Stanley Hazen's genealogy blank

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To fill out, simply open the page in Mozilla Composer; fill in the blanks, remove the text above the horizontal line; then print out and snail mail a hard copy of the resulting form to Stanley (see address at bottom of form). If you don't have Mozilla Composer or some other program that will edit an html page, print out the form, fill it in, and mail.

Data Sheet for Hazen Family History
If you are not sure, enter the information with a "?" mark -- it will provide clues for further research.

My Full Name
Nickname
My birth place / date
Father's Full Name
His birth place / date
His death place / date
Mother's full maiden name
Her birth place / date
Her death place / date
Their marr. / div. place / date
My brothers and sisters and their birth place / date. (Please give addresses of all  living siblings on back
My spouse's (maiden) name
Our marr. / div. place / date.
Spouse's birth place / date
Spouse's father's full name
Spouse's mother's maiden name
Name of my children and their birth place /date. (please give addresses of all grown children living elsewhere on back.)
My other spouses
My occupation
My present address / phone
Please include other information (education, occupations, interests, places and dates of residence, etc., on the back of this sheet
Please return to: Stanley S. Hazen, PO Box 6282, Charlottesville, VA 22906-6282;  phone (804) 963-9090    FAX: (804) 963 9091

For information, contact


This page last edited March 1, 2006

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