Pedigree Chart
This is pedigree chart no.           .
8
Father of no. 4
Name no. 1 on this chart is the same as
Birth date name no. on chart no. .
Birthplace 4
Father of no. 2
2
Father
Marriage date F
Birth date
Marriage date
Marriage date
Marriage place
Marriage place Death date 9
Mother of no. 4
Birthplace
Birthplace
Birthplace Cont.
on
chart
no.
Death date F
Birth date Death place Marriage place
Death date
Death date
Death place
10
Father of no. 5
1 mr Roy Scott Doe (LXQT-MZD)
Name
F
Birth date Birthplace Death place
Marriage date 5
Mother of no. 2
Cont.
on
chart
no.
Death place F
Birth date
F
Cont.
on
chart
no.
Marriage place Death date F
Birth date
Death place 11
Mother of no. 5
F
Birthplace Cont.
on
chart
no.
Rochester, Rochester, Strafford, New Hampshire, United States
Death date Marriage date
Death place Birth date
Birthplace
07-31-1972
Birthplace
Birth date Death date
Death place
12 May 2002
12
Father of no. 6
Marriage place
Strafford, New Hampshire, United States
Death date
6
Father of no. 3
Death place
F
F
Birth date Birthplace F
Birth date
Marriage date Cont.
on
chart
no.
Marriage place Death date Birthplace
Death place Marriage date
13
Mother of no. 6
Marriage place
Birth date Karen Doe (LXQT-M31)
Spouse
F
Birth date
28 October 1971
Birthplace
Rochester, Strafford, New Hampshire, United
States
Death
date
Birthplace Cont.
on
chart
no.
Death date F
Death place Death date
14
Father of no. 7
Death place
Death place
F
Birth date Birthplace 3
Mother
F
7
Mother of no. 3
Marriage date F
Birth date
Death date Birthplace
Birthplace
Death date
Death date
15
Mother of no. 7
Death place
Death place
Death place Birthplace Cont.
on
chart
no.
Death date Birth date Death place Published by The Church of Jesus Christ of Latter-day Saints
Marriage place Birth date
Cont.
on
chart
no.
F
© 2008, 2013 by Intellectual Reserve, Inc. All rights reserved. 10/12. PD50046375 Pedigree Chart—continued
Pedigree chart no.           .
Name (number 1 on this chart)
mr Roy Scott Doe (LXQT-MZD)
Contributor’s Name and Information
Contributor’s name
Birth date
Phone (with area code)
Address
Email
Date prepared
Helper access number
Instructions for Using This Form
• Write all names as full, main, legal names in the order they are spoken. Write a woman’s maiden name (birth name), not her married
name.
• Write all dates as day, month, and year, such as 4 Oct 1996.
• Write all places in order of smallest to largest political jurisdiction, separated by commas, such as Tryon, Polk, North Carolina, USA,
or Wymondham, Norfolk, England.
• If you need room to write additional information, use the “Notes” section below.
• When you fill out a family group record for a person, write the number of the family group record next to the “F” in the status box
under the name (for example, F 6). If a person had multiple families and therefore has multiple family group records, write all of the
family group record numbers (for example, F 6, 9, 41).
F
Family group records on which this person is listed
Notes Attach additional sheets as necessary.
10/12. PD50046375