[Texas Society, Sons of the American Revolution (TXSSAR) Membership Records: 233-313] Page: 14 of 389
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APPLICATION FOR MEMBERSHIP.
National Number State Number
ISSUED BY AUTHORITY OF THE NATIONAL BOARD OF TRUSTEES.
TO THE BOARD OF MANAGERS OF
THE TEXAS SOCIETY
OF THE
SONS OF THE AMERICAN REVOLUTION.
_,..... hereby applyfor mb ship in this
Society by right of lineal descent in the following line from
who was born in JQ ! +4mr ?tpon the day of.. j.177
and died in. )W-- '44---...............on the day..f 1.
and who assisted in establishing American Independence.
I was born on in ,.
and am a resident of U .-P.1&-orvJ
(1) I am the son of bornin
on orninon .
and his wife, born
diedin d)ed. .r married in
on 7o1~,d i~
(2) -Grandson of n lqc ! I. f $! t
born in on ... z(7 / (. diedina.
on IQaii nd .,---_ t 9. his wife, born in
on _fl 0k//o died in married0i
on .Zff
(3) Great-Grandsons
on aa" nd hs wfe horn in
bon inod(ed in on n ( (die marrdedinn
(4) Great-Great-Grandson of Vt
born in /nh3 died m y A-
on Y' \.- ( ra ... and ' his wife, born in
on died in on J ...4 9, (.3 ,married in
() Great-Great- Great-Grandson of
horn in on , died in
on ,and his wife, born in
o died in on t married in
on------..................... ................. .. . . . .. . . ...........................--.................--........ I -----
on n e es
(6) Great-Great-Great-Great-Grandson of
horn ....................................................... . -------------- ....... ---- --....._didn
ancestor who assistedi establishing American whie eating in the capacityof a
n esse ais n to membership that all b ces for information be ed but t s extremely
Nominated and recommended by the undersigned members of the Signature of appjicant, (Name in full)
Society:ni
Occuptn
.............. --------------------. --........--- -m a r ed i.,.., ....{.~w.. _.._..._.... ~ ..r .......,_....
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Sons of the American Revolution. Texas Society. [Texas Society, Sons of the American Revolution (TXSSAR) Membership Records: 233-313], book, 1925-04-01/1927-06-30; (https://texashistory.unt.edu/ark:/67531/metadc967178/m1/14/: accessed July 16, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu.; crediting UNT Libraries Special Collections.