Genealogy Request Form

Name: ____________________________________________________

Address: __________________________________________________

City: _____________________ State: ___________ Zip: ____________

Email: _____________________________________________________

Phone: Number: _____________________________________________

Name of the person on whom Information is being sought: ____________

____________________________________________________________

Date of Birth: ________________ City: _________       State: ___________

(if known)

Date of Death: _______________ City: __________      State: ___________

(if known)

Type of information being sought:

 Birth Information          Marriage Information

 Obituary               Other (Please explain) _______________________

_____________________________________________________________

_____________________________________________________________

Leonard Public Library

102 S Main/ P.O.Box 1188

Leonard, Texas 75452

info@leonardlibrary.net

Leonard public library will forward this information to our genealogy

volunteers who will get back with you as soon as possible.