____________² Last Name (_____________¹) was born _______________ at _____________, __________ County, ___________, the son of __________ and ___________ (_____________) Last Name. His birth is recorded in ___________ County birth records, v ___, no ___.

He died __ _____________ 19__, age ___, of ___________ at _____________, _________ County, ____________. The funeral was held _____________ at ____________ church, ____________, and he is buried in ____________ cemetery at ___________. His death is recorded in ____________ County death records, v ___, no. _____.

He married ___________ __________ __ _____________19__ at ___________________ church at _______________ Street, _______________, ______________ County, ___________________. Reverend _________________ presided. Witnesses were __________________ and ________________. The marriage is recorded in the marriage register of the church. See also ______________ County marriage records, v ___, no. ________.

She was born __ ________ 19__ at ___________ hospital, __________________, __________ County, ____________, the daughter of Frank and Mary (Dagenhart) Hubing. Her birth is recorded in _______ County birth records, v __, p ___. Her sponsors were ________________ and _______________. See the baptism records of the church.

She died __ _____________ 19__, age ___, of ___________ at _____________, _________ County, ____________. The funeral was held _____________ at ____________ church, ____________, and she is buried in ____________ cemetery at ___________. Her death is recorded in ____________ County death records, v ___, no. _____.

The _________ reside in _________, _________.

The __________ have ____ children.

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