Diocese of Algoma
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| Check appropriate line: | ___ Baptism
Record ___ Burial Record ___ Marriage Record ___ Parish History |
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| Requested by | Surname
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Christian Name
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| Address | Street
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City/town Province
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| Postal
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Telephone
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| Reason / Purpose of Request: |
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| Register for the Parish of: | Name of Church
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| Address
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Please provide as much as possible of the following information:
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Baptism |
Burial |
| Name:
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Name:
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| Parents:
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Residence:
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| Residence:
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Date of Death:
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| Date of Birth:
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Date of Funeral:
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| Date of Baptism:
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Place of Funeral:
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| Place of Baptism:
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Officiating Clergy:
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| Sponsors:
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| Officiating Clergy:
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Marriage
| Bridegroom:
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Bride:
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| Age:
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Age:
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| Place of Birth:
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Place of Birth:
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| Religious Denomination:
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Religious Denomination:
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| Name of Parents:
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Name of Parents:
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| Date of
Marriage:
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| Officiating
Clergy:
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Parish Histories
In as much detail as possible, outline the topic you are researching:
Fee Enclosed : _____________
(
Twenty dollar money order, payable to Laurentian University)