Hincklybeing of the age of
`
I .... ............ ..............
.X&TMM �IINMM.•
for membership in the Society by right of lineal descent in the f ollowing
„•N„ 3,N -,years. hereby apply
..... �NB ....•............................ N.N...N.,•....•. N.N.•N•NN......NNN..N.M
line from ...............
17
Who was born in..tnA..CA.a.�iw..Gai,►.»..: on the...��....day pf...�tmknanm-...�
axd died ln..,,# l7.R..Cs�i,ts. q dli4�..............on the, ...l�....day of ...
Iiia place of residence during the Revolution was-••-.SARb7�tltY,•t"•••C'R•a:�'"G
..
A Wisxlbt.. ..County of.....int•.......................».N..
I was born in.N..1 ..............................
,on the.»..?,fit.. ..day of... lievAniber ...................... .1878......
asmas must be staid in roll.
All dates rnwl be river by M"th, day OM 70" y.as wb*ravar Pm1ble. tad xlv.n
daughter
er tar of
1. I am the
•
on.lii-1.24- 9531n ...FAx".t;.I�Te,�it}.T�►... NN..H.
.. on ..N ............... and iiia (first l ' )wife'
died tn......... ........................ N.N.N........ .......
qgr.l W! -,,T-9 1t.......... ;
................boss o,LMeal.1?�..127.[n Ne
...... ..Aabt!t?L..
on........................ .married on...P�bgN¢.'•-3,97�t
�..** �-
............ ...............
died in ......... ....N...............................
the child of
N... NF..e...............
8. The said ........ N....B,ataarb .�`.�� ..................... ..was
�/��Q��j{R(
• born on.i�/..•.N.1r..�.926.in .-FOA MM14-�o�tN.NNNN.
~~
...N.....I� ife
' ..and his (first I - )w
died In ..... .. .... ••
on.dpn►. ..a,9 i..tn .. WA�iy. T,eorsua... ...... ......... ....
•..F4bxuli
»........ Ma*.Ut-B*o4e.....:N...N...born
on. '1..3.3.►. 9�t ..
died in >: A.� on-�I.�o►.4,...19.02..married
'
-� .•was tine child of
8. The satd...........i�6SY .:........................................ .... j,: A.
• . Weal ., Moria
Beano ..... 889in
:•ame seal born on. ................N.......°�oaa.....NN.
N ? :................................. .
wife
died in*._ftrb-Set=t h*- 2WW.......»......N........ on-�QT..;.4#..�h0and his (first ii= ) s
'
..NNN. ...Hwcdc.3fL3�en.11terd............ N .... ..born on.Jnl.2]-r.1.8g2in .NS3ssatn�hamr -
died in FALr.t. hy..T*a................:.:... on.Fnb�.2�f.19551marriea on.,J�oms.24r.1St2 ..NNN.
.......
.N NN.•....•.. _N...N•... NN....N.N_NN.
4. The said..............J AZMAU AARRAM01 . -.was the child of
on.AM9.250-Awin ...Bbah7.Auatdr.A AARt.NNN.N
..NNW .Aoaae.................................born
..Teo" on.J=.7,v..193Z.Andhis (first W= )wife
died in...NWas--t attle-•
Teras �
on...��pt►N�?.i►.18Z6 .N. a
died in ....... WM'[<1oe 10r i►.IenCAM.............N... . on.�T.11C1~.�.,..�,9.3$married
the child of
K. The said ...... N..bLt.1�•►-�.. .................was
b. g.??.aN182llIn Flat Creek �mnniaapee.N.
on....•..•.......N....••.7. N.......N.
...»........ ..1N..orn
died in..... ,- ..:LaO ..and his (first )wife
on.li�t..al.}.3.�?.�tln N.�"�#��J�oo,Y►e. �O�R�RRIERN..
..NN....S'liaabsth.h`1sr��.N.NNN.N.:N..NN.Nborn
died tn...Ni�C.31�.Si!la..�A7FfiitN on.r�4X+N 20a Nlmarrled On...
•...•NNNNNMN..N. ..
.N.•
L The aafd �rfta�ni..l3AsooQ-•. menus the child of
�••,,,,,,,,,..•.NNN...N.NN....NN•..N.N.NNN.NNNN....N N•
Cnx�lix
......N..boro on.A4ll.AZxA7.9Q.In .A.-aN�!axNNr. ,
13�to.�AAue-.......N...~.».N...
died ..........••.•. onA14 ..2,*.. .:h8S4..and his (first RM ) wife
born on.rAa.29,,_ .8Q3In ...R9M%A.JrA1w�1t-A*V4AM
.,_,,,...��i NNotiiVr�►NN....N»..N...N...N..». I
24
UA.18113married on... .�NraN� ..........
died in.....F1M@ Ctraak,. Tft= aAAe ............... on.sl8A.
-�
7. The said.... -------- 1d�.1�,iio4.��AlI..N..N...NN.........................N...N......N............. .was the child of
...NCarelisss
3
...: ...n
......�AZ..�lAJ1ji A•_aAAA10....... .............. born on......N�t7.5il.......in NCe.y
�°rN182Land his (first Rm )wife
�
died in..... t ��pN�A�a--� 4Alt<.............. on...
17�8........in ��tNCax;�liea, �
...$Oii�4ANCeStaa
..__NN...N.�'igC 1rlaAst...N»..N-NN.N.---•--•— �� on......... Feb 25 1783
fir. 6a.182�marrled on.N........N...t......N.....NNN
died ln.....I�?�a�iluN Gtr.a..T�oaoAAueto�............. off..
�1
.NN.N••~•.....•
L The said.. ................... .............»........Naas t31s child of
N...•....•N.wNNN«.•N..•NNN••.•-
•• •.
Q,,,,,,N,~,,,,
..'- ..
M
•,,, , .�N...•..•...•.•..w.N.N•N.N..N...bern on .•.........NN.NNNN� N.NNN.NN. N..N...N.N...•1N.N».NNNN
died la..NNN.N...:.N.NN....... NN.N..N----.N-N-N.Nt on..........................and his (first or ) aIfe
barn on........._...:............in................ N.:.....N.......... N.N_N...: I
1
..N_..N..N..NN».N.N.NN.....NN.N..NNNN:.........
died la.....r»_»...»NNNN..N.,,,;,,,,N,,,.........N...N.» on..........................married on ......... ..... :....... ......N......
4.
77
•
I
-...c+7"5.'• iw •i..�.:.�`.,-. i+.'r.'�+,."'..'^T^'� .. � . • �:r 1i AS• .vim _.� •' � . � »i
V
• ..vr•••.r'. . .y ..,r •r.q....P^�:'; ... .. r"t.•S;J 1.•a .. /:... .. ..T. ..t.., .......
..r•)_,;•.t•. ., - . •��y..11-t.i`Y ..
{, .:I.ht .�._M.r/.�-(.�( f Y •1,. • ....a...•.a'•. k..: �•'`. ...'•7 .. .. :.ems:-.;
� �•%r .� •\ :�147i 'r� �i• . k Vii:. Ji �,LY ..1 -. •4 �•�i• i. 7 •.f {. :' •y.•l. \x,:.�. it 1 y�yt� - J.�:r .�
•% •: ' ri,�•, .: I k ir'C 4 -!•�-`{ •t`'iji f .•� •�,�• l l r' ! I> i'. ••� v §j + • ^:?�i� v.+ili r 1.?.. 1 5 �+ J F ~� ^"' iRl.vf L1f.
. child ti .1
.• said NNN....-NN« «•..«...
d~ I N.••H•N.«»NNNN-..«.•�WH..MN.NNNN•NNNH.�.w
I 9. he + I.. .N«..••y • •,•
�L ..NHH.N.N . • H.«.Mw•.
{ • •• ........•.......N.N«N..born 0�•••••-N..M«..NNNN.�
.«NN..NNH.MM•./N�.w«NN«.. �i•ii.. tom. - .1. :'• ; . , r.: • ! 1b • .. • V YI.`t-
died In."'�-- ••.. fi ..�.
his i� or
...,. r«...........NN...N........«N.«N».».N.
a
n•... NNNNN••..«.H«.M. .M....«.N•.•H. «f ••NNw.NNMN'!."•'YMNA
................. .....NH.N....•.N........;........:..«....N�.;iwrn
on.. taoasrled on......NH....»....:....«.»«-».
didied NH
-N..N..NN.H.M.
ed i�,,,.,N...................»NwI NH. N ) •• / • , f .
I
MOBILITY CLAM
-' 1 • '
Article III of the National Bylaws •
Any boy Or girl under the age o! twenty-one years is eligible for membership iA the Nati Asi
ded from a* man Or
Society of -the Children of the American Revolutionit l aid is 1 the u� o n doPon dencc
WOMB who, with unfailing loyalty. reed
as a soldier, sailor, civil officer, or recognized patriot in one Of the several Colonies or Stater,
or of the United States. provided that. the applicant is persOlaaily acceptable to the SOclety►,. ...
REFERENCES FOR LINEAGE
,proofs for line of descent are wills. administration*, ag. jild DGWAP Bible.
yarsC*ets•3
and pension seeorde. tombstones. histories. son" opiss.
th. It
Give below a reference to the authority for EACH statement numbers.o If irohmlu published orrriage or. nnaaces-
from published applicant mut me t► ds. give names of books and certiilad copy of age l ame.
Bible records, app
•
2nd ...b�lh.�+a�.fficute---•'�•'•-•...see.�iSlll►R••�Ob6�1w'Z.•�+s�•bla�'bhr•i�'- " .
Gen««
....«.....................
............... ....................... ..:.:..........
..................»N.........�I�t+h •oa>` S
3rd Gen......i-. box't�b�-x,ii�.oats�.marr3a�s�
...........
............• .................1........*.... ..
sir •«.. «• '+` {��T7.N�.«N..N..N....«•. •...N....................i •mow �y`''��Q • '
4th Gen......J]M. - r
.0>c:u trA.« .N ............:..... ..........,N.....N«.«..N
Gth Gen ...... 1�.:+•a.�flQ.:x3caoeaa..CAmaua.f.er.tii�c#ha••alao••..iest>t r•-
wNN..y'�k��S{•�� -T•.10C. .,�{� •�'.I�NNNw.«»�«N• . .
.. .�suall.� ..�•� ,�r,3,3a..a,�a.� .535o�-N ....... «.,....... N.NNN
w 6th Gen........ I�.el111 '
...........••......••211.........•....................................................
... .. •.................................i.... ..•...... ..........N:« ....I.......N.....N..1 -
f 7th Gents......•TdR.�►tcu1.�H� ..:..aep..Ii3IlAR•.
•�--a-'--31' ...............
...NN.N
p...................................
Ifgp...i."TSA�A13.. .5t 33s..ltnd.a�..5
........
...........................NN.»NN.
...........N....»..N...•.... ...
.......«N...•.N., H.N..N•..... .................... .........
8th Gen:.N.!tV-.l. •.-
•' ' NN.,.N.N..«N.-...N».••«.N....«N«N»NHNNN...�•
. � r •....w1.NN-N.NN.HN.NI......�../•NM.'•NN.H • - •
8th Gen
-
0
N;.N.....NN.....»........« N.......N...».»..�...;».........,
•.H.NM.N.N...«N.N..N►N.MM�N..NN.Ir1•N•w�•NHwN..
ON....N-VHNN.Y.N..N.NNHHNN.N.N.N...!.!Y•••M.••.MM.•
° Give, if possible, t1;e following dt►tas My Revoluti°nary ancestor was married
.�. Tfilsea•• R ,.� ] iloA.. .., i TS3....
• .. . ..at.HHs�nAe•.�e. ...C� :•.......N.
(1) •to -.«yrs.( prl'ldr.• ...,,.« _ K
0 {. • J • •.at .NNN..
(2) to..;-2Gba"&J)U Y .. ..NN .......... .... ....N............................xtoff"' 1..•..
(3) to.•N•...................................................... ..t..« t,...2 1 �/ I \ •.
.
. • n`;..,- SPACE SE8>;I;VEd VOA C. A. VGENEALOGi$1"a NOTas -..'RQ '
PUBL.iC LIBRP.
ARY
OpV16 . CO. .
NO
»......................................................
Thesaid.. ........ .......... ......N..
is the ancestor who resisted its establishing American Independence, while acting in tbs eapeeity
•li�.Gana'Lisa.Mi].it13a.»:..-......N..,.N............ N.......................N..N«.H...»»
Of :...... ..N. ,
lInstance
ollawful
*wife in every insta otoitsPeP4f bas member* of this 01-
t� n�p4a
„Y_
t - _ -11' .-µitem''{. _ '.' ,•: 1 �Y ;.%•I•• -v,•1 t :•. i
Date o f marriage wait be sfibst�tated for dates of biz tti aad dealk where WA date ire
the sof ve been living drriMp tit• Revolution and of e► e>litable•vpe for•eervwe. ,r .,t,•
• die* to. Aa p t ,'1
{)%Yrs t • .'•A{<►'7r".wMMc`Y'1!'V"'}...'lr.".'q., lf'•S�•=:w.,:.,
- r r�'•.w. F r •
' - •'�,%,�.•.a .r 1•k �•'•� JYrt.t '1.f't.1 ... r ..��..,l ,1 �r=r��'r1+ .' t}' �Y"}..�. ,�• ••, :fir hC ��• �i��'«!7•I I'i�.'•� .� A jute .•
ANCESTOR'S. SERVICES
My ancestor's services in assisting in the establishment of American Independence during the
War of the Revolution were as follows:
'Sslftsr in the North CvtmU a Militia. See ser+rlee wuaher•07060
REFERENCES, by Volume and Page, must be given to the documentam or other author-
itles upon which you found your record, for RevolutiWnary Service. • Reference to membership in
other Revolutionary Societies A not 8u8%iest for proofofservice.
................ Paye.»..._....»....: Soo NSDAR 0 502338 #.535036
volume:..««.........._.....Page»:« .:..........
CHILDREN OF REVOLUTIONARY ANCESTOR '
(By owl marriace. If married more than once)
• To Whom Married, noting if
Names Dates of Birth Married more than once
•:Sarab..(.Sal'1g..�.800ne..... I :.« _.1?ao..].,�e..1783.._.. .....dAboot.A9ac ,s l► ...............:.....«
,
!«........................ ... .....�enar-HMre......:..........«.
'.
«..J�olrei.Elosls ............:.................. ............:...............
H.17.isuo�.aa�uaa
...................... .... ......AAW. 111+>a4?:4�... .....................
................ ...SAp :9,....3.79.x..» »..:USAMI:CA"11a..........................
Harir...N.__Lu11,10a-l"FAW ......................
---.,$6s3l1Ola..BR{�A*..»..N..«....:.......:.... :»Q4 .its.. :....: ...:: ? 1n. CgiT ...................
......••................ ..... ?o..l . .... ..... :.�! « fir.......:...
f' ....bioah.idsba .8oum...---......:_--- _s ilei a: n .........
s ....................................................... ......................«...«........................«..................................
................... .............................».».....«...............................................
�►�«.»....»...........»...«....----•--... ...«.«.« .....««................«.................................................. ..«...
..................N...........................«».......................................................................:..............N...
i..............«.................................. ..........................««......................................................
«»«.«««..N..... ...... «... «..N..» ........ ...N N.....»..NN«. ..N.».N......N««»..N«........ j.»N ..... ...«..L............
Signature of applicant. .C. -4 '-y .. : ' �►.��rr//// ...«..
Must be is appliaasry ows hied
.�
Name of applicant... ....G..._l1 a. Lc.... ....t- .:�....... ..........
igsM by parents or guardian w applicant is too fa sign.
let Ry
�'� 7�%:.r� �.y�TY.: ;M.�•.(±�trM1 i +.• �K,r+•. 1y L. ..:i+'} 1`.up �_{`) •�• ;1r. f . t � � � •�J .+.
:fir" F�n"�I
. .:;a`.t�x �,•. ' • �,�-��. � LIIdLAGE •-i�;:: �.�.:.,,,.,,..�...,,,.'_ _ ::'' A rrr?'�'�� ,Z�:.��'
,,ll�tl„,�liig„1tI{CIBC..»..............................................betnQ..Of the age of
.......3.....rs"s hereby apply for membership 1n the Society by right of lineal descent in the following
linefrom ................ N••N.....•NN.NNN.NN•N...NNNN•. N.•.NNN.N.N•NN••...•N.NN«.N•.N
on the...=Tat+ wa....day pf... xM3MQVn....
who was born.1T•. t••N
fi!]m. !l,.�►. !t11AA!t.. on the..Nv dmxxt.... day oi..•A&AW........;1.�fl23....
asd died tn..�+#•m .....-N'....
His place of residence durinz the Revolution was N...iii.LAAAJOu "m %* Amvt'""" — P'_ ---
I was born in.....o7ct► Wi��:t+h.N .............N...«............County oi..... saucxa�ait•..... ..................
N..N
..
Stab of.. NT.�s�u�......N..... N.............on the.»..23a•.......day of... He .....................�
All datse must be elven bar month, day and year Wherever VMjhle. and riven names newt be stated In full.
1. I am the #
daughter of
born o&AWE •,?k,..3.9.S3in ..lA�c:'ti.1� b}.�a .. ....
......NB�UsIc'b.J.Ali�Nii�AloklAl.N»N:••..•..•. .N.N
died fn.........N.., ...........................N.N.
..NN.» on.NN.:»»......••.......and fits (first � ' wife*
..........AOMN �f .-PO tsar ................born on.MBT • .L.L..1217•tn . VOOMI -4-4- 4iR.......N.N
acedIn ...............-: .::- on.......................................... ........................married an...
8. The esaid.. sr ......................was the child of
� N..........Srs1�a�.I�sati. Hinc3cla�...................N.....N
..........LRai.t. ►t . nak ............born on.PA+A.4.332G.•in
.. . and his (drat NO=- )Wife
diedin..•»N•N•N.--...................... ' ......N....... on....N......«..........
.3Uc►tbarixye..8oane.. ..born on•Jaa-4.392A.Jn .••..........
died in ....... 1:AxhAM-UP.-:xQ7CitR...................... on.JgA.6&.a.9$2Nmarrfed
S. The mid............t'p.�CRI�t>!. �Ai1A�.. .....................was the child of
�qr ime, iggson Booze born on.Den..�.�.a
I-)`1889in .. e.............. .
died in:NFiur tsJd*rth,. TMO ....... N ...... N........ on.)IR!! �.4,r.. . Viand hfa (first Q= )Wife as
died In...N..Tri.IdazbhfNTesaa-N.............:..... on.Fab►.2.�r.].R�Stmarrfed on.��ma..2ltr.1St27..NNN.
4. The said .............. JJ0;:MIhWZA1l toA•QWN..•N..N..........................:.«..........wee the child of
.33oal�s.. born on.Avs.2$pA6531n •••�dr.�R�l...«...:. �
died in...N War�t�a�f+a�cdr. Taxsul............N..»N.. on.d> .19-.3.93Z.Andhis (first W=)wife
Taxes........................N..
died in.«.N.W�eR►t�R�lrN�e7cA,I1...N...... onaT.11a..3.9.38nurried on....��.�pt►N??.,► 186•« p
.was the child of
5. The....NN.NN.,»..NNNN....TNN....NNN...........«..........
ItA .... N».. born on.Pea U's—Akin ...Flat Creeks NT�wlaepse„N
..NN.. -
•.•N•NNNNN •IN.MN.
died in.....x le..�Ar.�et7cAA.N..................... on.&m&.5.e.A40. ••and his (first)wife
....born on.lcv..�.7.♦.a.�?.�tin N.3"•lt�.fxQ4NT6it!lfl.N.
. on.9e)PN20N,.Nlnusried on..
died ia.N.�RRx.32�S3ilr ..........NN..» .
acid Naxasvi..AosoclA.NNN....•.•.•......NN.......N........N»..N..N......•-.••-•was the child of
6. The
....«..yin 100=0 ....... ..N«•N. ...born onJD9.Q.,Ue.17 .1In N.1. Spa .1t. Car�lit ►
s
'�AniXlllAAA........... N... on-� y1..2.x.. §5..4..and his (first NM ) wife
• died ln.....Fa.at�N�►�...
................born on.3)=.29♦..Mp3in ...S 1c1.�iR+►�. ,eNCsrsltna..
l81}3married on Mwr �5A.1821.........N
died in......U&%N Q=Okf. Tft=MxAAO ............... on. N •...... .
T. The said .......... 3023 fan.MOM.»•N•... N« ..................... ..N...N•N«............. .... was the child of
A�MI�e�.. .......born on...N.N�7.�.!i..........in C!.. �!•N�aYvaiia�►
--N.•....... .. ROW"n.N.
did In.....�ell3m..Celtws--xAf4e ...... on... a:°rN1t323..and his (first ))wifee
i.......
.._....•... .....N......................born on......... 18........in ..�t�i1RA
Nva Catylina
Feb 25 ..17$3
died in..... +itta�t3n..Co....x e�........._ . on.. NOT 6x,182 married on................t..................
• •••..
l&The said.....N..N..N.N.NNNN••»N•N.••••N /NDN•..NP•N.N.N•N.PN.»N•• NP.....P•.......,NPNNwae .ths child of
IN••NN•w•«N.-•N•NN.N«.N••N•N•w ..... —.-...born onM....N•N•••.NNNN•••• I •.«.•N•NN•NNN-NN.•-........ ... ......NN
• l
diedin..«.......NN..N.•.N......N.N»..NN...N«..»«.«..«. on........................and his (first or ) w e
i ........_....NNN..N.NNN.N....N. «
------ born an... ...N..............in.... NN ........... N ......
...«N»..NN........
jdyed in......«....N. NNNNNNN.NNNNN:..N..N.N.NNN. on ... ...................married on .............. .N......N....»...N
s"tr _...��.. �....�. �.. �.�-.ti...r. ._.
F_7
. .'i-7.eRy1P`* ,s ;,t fr .lit 4 ��". .nr.' aS�i ,� ;.. '�'� �.+• �•• .�a ♦, s
- f• r .�l L lI,y � ''.� i •'r+.1 T.;r4� + �,...°P a•1 .L 1:�I•:.�:C'a��:�:Lt.�•���•,f�jL'j 15f a eYY�►`.tJ�'(��11�7
9. The said «.. !; was iia child of
«..... «• «««.«««.ww•NN.wM.•«.«.«« ,
N«M..Nw.•Nw.....M.. «NNNN.N.M.
•••••••«wN• •Nw.•a•NNN•.•••«••...... •«•••«N••N•NMYYrn Vn•.N••••••Y••MNMw•MM. MMt.«NNNNMMMMN.w.
died Ia...N.::.'................. «cn••.»..•.»:_and his (!last or
....................N.....«........;..NN..:..«.......«bora on....Nw»»N«.MNMin ...«..»w»NN.N..N.....
died in.N......::.:NN.N.••«.. wN«ww.IW:»«w on.••..•»..........::..».mi►rrled On..:...:.:...0.
ELIGIBILITY CLAUSE
' Article III of the National Bylaws ; !
Any boy or girl under the age of twenty-one years is eligible for membership In the National
Society of -the Children of the American Revolution who is lineally descended from a man or
woman who, with unfailing loyalty. rep4ered material aid to the cause .of American Independence
as a soldier, sailor, civil officer, or recognized patriot in one of the severed Colonies or States. -
or of the United States. provided that. the applicant Is personally. acceptable .to the Society,.
j REFERENCES FOR LINEAGE'-
(Proofs
INEAGE ' '
d pension ricline o ds,,tosabst nes,, wills.
ir oria,`ttssusa`lob es,old newsp psiscest&)
Give below s reference to the authority for EACH statement of Birth.. Marriage or. Death. If
from published records, give names of books and page numbers. If from unpublished or Inacees-
Bible records, applicant must flls a certified copy of same.
2nd Gen........:..biiC:iih. .N�1S! ..sae.�TSILR.t066�}�2L•twti•bdrt�r•aatiad��•
....................................:.....:..:............. ..................... ...................... ..................................... «.N•.•««:N:.N: .
3rd Gen ...... ]liflmllr th.aixVk.t:er .t0 got*-
........04911VA..f.4fi nli•tom.......................................................N.«..:.:«..:..............:................,.::::...:., ..: .
4th Gen ..... •d1M.-.b1rhh. nazrjage.].iscenaaj,••unfit4"tUL"U_w.......«•....
............. bi'.«?!rtiLigat!.a.t4l.iifX'#?A.trA.«.... «.w.... '
..Nw. N.•«.«.«••« ....
.U•N«•wM.w«N .
6th Gen ......
1dR«..bQ.11s�raxls�ta.Geaaua..ba..also-.Bsu.B3hlmr.-3iesair•
:.......#�ko�yc �s►,..�..1■).B.l�t+..teac bink}y:.ieat�h.cex.t�as�ta«».............::
lithGen...«..•MY\. .}� .��..� . . .f Y..a�. ., 3�a.M..........................«.,;.........wNY.
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7th Gen .......... 1.�' ..� .l�l1A..W3AAR.i . `� 338..w:ti..�t..535.................................
................N.........•..«.............N.........•...••....................w...•.••.w...«•,...w..........................w».NM«.M....1N
8th ......«::....... ....:.........
:......
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8thGen.«..........!.••VIT1�R•«�....-.NM.««•N...w•.�•w,.�.. N.....wNN....w•Y... �N•w..N.•JN�.. N•,..•M•�•.►.
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Give, if possible, the;following dots: My Revolutionary ancestor was married
W qvexw.
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%A . 1............
R ( ,.. d '..Oh it �atl
(s) to•• ......... ............... «N.. .................. N ........... at:.wNN.N.•«.«•••..MMi.......N.......«......
.:...NN...,
117 r
THII4 SPACE RESERVElf F,OR C. A. B• GENEAL.OGISrO NOTES �..o
B C(i. PUBUC L313RAR•Y
MOLI(SW-LE, Nr
The said.. .. ........ ........ $ear..Baaln.SMve.......... w..N.............................
N..«N...N....:«.:....«N...
Is the ancestor who assisted In establishing American Independence, while acting in the capacity
of «...«N....:«..M r,:� i .iA�L�.1wi..a.L�.�IA�►«.«.•«•................N...w.....w.....w.:..N.Nw....Nw�.N.r»
• iso a"f_ :� •Wife In ,every instance to this paper swans !seal and lawful wife.
7 Descendants of polygamous carriage *rs not accepyble w enemberp of this f3ockty.
Data o/ warri go may be substituted /or dates o/ birtkand death where such date proves i �•w ;'''
a
the soldier to• Aave boom living during the Revolution and of a suitablo-sge Jowso vw. ,
�Yf."�.-�r+R•ie-+n+�o�f+-•s.,.'y�.`F,:t-e;.,•�.... .s r s ! a:. _, +r. 1 t � _ �+ .. q • , •,��
t+L1:.�lL �` .:: :l'Jft-T1•I�tF a < �L M ��,...���111 �7ir aa.'
i. v q
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' -•J.: .. -. -? L"S►.T,..�L. ff_ti_"T� 7. ..- r _.r+.. ,.�:�•: _ •.-.: 'Q, h••`4•ZLJ;.•��,K'A¢:!• L.. .�: �_ _•....}•'�;
} ..._."/Tjp.'�.w � Yx:��•{,i.t.���f t ,�-:.':?'1����T�i• ` �•s';u � �%.� a t, ..Y•J.•14;ris;„,�j;j�l •1.•4.'.�•1yy��i�' i'r'•
7 :'
1
ANCESTOR'S SERVICER
My ancestor's services in assisting in this establishment of American Independence during U
War of the Ravolutlou were as follows:
Belilrer In tbs North Ca Ins Militia. See serries voucher #7060
REFERENCES, by Volume and Page, must be given to the documentary, or other auth.
ities upon which you found your record, for Revolutlonary Service. • Refergtsce to membership
other Revolutionary Societies A not sufficient for proof of service.
i Volume......».»......».,».Page...:.»» Sae NSMR $02338 aai 0.535036
IVolame:....»..----- :....... Page..::-..:.».»....
CHILDREN OF REVOLUTIONARY ANCESTOR '
(By -each marriage, 'U married more than ones)
# _ • To Whom Ma"d, noting if
Nausea i Dates of 8{rth Married more than once
Sarab..(.sal ..).wens.......... ..Dan 14.1703...».....dAA.P#MQ*WW............:...».
........................... ... ..Oct.li..l7 ...... ... enar_Hwre•.... ................
._.Jmtes•esaate....:..-- ••=---- ------ .''t .......................
Tdi.1.7.i sue�.BWuaas.........--•-••- : '.: .. A..�2,..�.7�9...: ....: ,Y.. ..: .................
....Rift" YALbon.A*aau.. ......:.... ... Sop..4..... 17.92 -» »..XIMMAJA" te............»..,.....
....Harz... tnjr..j.BNue ..... »..... ...... »... ►wo�7..�krt ? .................
1 .... 1 .81tRAlI................:.».. ' .. ...Q4t .6,.. • :..... ..» Cyt}thia• Corm...............
l ....A1 �►.A Ot....
...
................ ..- -. ... �!!. T,..1$4 .... .... intl�.i�►:. °r.......
t»..Ha.ah.i�IeitaLe=.8oa�............:....--AU9..30eJM.7.... ....X1,10uwn.tIini..T. 4 nu.....
ill : -----».............. »... .................. ..................................
.........»............................................ ..................................»..........................................
...................................................».........».........»......................
..................................................................................................»................................
, ..
r Signature of applleant...:. ja_4-a /1:.- L
.r
- Mstat be in appli«r,r own hated p.
/l1ld.....rt:
Name of a p least.. .....c..f� ,.......�.�!a..... ................
+-`t• `;.`' ipK�d b1► fta'eute or pstardiari w applicasst to too go sips.
QAVIE CO. PUBUC US
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