CHICAGO GENEALOGICAL SOCIETY
ANCESTOR CERTIFICATE DIRECT LINEAGE CHART
page 2 of 2
(Please PRINT legibly)

GENERATION 1: ANCESTOR
GENERATION 2: Child was my
Born Where
Died Where
Married Where
Spouse (maiden name)

GENERATION 3: Child was my
Born Where
Died Where
Married Where
Spouse (maiden name)

GENERATION 4: Child was my
Born Where
Died Where
Married Where
Spouse (maiden name)

GENERATION 5: Child was my
Born Where
Died Where
Married Where
Spouse (maiden name)

Please submit documentation for all information with a check for $10.00 for each certificate to:
Chicago Genealogical Society
Attention: Ancestor Certificates
P.O. Box 1160
Chicago, IL 60690-1160