Lusink Family Information Sheet
(send a sheet for each generation and supply as much information as you have)

Grandfather: Grandfather:
Grandmother: Grandmother:

Husband:

  (Please supply full name)

Date born:

   at 

Date died:

   at 

Wife:

   (Please supply full name)

Date born:

   at 

Date died:

   at 

Marriage date:

   at 
Children's Name Sex (M/F) Birth Date Date Died Birth Location

Comments: 

Please provide your contact information:
E-mail Address: 
Mailing Address: 
City, State/Province:  ,
Zip Code: