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Blank No 9. Series II Form B 1
Date Feb. 9. 1895
I. Your Father: 1 - Nationality, if American, of what descent? American (Welsh)
2 - Home in city or country before marriage? country
3 - Home in city or country after marriage? "
4 - Age when married? about 26
5 - Occupations before your birth? Farmer

b) After your birth? Farmer, and had a saw mill.

6 - Health previous to your birth? Always delicate. Said to have
weak lungs

b)- After your birth? delicate grew stronger as he grew
older.

7 - Number of children living a) boys? 2 b) girls 3
8 - Number of children dead; give age at time of death and cause.
a) boys. b) girls. --
(2nd child of father)

9 - If your father is living, give his age and present health,
if dead, age at death and cause? 79, (billious attack. did not
know. Had hemmorage of lungs when he was [?]
and coughed until he was 50 yrs - old, one lung had grown fast to his side.
10 - Name any diseases in his family. dyspepsia (all of them)

Your Paternal Grandfather: home in city or country? [check mark above country]
1 - Age when married? Probably 26-7 [nearer?] 30
2 - Occupations? music teacher and later a farmer.
3 - Health? never good nor strong.

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