Initial minimum fee of $20 must accompany request to activate search.  This fee includes 3 hours of research done by a LAHS volunteer researcher.  There is a $10 per hour fee for additional time required.  You will be contacted for authorization if additional research time and fee is required.  Please allow 2-4 weeks for delivery.

Please send check or money order to Lemont Area Historical Society, a #10 business envelope SASE (self addressed stamped envelope), and the completed forms which follow to:

Your Name  ______________________________________________    Telephone ____________________________

Address  ________________________________________________    Facsimile  ______________________________

City/State/Zip  ____________________________________________    E-Mail (optional)  ________________________

** PLEASE PROVIDE DETAILED INFORMATION TO ENSURE BETTER SEARCH RESULTS **

SEARCH SUBJECT
Name   ___________________________________________    School Attended ________________________________

Birth   Location  ____________________________________     Date  ____________________________

Death   Location  ___________________________________

Cemetery   ________________________________________    Church /Religion  ________________________________

Resided in Lemont         From ________________  To  ____________________

Address  _______________________________________________________

PARENTS
Mother’s Name ____________________________________     Father’s Name  __________________________________

Birth   Location  ____________________________________     Birth   Location  _________________________________

Death   Location  ___________________________________     Death   Location  ________________________________

Cemetery  ________________________________________     Cemetery  ______________________________________

Church  _________________________________________       Church  ________________________________________

Resided in Lemont     From __________ To ______________       Resided in Lemont      From _____________ To  _________

Address _________________________________________      Address  _______________________________________

BROTHERS/SISTERS (List by age, oldest first)

Name  ___________________________________________    Birth    Location  __________________________________

Name  ___________________________________________    Birth    Location  __________________________________

Name  ___________________________________________   Birth    Location  __________________________________

Name  ___________________________________________    Birth    Location  __________________________________

SPOUSE

Name ___________________________________________      Date of Marriage  _________________________________

Birth Date__________________  Location __________________________     Church _____________________________

Death Date ________________  Location  ___________________________

Cemetery  _________________________     Location  __________________

Church   __________________________     Location  __________________
 

Spouse’s Mother  __________________________________    Spouse’s Father  __________________________________

Birth Date __________  Location ______________________   Birth Date _________  Location  ______________________

Death Date _________  Location ______________________    Death Date ________  Location  ______________________

CHILDREN  (List by age, oldest first)

Name ___________________________________________     Birth Date ________   Location  ______________________

Name ___________________________________________     Birth Date ________   Location  ______________________

Name ___________________________________________     Birth Date ________   Location  ______________________

Name ___________________________________________     Birth Date ________   Location  ______________________
 

MEMBERSHIP IN ORGANIZATIONS

Name of Member                               Name of Organization                         Place                                                       Date

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OTHER  INFORMATION THAT MAY HELP IN SEARCH
(Names of acquaintances, old story with Lemont connection, copy of photo, etc.)

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