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Lawrence Co. Submission Form
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| Name* |
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| Email* |
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| Ancestor's Surname* |
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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* |
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Use unknown if not known.
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| Ancestor's Place of Birth* |
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Insert city and state.
Use Unknown if not known.
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| Ancestor's Date of Death* |
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Use unknown if not known.
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| Ancestor's Place of Death* |
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Insert city and state.
Use unknown if not known.
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| Name of Cemetery* |
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| Location of Cemetery* |
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Enter city and State.
Use unknown if not known.
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| Father's Full Name* |
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If not known enter unknown.
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| Mother's Given & Maiden name.* |
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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?* |
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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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