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Donnellson
Public Library
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Surname ________________________________Given Name ________________________________ Birth Date ____________________________Death Date ________________________________ Parents __________________________________________________________________________ Spouse's Maiden Name ___________________________Given Name ___________________________ Marriage Date __________________________Place _____________________________________ Residence, Town(s) or Township(s)__________________________________________________ Time Period to Search _____________________________________________________________ Name_______________________________________________________________ Address ___________________________________________________________ City ______________________________________________________________ State _________________________________ Zipcode ___________________ E-Mail ____________________________________________________________ Amount Enclosed $ _______________________________ |
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Donnellson
Public Library
500 Park Avenue,
Donnellson, IA 52625
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