Albert Sidney Johnston Camp #67 Sons of
Confederate Veterans |
|
CONFEDERATE GRAVE REGISTRATION FORM (Rev. 3-99)
|
Albert Sidney Johnston Camp #67 Sons of
Confederate Veterans |
|
CONFEDERATE GRAVE REGISTRATION FORM (Rev. 3-99)
|
(Please Print Carefully)
Name of Soldier: Last _____________________________ First
__________________Middle ______Suffix _______
Rank
____________Branch ______________ Company ______________Regiment _____________
State _________
Enlistment Date: ________________________________
Reference (Source of Military service):
______________________________________________________________________________________________________________
Birth
Date__________________ City _____________________ County ____________________
State _______________________
Death
Date _________________ City
County
State ________________________
Cemetery Name
______________________________________________________________________________________________
City
______________________________________ County _________________________ State
_____________________________
Plot # ________ Row __________ Section ____________ Is Grave Marked?
_______________ Veteran Stone? ________________
Cross
of Honor on Grave _______________ Cross of Honor Identification #
____________________________________________
Spouse
Maiden Name ____________________________ First __________________________ Middle
________________________
Spouse Birth Date ____________________________ City ____________________ County __________________ State _________
Marriage Date ______________________ City ____________________ County ____________________________ State _________
Name of
Children_______________________________________________________________________________________________
_______________________________________________________________________________________________________________
Name and Address of Known Living Descendants (only two):
______________________________________________________________
_______________________________________________________________
Name of Individual Filing
Data:
Last
____________________________________ First ________________________ Middle
Initial __________ Suffix ___________
Address
__________________________________________________ City
_____________________________ State _____________
Name
and Number
of SCV Camp (If Applicable):
__________________________________________________________________________
__________________________________________________________________________
Date Filed: _______________________________
Forward To:
Confederate Graves Registration Project
Sons of Confederate Veterans
Post Office Box 59
Columbia, TN 38402-0059
FAX (931 381-6712)-E-Mail exedir@scv.org
