MECOSTA COUNTY GENEALOGICAL SOCIETY
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PIONEER CERTIFICATE APPLICATION PAGE 2 |
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List yourself in Part 1. List your parent whose line you
are following in Part 2, etc. If you are proving your
MATERNAL ancestor's line, then put her name at the start
of the appropriate part. If you are following both your
mother’s and father’s line, photocopy and complete the
generations required; you may have two number 2’s or 3’s
etc. The reference number in the left column refers to the proof/reference list which follows. (A reference or proof is required for each fact (parentage, date, place, relationship.) One document could prove more than one fact. Reference _____ 1.I _____________________________ was born on
________________ _____ at
________________________________________________________ _____ Spouse_____________________________________________ _____ married on ___________ at
_____________________________________ _____ 2.I am the child of ____________________________________ _____ born on _______________ at
___________________________________ _____ died on _______________ at
___________________________________ _____ Spouse ________________________________ _____ born on ________________ at
___________________________________ _____ died on _____________ at
______________________________________ _____ married on ___________ at
_____________________________________ _____ 3.The said ____________________________ was the
______________ _____ of ____________________________________________________ _____ born on _______________ at
____________________________________ _____ died on _______________ at
____________________________________ _____ Spouse ________________________________ _____ born on _____________ at
______________________________________ _____ died on _____________ at
______________________________________ _____ married on ___________ at
_____________________________________ _____ 4.The said ____________________________ was the
______________ _____ of ____________________________________________________ _____ born on _______________ at
____________________________________ _____ died on _______________ at
____________________________________ _____ Spouse ________________________________ _____ born on _____________ at
______________________________________ _____ died on _____________ at
______________________________________ _____ married on ___________ at
_____________________________________ ______ 5.The said ____________________________ was
the ______________ _____ of ____________________________________________________ _____ born on _______________ at
____________________________________ _____ died on _______________ at
____________________________________ _____ Spouse ________________________________ _____ born on _____________ at
______________________________________ _____ died on _____________ at
______________________________________ _____ married on ___________ at
_____________________________________ _____ 6.The said ____________________________ was the
______________ _____ of ____________________________________________________ _____ born on _______________ at
____________________________________ _____ died on _______________ at
____________________________________ _____ Spouse ________________________________ _____ born on _____________ at
______________________________________ _____ died on _____________ at
______________________________________ _____ married on ___________ at
_____________________________________ _____ 7.The said ____________________________ was the
______________ _____ of ____________________________________________________ _____ born on _______________ at
____________________________________ _____ died on _______________ at
____________________________________ _____ Spouse ________________________________ _____ born on _______________ at
____________________________________ _____ died on _____________ at
______________________________________ _____ married on ___________ at
_____________________________________ _____ 8.The said ____________________________ was the
______________ _____ of ____________________________________________________ _____ born on _______________ at
____________________________________ _____ died on _______________ at
____________________________________ _____ Spouse ________________________________ _____ born on _____________ at
______________________________________ _____ died on _____________ at
______________________________________ _____ married on ___________ at
_____________________________________ _____ 9.The said ____________________________ was the
______________ _____ of ____________________________________________________ _____ born on _______________ at
____________________________________ _____ died on _______________ at
____________________________________ _____ Spouse ________________________________ _____ born on _____________ at
______________________________________ _____ died on _____________ at
______________________________________ _____ married on ___________ at
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Return to Home | Ancestral Chart | Application Page 1
Copyright 2007-2020 Mecosta County Genealogical Society. All rights reserved. Revised: Dec. 31, 2020.
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