| Husband: | Page ______ of ______ |
| Birth: Marriage: Death: Buried: |
Place: Place: Place: Place: |
| Father: | Mother: |
| Wife: | |
| Birth: Marriage: Death: Buried: |
Place: Place: Place: Place: |
| Father: | Mother: |
| M/F (Sex of the Children) | List each child (living or dead) in order of birth. |
| Name: Birth: Marriage: Death: Buried: |
Spouse: Place: Place: Place: Place: | |
| Name: Birth: Marriage: Death: Buried: |
Spouse: Place: Place: Place: Place: | |
| Name: Birth: Marriage: Death: Buried: |
Spouse: Place: Place: Place: Place: | |
| Name: Birth: Marriage: Death: Buried: |
Spouse: Place: Place: Place: Place: | |
| Name: Birth: Marriage: Death: Buried: |
Spouse: Place: Place: Place: Place: |
Deseret Census Service 50 South Main Street, Suite 25-9, Salt Lake City, Utah 84144 Voice: (888) 423-6787 FAX: (800) 423-6787