - Language Arts Mr. N. Sorensen 1. What deception or lie is Vincent (protagonist) trying hard to maintain? 2. Describe four ways that Vincent
More informationParents Avram Michel Nelson (Schlager) aka Mitchell Nelson b: 1847 Taube/Toby/Tobie Yecht Robinson Nelson Sacknoff b: 1863
Sarah Schlager Nelson Cook b: October 06, 1900 Lokacze, Russia per August 1921 Manifest d: December 11, 1969 +John William Schwartz b: 1898 m: August 13, 1922 in Portland, ME d: d: November 04, 1935 +
More informationPedigrees How do scientists trace hereditary diseases through a family history?
Why? Pedigrees How do scientists trace hereditary diseases through a family history? Imagine you want to learn about an inherited genetic trait present in your family. How would you find out the chances
More informationMétis Federation of Canada Membership Application Form
(SAVE THIS FORM UNDER YOUR NAME) FEE: $60 per applicant Free for applicant s children under 18 years of age (Non-refundable Fee). Note: Application for membership with the Métis Federation of Canada does
More informationOccupation or last occupation if retired or not in work at date of death. Age at date of death
Application for cremation of the body of a person who has died This form can only be completed by a person who is at least 16 years of age. Please complete this form in full, if a part does not apply enter
More informationVITAL STATISTICS ACT REGULATIONS
c t VITAL STATISTICS ACT REGULATIONS PLEASE NOTE This document, prepared by the Legislative Counsel Office, is an office consolidation of this regulation, current to July 23, 2016. It is intended for information
More informationOnline Homeopathic Consultation Questionnaire
Online Homeopathic Consultation Questionnaire Please answer the questions below in as much details as possible. This will help me make a better diagnosis of your medical condition(s) and prescribe the
More informationArts and Communication GENEALOGY GOING TO THE SOURCE
Arts and Communication GENEALOGY GOING TO THE SOURCE Activity Plan ACTas062 Project Skills: Youth will extract family history information from historic census records. Life Skills: Keeping records Academic
More informationAdvance Care Planning Conversations:
Advance Care Planning Conversations: A Guide for You and Your Substitute Decision Maker Read this to learn about: How you can prepare for having Advance Care Planning Conversations What it means to be
More informationSHELTERED HOUSING SURVEY
SHELTERED HOUSING SURVEY If you would like to complete this survey over the phone, please call the researchers Siobhan Fox and Lorna Kenny at 087 ******* A. About you 1. Are you: Male Female Other 2. What
More information