application for membership to First Families of Seneca County, Ohio

First Families of Seneca County
application for membership
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applicants name Street address County

Full name of spouse Town state Zip

Ancestors of the Applicant who were settled in Seneca County, Ohio
check one: ________ Gold Member...Before December 31, 1840
________ Silver Member... Between January 1, 1841 and December 1860

Name of Ancestor	Year first proved in Seneca County	Township first proved in Seneca County	Prior Residence of Ancestor County,State,Country
1.	.	.	.
2.	.	.	.
3.	.	.	.
4.	.	.	.
5.	.	.	.
6.	.	.	.
7.	.	.	.
8.	.	.	.
9.	.	.	.
10	.	.	.

This application, information, and all supporting documents and data become the property of the Seneca County Genealogical Society: However, they cannot be published without the consent of the applicant.

I hereby grant permission for the material to be published: Yes____ No ____
_______________________do hereby swear that the statements set forth in this application are true to the best of my knowledge and belief.

Signature of Applicant ____________________________ date________________________

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