Husband
|
Name
Mickael Richard
Pay
|
Birthdate
|
Birthplace
|
Christening Date
|
Christening
Place
|
Marriage
Date
|
Marriage
Place
|
Death Date
|
Death
Place
|
Burial
or Cremation Date
|
Burial
or Cremation Place
|
Husband's
Father
Name
|
Husband's
Mother
Name
|
Wife
|
Name
Shelly Ann
Debolt
|
Birthdate
|
Birthplace
|
Christening
Date
|
Christening
Place
|
| Death
Date |
Death
Place |
Burial or Cremation
Date
|
Burial
or Cremation Place
|
Mother's
Father Name
|
Mother's
Mother Name
|
Children
List
children (whether
living or decreased) in order of birth.
|
1
|
Name
|
Birthdate
|
Birthplace
|
Christening Date
|
Christening
Place
|
Marriage
Date
|
Marriage Place
|
Spouse's Name
|
Death Date
|
Death
Place
|
