| OCR Text |
Show - Blank to be filled out and returned fo the W ard Clerk. ma rried woman, include both maiden an.cl marriage r,a111es. • Of : ::I .."'c .. 0 i<( I QJ Gl;(U) . 5t~ ..i Born at z <( Q ~ .. l>0 u MOTHER'S MAIDEN NAME. M ,U_,y\ ~ Rece~ved 'as a memb::.P BJ~ r;,co,mmOnd from . o2_ o ...a: b ~ R ' S NAME. "'Q0 :z: Write name in full on top liJ e; if a "GENEALOGY h2~ ')')\;. ~ j .,:; :S i .q0-N\ .~ w · Baptized, ~rst, by :::;:e: b~U1~ ,:.Ordained ~ - Ward 'J O .,,,,,#,. , Ward cr1~·'((1'-9 ,LlJJw, (9,·~ Blessed by .,-..... ---1--1· ~~-!J J~b.5 DATES. __ I __ 1 _ _ • . 1- - - ' - - ~ ~ -dh oJ:~ -1 8 ~==o!.M___,_/_ . - -~ _, by"---'-- •State Priesthood now held 0 1f any, ancl by whom ordained. 1 1 lJ~~ , j |
