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March 10th, 2010
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The Piedmont Chapter
of the
Georgia Society
Sons of the American Revolution
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| You are here: About Us » Grave Dedications » Graves Registry Form 10.10F |
Graves Registry Form 10.10F
Illustration of Form
Click URL Below For Individual Form To Complete and Submit By Email
Graves Registry Form 1010
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Georgia Society SAr graves registry form
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patriot/Member Information
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| Name:
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Registry Type:
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| Birth Location:
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Birth Date:
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| Death Location:
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Death Date:
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| Biography:
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marriage Information
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| Wife (1) Name:
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Marriage Date:
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| Wife (2) Name:
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Marriage Date:
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| Notes:
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service information
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| Rank:
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Location:
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Dates:
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| Source:
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| Rank:
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Location:
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Dates:
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| Source:
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Pension information
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| Pension Number:
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Dates:
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State Filed:
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| Notes:
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burial information
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| Cemetery Name:
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| Cemetery Location:
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| GPS Location of Grave:
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| Marker Type:
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Date Marked:
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| Directions to Cemetery:
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information furnished by
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| Name:
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Date:
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| Address:
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Phone:
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| City:
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State:
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Zip:
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| Chapter:
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Please e-mail this completed form, as well as a JPG image (less than 250Kb) of the
grave/headstone to the State Graves Committee Chairman and the State Webmaster.
Graves– scotlad@bellsouth.net / Webmaster – webmaster@gassar.org
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Printable Page
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