File:SAR-app-church3.jpg

Sons of the American Revolution Membership Application including information about the family of Samuel Church. Page 3/3. The following transcription was made by Richard Brady Williams on 12 Jun 2014.

Transcription

Full maiden name of applicant's wife Helen Amanda Dawson (No relation)

NAMES OF CHILDREN AND GRANDCHILDREN OF APPLICANT.

(Added to blank by order of Turstees July, 1915.)

Name Date of Birth Rsidence

Martha Joan Dawson 4-1-1924 Indianapolis, Ind.

Mary Patricia Dawson 3-3-1926 Indianapolis, Ind.

Statement of applicant of services, if any, in the Military or Naval forces of the United States of America.

NONE

The following are references to the authorities for record of my ancestor's service and for the genealogical data contained in this application:

Vermont Rev. Rolls. Pages 822, 823, 826.

New York in the Revolution Vol. 15, page 277.

Annals of Brattleboro, Vol. 1 pages 67, 68.

(Signature of apploicant) Fred Albert Dawson

(Name in full) (Also to be signed at bottom of secont page.)

The following form of acknowledgement is required

STATE OF Indiana

COUNTY OF Marion

ss: October 7, 1942

Personally appeared Fred Albert Dawson

signer of the above and foregoing application and statement, and made oath before me that the statements therein container are true to the best of his knowledge and belief.

Official Signature, Maurice T. Hamell, Notary Public

[L.S.] Thy Commission expires Dec 8, 1945.