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Show i< , D. ~ 0 '" \1\ SOh FORM CCM>l.ETED BY DATE.____ 5_-_~_7 _____________ BIOGRAPHICAL DATA SHEET C:-t I"(A~ (first) J) a II, '" (last) eJwl~ 1. Name 2. Date of Birth 3. Birthplace 4. Fa ther =UO\,!.:\A. ~ 5. Father's Birthplace_ _ _ _ _ _ _ _ _ _ _~- Date 6. Mother 7. Mother's Birthplace 8. Spouse 9. When Married ' 10. N (j\J. 21.) 13& l 12. ) . ---------------- "D~lI;~ Halot1e-r- Date_____________ Ui'itorja. ColtH'I~ M"'~V"t \)..ll:", Where Married._--- /3.,........,.. ~ Occupations/Date' S('M.lp~ M ------ ~o lI;V\ d.A.~, ~... rliJ 11. Sex Date of Death._~:....-.;()V~,_1'1~lw'l....J.~....J.y-- 5 rrh"Qv;l/e.. ) U+ Jah'e..- Children (middle) J c,., Thl)W\A S (~o~t.",); t.1 . -Al'"'t~"""' b.II •.., (f'....... .4 FOrc:.,k L"""I/"" \:.i II~ ,,"{o) I I G:uk. ... Ore. 'S~) T.~fl'c:.. IH"t - ~lk"'1 &rU-s-tn ,t) I t7~ , t~L('1, Lj) ~ Religion --------------------~-------------- 14. ~fu.-zi AcA ~ rI \lJllv , -std, tI: 'SuA!' Tr<..t~ ~.....tf.JI. \3~{..", ' dt£S" BeR"')i. 14r+s 1 7>.~s ' ",/1o"" ,(c.-"J jJ#!fl"';~' 't...f"+ .. c." ~~J j"2.1 Affiliations/Organizations AH< cA(#-. I/-:-ot /Jets.,. ,=«;tI~y-s j Hfe..d","'" Sc.t...../ /J~rS ' lec.. j - 15. Civic/Church Positions 16. Residences (Addresses and Date) 13. Ed~cation A }JD-+i".,..,./ I""f, .6 At-1'c. ~'-<-t+er-s) Not"o..... 1 St;A.A.llt~Soc..-'J Ar.;;t. ,·-te.c..+".-I L e-7t;4..r ~ Bos+/#'IA Soc.., ~ 1I,.el.,Ic.d~,J Roy. I Soc:.. .t:. A~.i (... ..) ...f" ... r Tj' ~-+i(.., 17. L-t cc.cloiZ- CrI.,,; ------------------~----------------------------- ~~J, c.. l 1'71 ~ 253 5 , 3 tJo B.. . S pv!I:7v,ltv • ~-es:. , Sfv1~V\1le. ~ , {l"s+OIl1 Properties Owned I /vc.... y","," l ff"1 - ~ |
