Lawrence Co. Submission Form
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Name* |
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Email* |
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Ancestor's Surname* |
Use maiden name and married name for married
women. Use unknown not known.
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Ancestor's Given Name* |
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Ancestor's Date of Birth* |
Use unknown if not known.
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Ancestor's Place of Birth* |
Insert city and state.
Use Unknown if not known.
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Ancestor's Date of Death* |
Use unknown if not known.
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Ancestor's Place of Death* |
Insert city and state.
Use unknown if not known.
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Name of Cemetery* |
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Location of Cemetery* |
Enter city and State.
Use unknown if not known.
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Father's Full Name* |
If not known enter unknown.
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Mother's Given & Maiden name.* |
Use unknown if not known.
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Have you posted monument photos to the Internet?
Please supply link to the image. |
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Do you want your email included?* |
Yes
No
All email addresses are shown using an image to
help prevent spam bot harvesting.
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Comment |
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Image Verification |
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