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No. __________

Supplemental No. __________

Daughters of the Republic of Texas

APPLICATION FOR MEMBERSHIP

Ms. REBECCA ANN JORDAN

Wife of Max Douglas Phillips

Residence: address, city, state, zip Telephone: (555) 555-5555

DESCENDANT OF

JAMES P. HARDY

CHAPTER RECORD

Chapter: TEXIAN City: Austin, TX 78745-4376

Date Application received, approved fee and dues paid, and sent to Registrar General

__________________________________
Chapter President’s Signature

Examined __________________________

__________________________________
Registrar General

Date Application and Duplicate Received by Registrar General

Date Duplicate Sent to Registrar

Date Certificate of Membership

Date Member at Large Approved by Board of Management

____________________________________

____________________________________
Chapter Registrar’s Signature

____________________________________
Chapter Registrar’s Address

____________________________________

Approved ____________________________

____________________________________
President General

____________________________________

____________________________________

____________________________________

____________________________________

ENDORSEMENT

Nominated and recommended by the two undersigned members of this Association to whom the applicant is personally known.

___________________________________
Signature DRT No.

___________________________________
Chapter

__________________________________
Signature DRT No.

__________________________________
Chapter

Yes - Release copies of papers to prospective members. Yes - Release copies of proofs to prospective members.

LINEAGE

I, Rebecca Ann Jordan hereby apply for membership in the Association of the Daughters of the Republic of TX by right of lineal (bloodline) descent from: James P. Hardy born ca 1795 in Virginia died ca late 1864 at Newton Co., TX, who served the Republic of Texas in the capacity of a Loyal Citizen and member of the Kentucky Volunteers, and whose place of residence during the Republic of Texas was Newton Co. TX.

Gen. 1. I was born on birth date at Corpus Christi, Nueces Co., TX. I was married to (living) on 21 Aug 1977 at Corpus Christi, Nueces Co., TX who was born on birth date at Matador, Motley Co., TX (living).

Proofs: Birth Certificate of Applicant; Birth Certificate of Applicant’s husband; Marriage License of Applicant

Gen. 2. I am the child by bloodline of James Marion Jordan born on 24 Jul 1925 at Onalaska, Polk Co., TX died at Corpus Christi, Nueces Co., TX on 14 Jan 1984 and his only wife (living) born on birth date at Amarillo, Potter Co., TX (living) married on 1 Jun 1947.

Proofs: Birth Certificate of James Marion Jordan; Birth Certificate of (living); Marriage License of James Marion Jordan and (living); Death Certificate James Marion Jordan

Gen. 3. The said (living) was the child of Aubrey Terrell Key born on 19 Jul 1896 at Rogers, Bell Co., TX died at Austin, Travis Co., TX on 22 Mar 1983 and his only wife Lois Erin Deason born on 28 Aug 1902 at Timpson, Shelby Co., TX died at Corpus Christi, Nueces Co., TX on 11 Aug 1971 married on 21 Apr 1924.

Proofs: Birth Certificate of Aubrey Terrell Key; Birth Certificate of Lois Erin Deason; Marriage License of Aubrey Terrell Key and Lois Erin Deason; Death Certificate of Aubrey Terrell Key; Death Certificate of Lois Erin Deason

Gen. 4. The said Lois Erin Deason was the child of Walter Henry Deason born on 24 Jun 1876 at Pine Hill, Rusk Co., TX died at Amarillo, Potter Co., TX on 20 Nov 1952 and his only wife Mary Lizzie Hardy born on 26 Jan 1878 at Near Jasper, Newton Co., TX died at Amarillo, Potter Co., TX on 28 Oct 1965 married on 25 Jun 1900.

Proofs: Birth Certificate of Mary Lizzie Hardy; Marriage License of Walter Henry Deason and Mary Lizzie Hardy; Affidavit by Marina Harriett (Ross) Deason; Death Certificate of Walter Henry Deason; Death Certificate of Mary Lizzie Hardy

Gen. 5. The said Mary Lizzie Hardy was the child of Joseph Lane Hardy born on 29 Jan 1844 at Newton Co., TX died at Minden, Rusk Co., TX on 17 Oct 1909 and his only wife Martha Ann Langham born on 23 Nov 1842 at Alabama died at Minden, Rusk Co., TX on 26 May 1894 married on 23 Oct 1866.

Proofs: Birth Certificate of Mary Lizzie Hardy; Census Records, 1850, 1860, and 1870; Marriage License of Joseph Lane Hardy and Martha Ann Langham; Please see DRT File No. 21607, (living), my second cousin once removed.

PROOF OF ANCESTOR’S SERVICE

State the documentary record of your ancestor’s services to the Republic of Texas.

Please see DRT File No. 21607, Elizabeth Elaine Rhodes Barton, my second cousin once removed.

Give, if possible, Children of Ancestor

Name

Date of Birth

Spouse

1.    
2.    
3.    

Space for Family Tradition

 
 
 

The Applicant further states that the said JAMES P. HARDY is the ancestor mentioned in the foregoing application, and that the statements herein set forth are true to the best of her knowledge and belief.

(Signature of Applicant)

______________________________________________________
(Mrs., Miss, or Ms.) Full maiden name with married surname

(Signed this Date)

_______________________________________________
Day Month Year

Last updated on January 17, 2014


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