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Pioneer Certificate Lineage Chart
PLEASE PRINT LEGIBLY:
Generation 1 (Pioneer Ancestor):
Generation 2 (Child):  was my: 
Born: Where:
Died: Where:
Married: Where:
Spouse (maiden name): 
Generation 3 (Child): was my:
Born: Where:
Died: Where:
Married: Where:
Spouse (maiden name):
Generation 4 (Child): was my:
Born: Where:
Died: Where:
Married: Where:
Spouse (maiden name):
Generation 5 (Child): was my:
Born: Where:
Died: Where:
Married: Where:
Spouse (maiden name):
Please submit documentation for all information with a check for $5.00 USD to:
Chicago Genealogical Society, Attn: Pioneer Certificate, P.O. Box 1160, Chicago, IL 60690-11603 
This page was updated 04/15/04.
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