Table of contents
No headersHoelscher Buxkemper Family Data Sheet (after December 31, 2003 Book Deadline)
Date Family(s)
Name of Family Member
(circle) Elizabeth Anton Joe William Ben(maiden name) Name of Spouse (maiden name)
___________________________________________ ___________________________________________
First Middle Last First Middle Last
Birth Information Birth Information
___________________________________________ ___________________________________________
Month Day Year City, County, State Month Day Year City, County, State
Death Information
(if applicable) Death Information (if applicable)
___________________________________________ __________________________________________
Month Day Year City, County, State Month Day Year City, County, State
Marriage Information
(complete a form for each marriage) Divorce Information (if applicable)
___________________________________________ ___________________________________________
Month Day Year City, County, State Month Day Year City, County, State
Name of Parents Name of Spouse’s Parents
___________________________________________ ____________________________________________
Father’s First Middle Last Father’s First Middle Last
___________________________________________ ____________________________________________
Mother’s First Middle Maiden Last Mother’s First Middle Maiden Last
Children
________________________________________________________________________________________________________________
First Middle Last Birth Month Day Year City, County, State
________________________________________________________________________________________________________________
First Middle Last Birth Month Day Year City, County, State
________________________________________________________________________________________________________________
First Middle Last Birth Month Day Year City, County, State
(include biological, adopted and deceased children)
Deaths of any unmarried children
________________________________________________________________________________________________________________
First Middle Last Death Month Day Year City, County, State
________________________________________________________________________________________________________________
First Middle Last Death Month Day Year City, County, State
Contact Information
___________________________________________ ___________________________________________
Address City State Zip
___________________________________________ ________________________________________
Email Phone
When complete, please send form to:
Elizabeth Family (pages 33-344)
Doris Voltin • 653 State Hwy 53 • Rosebud, TX 76570 • (254) 583-4768 • voltinfarms@juno.com
Anton Family (pages 345-543)
Dorothy Frerich • 1811 Forest Park • San Angelo, TX 76901 • (325) 653-9491 • ffrerich@suddenlink.net
Joe Family (pages 544-983)
Linda Binns • 3617 Old Post Court • San Angelo, TX 76904 • (325) 942-0725 • quint.binns@verizon.net
William Family (pages 994-1033, Marjorie and pages 1034-1081, Shirley)
Marjorie Baumbach • 426 Spence Lane • Crosby, TX 77532 • (281) 328-2286 • dlbaumbach@aol.com
or Shirley Burk • 4090 Mountain Laurel Loop • Temple, TX 76502 • (254) 986-8353 • shirleyburk@aol.com
Ben Family (pages 1082-1243)
O.A. Bernsen • 6540 FM 2676 • Hondo, TX 78861 • (830) 426-3581 • oabernsen@yahoo.com
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