| Husband: Ronald Chmiel | Page ______ of ______ |
| Wife: Patricia Ann (Morlan) |
| M/F (Children continued.) | List each child (living or dead) in order of birth. |
| F | Name: Jessica
Lauren Birth: 3/18/1981 Marriage: Death: Buried: |
Spouse: Place: Louisville, Kentucky Place: Place: Place: |
| F | Name: Mara
Christine Birth: 7/2/1983 Marriage: Death: Buried: |
Spouse: Place: Louisville, Kentucky Place: Place: Place: |
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