PEDIGREE CHART

                                                                                                                    Chart No. ____

Number 1 on this chart is the same as no. ___ 

                            on chart no. ____
                                                                                       8 _________________________________________
                                                                                        |BORN:                                ____
                                                                                        |PLACE:
                                                                                        |MARR:
                                             4 _________________________________________|PLACE:
                                              |BORN:                                    |DIED:
                                              |PLACE:                                   |PLACE:
                                              |MARR:                                    |
                                              |PLACE:                                  9|_________________________________________
                                              |DIED:                                     BORN:                                ____
                                              |PLACE:                                    PLACE:
   2 _________________________________________|                                          DIED:
    |BORN:                                    |                                          PLACE:
    |PLACE:                                   |
    |MARR:                                    |                                       10 _________________________________________
    |PLACE:                                   |                                         |BORN:                                ____
    |DIED:                                    |                                         |PLACE:
    |PLACE:                                   |                                         |MARR:
    |                                        5|_________________________________________|PLACE:
    |                                          BORN:                                    |DIED:
    |                                          PLACE:                                   |PLACE:
    |                                          DIED:                                    |
    |                                          PLACE:                                 11|_________________________________________
1 _________________________________________                                              BORN:                                ____
    | BORN:                                                                              PLACE:
    | PLACE:                                                                             DIED:
    | MARR:                                                                              PLACE:
    | PLACE:
    | DIED:                                                                           12 _________________________________________
    | PLACE:                                                                            |BORN:                                ____
    |_________________________________________                                          |PLACE:
    | Spouse                                                                            |MARR:
    |                                        6 _________________________________________|PLACE:
    |                                         |BORN:                                    |DIED:
    |                                         |PLACE:                                   |PLACE:
    |                                         |MARR:                                    |
    |                                         |PLACE:                                 13|_________________________________________
    |                                         |DIED:                                     BORN:                                ____
    |                                         |PLACE:                                    PLACE:
   3|_________________________________________|                                          DIED:
     BORN:                                    |                                          PLACE:
     PLACE:                                   |
     DIED:                                    |                                       14 _________________________________________
     PLACE:                                   |                                         |BORN:                                ____
                                              |                                         |PLACE:
                                              |                                         |MARR:
                                             7|_________________________________________|PLACE:
                                               BORN:                                    |DIED:
                                               PLACE:                                   |PLACE:
Name and address of researcher:                DIED:                                    |
 ______________________________                PLACE:                                 15|_________________________________________
 ______________________________                                                          BORN:                                ____
 ______________________________                                                          PLACE:
                                                                                         DIED:
Phone:(____)-____-_______                                                                PLACE: