MONROE COUNTY GENEALOGICAL SOCIETY STRAIGHT-LINE LINEAGE CHART NAME OF APPLICANT: ________________________________________________________________ ADDRESS ____________________________________________________________________________ NAME OF PIONEER ANCESTOR ________________________________________________________ DATE OF BIRTH ___________________ PLACE OF BIRTH __________________________________ DATE OF DEATH __________________ PLACE OF DEATH __________________________________ BURIED: __________________________Cemetery, located _____________________________________ PIONEER'S FATHER'S NAME: ___________________________________________________________ PIONEER'S MOTHER'S NAME: __________________________________________________________ PIONEER'S SPOUSE'S NAME: ___________________________________________________________ SPOUSE'S DATE & PLACE OF BIRTH: ____________________________________________________ SPOUSE'S DATE & PLACE OF DEATH: ___________________________________________________ BURIED: __________________________Cemetery, located _____________________________________ DATE OF MARRIAGE ___________________ PLACE _______________________________________ DATE & LOCATION PIONEER SETTLED IN ILLINOIS ______________________________________ year Town/Precinct CHILDREN OF ANCESTOR Name Born Where Died Where Spouse PERMISSION RELEASE I hereby give permission to the Monroe County Genealogical Society to use my material submitted for the County Pioneer Certificate for their publications in the future. Signed this ___________ day of _________________, _____. Signature ______________________________________________ Address ________________________________________________ ________________________________________________ MONROE COUNTY GENEALOGICAL SOCIETY STRAIGHT-LINE LINEAGE CHART Generation 1. Pioneer Ancestor: __________________________________ was my Great-Great-Great-Great-Great-Grand_____________ Generation 2. Their Child: _________________________________________ was my Great-Great-Great-Great-Grand___________________ Born _____________ at _________________________________ Died ____________ at _________________________________ Married _________________________ on___________________ at ____________________________________________________ Generation 3. Their Child: _________________________________________ was my Great-Great-Great-Grand_________________________ Born _____________ at _________________________________ Died ____________ at _________________________________ Married __________________________ on__________________ at ____________________________________________________ Generation 4. Their Child: _________________________________________ was my Great-Great-Grand_______________________________ Born _____________ at _________________________________ Died ____________ at _________________________________ Married ___________________________ on_________________ at ____________________________________________________ Generation 5. Their Child: _________________________________________ was my Great-Grand_____________________________________ Born ____________ at __________________________________ Died ___________ at __________________________________ Married ____________________________ on________________ at ____________________________________________________ Generation 6. Their Child: _________________________________________ was my Grand___________________________________________ Born ____________ at __________________________________ Died ___________ at __________________________________ Married _____________________________ on_______________ at ____________________________________________________ Generation 7. Their Child: _________________________________________ was my ________________________________________________ Born ___________ at ___________________________________ Died __________ at ___________________________________ Married ______________________________ on______________ at ____________________________________________________ Name of Applicant _____________________________________________________