- Name of Father: ________________________________________________________________________
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Birth Name of Mother: ______________________________________________________________________ |
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Paternal Grandfather (if Choctaw): _____________________________________________________________ |
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Paternal Grandmother (if Choctaw): ____________________________________________________________ |
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Maternal Grandfather (if Choctaw): ____________________________________________________________ |
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Maternal Grandmother (if Choctaw): ____________________________________________________________ |
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Father of # 3 (if Choctaw): ___________________________________________________________________ |
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Mother of # 3 (if Choctaw): __________________________________________________________________ |
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Father of # 4 (if Choctaw): ___________________________________________________________________ |
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Mother of # 4 (if Choctaw): __________________________________________________________________ |
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Father of # 5 (if Choctaw): ___________________________________________________________________ |
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Mother of # 5 (if Choctaw): __________________________________________________________________ |
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Father of # 6 (if Choctaw): ___________________________________________________________________ |
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Mother of # 6 (if Choctaw): __________________________________________________________________ |