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EXTENSIVE RESEARCH REGISTRATION FORM

Initial minimum fee of $30 must accompany request to activate search. This fee includes 2 hours of research done by a LAHS volunteer researcher. There is a $10 per hour fee for additional time required. You will be contacted for authorization if additional research time and fee is required. Please allow 2-4 weeks for delivery.Please send check or money order with a self addressed stamped envelope and the completed form to:

Lemont Area Historical Society
Genealogy Committee
306 Lemont Street
Lemont, IL 60439

Your Name ____________________________________  Telephone (_____)_____-________

Address ______________________________________  Facsimile (_____)_____-________

City/St/Zip __________________________________  E-Mail ________________________

** PLEASE PROVIDE DETAILED INFORMATION TO ENSURE BETTER SEARCH RESULTS **

SEARCH SUBJECT

Name __________________________________________________________________________

School Attended _______________________________________________________________

Birth Location ____________________________________   Date ____________________

Death Location ____________________________________  Cemetery _________________

Church/Religion ___________________________________

Resided in Lemont From ________________  To ____________________

Address _______________________________________________________________________

PARENTS

Mother ________________________________ Father _________________________________

Birth Loc. ____________________________ Birth Loc. _____________________________

Death Loc. ____________________________ Death Loc. _____________________________

Cemetery ______________________________ Cemetery _______________________________

Church ________________________________ Church _________________________________

Lived in Lemont From _______ To _______ Lived in Lemont From _______ To ________

Address _______________________________ Address ________________________________

BROTHERS/SISTERS (List by age, oldest first)

Name                                    Birth Location

_______________________________________ ________________________________________

_______________________________________ ________________________________________

_______________________________________ ________________________________________

_______________________________________ ________________________________________

SPOUSE

Name ___________________________________________________________________________

Date of Marriage________________ Church ________________________________________

Birth Date__________________   Location ________________________________________

Death Date _________________   Location ________________________________________

Cemetery _________________________ Location ____________________________________

Church ___________________________ Location ____________________________________

Spouse Mother __________________________Spouse Father __________________________

Birth Date _______ Loc._________________Birth Date _______ Loc._________________

Death Date _______ Loc._________________Death Date _______ Loc._________________

CHILDREN (List by age, oldest first)

Name                                    Birth Date  Location

________________________________________ ________   ____________________________

________________________________________ ________   ____________________________

________________________________________ ________   ____________________________

________________________________________ ________   ____________________________

MEMBERSHIP IN ORGANIZATIONS

Name of Member              Name of Organization       Place                Date

___________________________ __________________________ ___________________ _____

___________________________ __________________________ ___________________ _____

___________________________ __________________________ ___________________ _____

___________________________ __________________________ ___________________ _____

OTHER INFORMATION THAT MAY HELP IN SEARCH
(Names of acquaintances, old story with Lemont connection, copy of photo, etc.)


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