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2. Name*
4. Email*
6. Phone Number

8. Let us know exactly what you are looking for (e.g. an obituary, newspaper article, photograph, etc). Please include as many details as possible, including dates, names, locations and any other relevant information you may have.

10. What kind of document are you looking for?*
    -- Select One --ObituaryArticlePhotographOther
12. If other, please describe what kind of document you are looking for.
14. What is the date of the document or event you are looking for?
    What is the date of the document or event you are looking for?

    If you don't have an exact date, please give a guess or estimate, and indicate as much in the next box.

15. Please provide any context or comments you'd like about the date provided

    e.g. "This was the date of death", "This was the birth date", "This was the date of the festival", etc.

17. Individual(s) or event(s) documented

    Please list the individual(s) or event(s) you are trying to find information about. Include any additional information that might be helpful, including additional family members, or any details that might assist in identifying the correct person or event.

19. Location of individual(s) or event(s)

    Please provide any relevant locations to help us find your interested topic (e.g. Place lived, funeral home, where an event occurred, etc)

21. Was the document you are seeking published in a local newspaper?

    1. Yes
    2. No
    3. Not sure
23. If yes, which newspaper(s) published the document?
24. If yes, please provide the date or range in which the document appeared
    If yes, please provide the date or range in which the document appeared Start Date

    —

    If yes, please provide the date or range in which the document appeared End Date
26. If you are looking for an article and know the title or headline of the article, please provide it here
28. Please provide any other information that would help us with your request
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30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

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