| Membership Number:____________________ |
Received:____________________________ |
| Verified:
____________________________ |
Examined:____________________________ |
| Name:
(private) Dupree |
| Address:
(private) |
| Name of Ancestor:
William Ellington Dupree (Deupree) & Fanny Lucy Wright Dupree |
| Area of Residence:
Vinita, Coo-wee-scoo-wee District |
| Occupation:
William E. was a farmer. Fanny was a homemaker and nurse. |
| Signature
of Applicant:
(signed here) |
|
Date of Application:
(put current date here) |
|
| I
here by understand that my name may be published as the submitter of this
paper. No personal information of a living person will be released with
out their expressed written consent. |
|
Signature: (signed here)
Date: (put current date here) |
|
|
Signatures of Craig County Genealogical
society Officers |
| President:____________________________ Secretary:____________________________ |
| Vice President:
______________________ Date:________________________________ |
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