Hoelscher Buxkemper Family Data Sheet Date__________
(circle) Elizabeth Anton Joe William Ben
Name of Family Member (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 • Doris
Anton Family (pages 345-543)
Mary Beth Gaspard • 2005 Monticello Road • Temple, TX 76501 • (254) 624-0866• Mary
Or Susan Ruiz • 2003 9th Street • Brownwood, TX 76801 • (325) 200-8835 • Susan
Joe Family (pages 544-983)
Linda Binns • 3617 Old Post Court • San Angelo, TX 76904 • (325) 942-0725 • Linda
William Family (pages 984 – 1081)
Shirley Burk • 4090 Mountain Laurel Loop • Temple, TX 76502 • (254) 986-8353 • Shirley
Ben Family (pages 1082-1243)
O.A. Bernsen • 6540 FM 2676 • Hondo, TX 78861 • (830) 426-3581 • OA