Query Form

Date _____________

INSTRUCTIONS:  Decide which ancestor or relative you want to be the subject of your query.  Fill in every blank that you can. He/She should have lived in Dade Co., MO during at least part of their life.  Place names of parents, spouse(s), siblings and children in the spaces provided,.  If you do not know a name, date or place, don’t worry about it.  Put a question mark in front of information that is speculation.  Put  ca.  in front of dates that are estimates.  If you want to include more information about a parent, sibling or child, fill out a separate form for them.

YOUR NAME: ___________________  MEMBER:  YES: _____ NO: _____

ADDRSS: ______________________________________________________

CITY: _________________  STATE:  ___________  ZIP+4: _____________

Seeking info about __________________, born _________________

                               (Subjects Name)                          (d/m/y)

in _______________________; died ____________ in __________________.

            (Location)                                   (d/m/y)             (Location)

Child of ______________________, (________________________________) and

                (Father’s Name)                          (Father’s bth. & dth. Yrs.)

_____________________________, (________________________________).

(Mother’s name & maiden name)               (Mother’s bth. & dth. Yrs.)

Subject married on ____________________, in ________________________

                                    (d/m/y)                                     (Location)

to ______________________________, born on _______________________

            (Spouse’s name)                                                         (d/m/y)

in ______________________________; died __________________________

                        (Location)                                                       (d/m/y)

in ______________________________.

                        (Location)