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The Daughters of the Republic of Texas Deceased Member Report Form Chapter Information Chapter Chapter City District Zip Member Information DRT No. Yrs Member Member Name Date Admitted to DRT Date of Birth Date of Burial Obituary Included Date of Death Place of Burial Funeral Bulletin Included Ancestors Did the member have a DRT Memorial Medallion Yes Next of Kin Information Name Address No Relationship Note if additional space needed please list on separate sheet. Interesting Notes on...
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