Pioneer Lineage
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(Please print or type)
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I, __________________________ hereby apply for
membership in the Pioneer Families of Sumner County, Kansas
by right of lineal descent from __________________________ who settled in Sumner
County by the year 1900 AD.
Township______________________ Section ________________________ Date (year)_________________
Came to Sumner County from:_______________________________________________________________
Arrival by: Wagon____ Train____ Horseback____
Walking____ Other________________________
I am child of:
1._________________________________born on__________at__________________________________
died at_________________________________on__________buried_______________________________
married to_______________________________on__________at__________________________________
The said _______________________________was the child of:
2.________________________________born on___________at__________________________________
died at_________________________________on__________buried_______________________________
married to_______________________________on__________at__________________________________
The said _______________________________was the child of:
3.________________________________born on___________at_________________________________
died at________________________________on__________buried_______________________________
married to_____________________________on____________at_________________________________
The said _______________________________was the child of:
4.________________________________born on___________at_________________________________
died at________________________________on__________buried_______________________________
married to______________________________on___________at_________________________________
The said _______________________________was the child of:
5.________________________________born on___________at_________________________________
died at________________________________on__________buried_______________________________
married to______________________________on___________at_________________________________
Signed__________________________________
Name_________________________________
Return to:
Street/Route____________________________
Sumner County Kansas Historical
Post Office_____________________________
& Genealogical Center
State/Zip______________________________
P.O. Box 402
Phone (optional)_________________________
Wellington Ks, 67152
E-mail (optional)_________________________
Email: [email protected]