THE LOGAN COUNTY GENEALOGICAL SOCIETY, INC.
PO Box 1419
Guthrie, Oklahoma 73044
PO Box 1419
Guthrie, Oklahoma 73044
APPLICATION FOR PIONEER CERTIFICATE
ELIGIBILITY: Applicant must be a direct descendant of the 89er who
lived in the unassigned lands in Indian or Oklahoma Territory between April
22, 1889 and September 22, 1891.
FEE: $5.00
TYPE OR PRINT INFORMATION
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APPLICANT: ________________________________________________________
(name as it will appear on the certificate)
___________________________________________________________________
(street address)
___________________________________________________________________
(city)(state)(zip)
NAME OF 89er: ________________________________________________________
ORIGINAL LOCATION: ____________________________________________________
Date of Birth: ____________________Place: _______________________________________
Date of Death: ___________________Place: _______________________________________
Date of Marriage: _________________Place: _______________________________________
Spouse: _______________________________________________________
(if female give maiden name, if known)
Date of Birth: ____________________Place: _______________________________________
Date of Death: ___________________Place: _______________________________________
Attach machine copy of proof of arrival or residence in the Unassigned Lands in Oklahoma or Indian Territory and submit to the Logan County Genealogical Society at above address. List sources of proof as to descent by generations. Please number photocopied proofs to correspond to each generation number.
1. _________________________________________________________________
2. _________________________________________________________________
3. _________________________________________________________________
4. _________________________________________________________________
5. _________________________________________________________________
6. _________________________________________________________________
7. _________________________________________________________________
8. _________________________________________________________________
9. _________________________________________________________________
LINE OF DESCENT CHART
- ____________________________________ was born on _______________________________
ApplicantDay/Month/Year
__________________________ ___________________________
CountyState
____________________________________________
Spouse - Child of: ________________________________ Spouse: _____________________________________
Born: ___________________________________ Place: _______________________________________
Married: ________________________________ Place: _______________________________________
Died: ____________________________________ Place: _______________________________________ - Child of: ________________________________ Spouse: _____________________________________
Born: ___________________________________ Place: _______________________________________
Married: ________________________________ Place: _______________________________________
Died: ____________________________________ Place: _______________________________________ - Child of: ________________________________ Spouse: _____________________________________
Born: ___________________________________ Place: _______________________________________
Married: ________________________________ Place: _______________________________________
Died: ____________________________________ Place: _______________________________________ - Child of: ________________________________ Spouse: _____________________________________
Born: ___________________________________ Place: _______________________________________
Married: ________________________________ Place: _______________________________________
Died: ____________________________________ Place: _______________________________________ - Child of: ________________________________ Spouse: _____________________________________
Born: ___________________________________ Place: _______________________________________
Married: ________________________________ Place: _______________________________________
Died: ____________________________________ Place: _______________________________________ - Child of: ________________________________ Spouse: _____________________________________
Born: ___________________________________ Place: _______________________________________
Married: ________________________________ Place: _______________________________________
Died: ____________________________________ Place: _______________________________________ - Child of: ________________________________ Spouse: _____________________________________
Born: ___________________________________ Place: _______________________________________
Married: ________________________________ Place: _______________________________________
Died: ____________________________________ Place: _______________________________________
I hereby state that the material submitted with and in this application may be used in a published book at a later date. I also understand that this material submitted by me may be used by me should I decide to print it at a later date. I give my permission to the Logan County Genealogical Society to use the material submitted and allow it to be edited if necessary.
Signature: _____________________________________ Date: ________________
FOR OFFICE USE ONLY
File Number ______________________ Name of 89er ________________________
date received ____________________________________________________________
date certificate mailed to applicant _____________________________________
date application returned for further information ________________________