DONDANVILLE
DONTANVILLE
DONTENVILLE

PERSONAL HISTORY FORM

DONDANVILLE DESCENDANT	First Name	Middle	Last Name	Nick Name
Date of Birth		Place	County	State
Date Deceased		Place	County	State
Fathers Name			Mother Maiden Name
High School		Place	Year	Activity
College		Place	Year	Activity
Profession, Occupation, Trade				Employer
Principal Cities of Residence During		Childhood
Working Life:			Retirement:
Additional Biographical Information: Work experience, military service, Special honours, Elective Office etc..
SPOUSE NAME			Date Married	Place
Spouse Date of Birth		Place	County	State
Spouse Date Deceased		Place	County	State
Spouse Profession, Occupation, Trade				Employer
ADDITIONAL SPOUSE			Date Married	Place
Spouse Date of Birth		Place	County	State
Spouse Date Deceased		Place	County	State
Spouse Profession, Occupation, Trade				Employer
CHILDREN NAMES		Date Birth	Place	Spouse Name
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Name of Person Providing This Information:
Address:		City	State	Zip
Phone Number			e-mail address
Or Print in Landscape format and Mail to: Larry Dondanville, 717 Westgate Road, Deerfield, Illinois, 60015