The original documents are located in Box C11, folder “Presidential Handwriting, 1/24/75”

of the Presidential Handwriting File at the Gerald R. Ford Presidential Library.

Copyright Notice The copyright law of the United States (Title 17, United States Code) governs the making of photocopies or other reproductions of copyrighted material. Gerald Ford donated to the United States of America his copyrights in all of his unpublished writings in National Archives collections. Works prepared by U.S. Government employees as part of their official duties are in the public domain. The copyrights to materials written by other individuals or organizations are presumed to remain with them. If you think any of the information displayed in the PDF is subject to a valid copyright claim, please contact the Gerald R. Ford Presidential Library.

.. -- ....

Case is in Central Files

PP 9-1/N --- membership accepted at January 24, 1975

Meeting.

Digitized from Box C11 of The Presidential Handwriting File at the Gerald R. Ford Presidential Library

'2

National Number ___________ _

NOTE: KL~DLY USE TYPEWRITER IN FILLING OU'r THIS APPLICATION

National Number ___________ _ State Number ___________ _

Applications must be made in duplicate (or triplicate if required by local chapter) and sent to the Secretary of the State Society, who will forward the original, typed application, when approved, to the Registrar General of the National Society.

THE MICHIG-~ SOCIETY

OF THE

NATIONAL SOCIETY

SONS OF THE AMERICAN REVOLUTION .

APPLICATION FOR MEMBERSIDP -OF-

1 . GERALD RUDOLPH l!'ORD =·------------~-------------------------------------------------------------------------------.!

DESCENDANT OF

= j , _________ :_ ______________________________ I:;~r.?..f:]l_<ts_~-----------------------·------------------s .

~ ~ ·-------------~-----------~------------------------------------------------------------------· .d ~

I ~ App1ieation examined and approved Accepted by the State Board of Management Q .

_________________________________ l5t2~-----------·- ---------------------_l_ 9..2.1

State Registrar. State Secretary.

DATES

Application filed with State Secretary ------------------------L27!:_

Notification of election------------------------------------------------------------------------

Fees ~d---------------------------------------------~------~-------------------------------Application sent to Registrar GeneraL---------··-----------.,------------------------------------

Approved and registered by Registrar General-------------------------------------------------·-

Certificate of Membership delivered ___________________________________________________________ _

Badge delivered ___________________ ---------------------___ -·-- ___ --------------:---------------

Resigned __________ ----------·-------- __ ------- Transferred_---------------___ -----------------

Deceased ___ -------------------·---------------- ----------------------------------------------

.. " .... IMPORTANT: It is requested tlzat complete dates, 11Wtlth, day and year, be supplied for xenerations (1), f>aTents, and {2), grandparents of applicant. Complete dates for alJ genera­tio-ns should be given if posswle. Also alJ nam.es slwuJd be given in full.

APPLICATION FOR MEMBERSHIP ISSUED BY AUTHOIUTY OF THE NATIONAL BOAIID OF TRUSTEES

---------------~§ __ 4~Ei~~~----------1_97~ TO THE BOARD OF MANAGERS OF

THE ____________ ¥J_QJ_IJ._Q~ __________ SQCIETY

OF THE

NATIONAL SOCIETY SONS OF THE AMERICAN REVOLUTION

I, _____ g._~:.!:'_C!.l!i.:.. .. R!._J'9_J;':Q. _______ ----------·--------------· being of the age ________ Q) .. _______ years,

hereby apply for membership in this Society by right of lineal descent ln tLe followmg iine Zro;.r;. _______ _ - ··--------------·---------ZZJ:.il _Clta.S..e. ____________________ who was born in ___ l:~JlQDIJ'_..__ ~:.DJ>_~<;l~l!J-LS_~ H~-on the ______________ 9_tl} ___ day of ______ J.\:t]y _______ , t7L7 __ , and died in---~_g_y_e_t_:)]U_l_t.._;_;£l_S_f!..'l~1.l-tS_~Hli~-on the

-------------~1::.d. ___ day of ______ :~JXJ:JL ____ , LL2.3_, and who assisted In establishing American Independence. I waa born tn ___

1;;;,~;;~<;l:-;rnlt,'l _____________________________ county oL _____ Lo_~~l.a.s ___________

9 ____ a'

State Of-----··-------·-'---·..!-"-~-"----------------On the ______ lA_ _________ day OL----.Jul.JC---------, L_l3_, t:l

Please give all dates m numerals, m<mth first, and all names in full, including wives' maiden names. ~ I§

DATE PLACE AND STATE ~

I am the son oL_Q-~-~.?:.~9---~-~-KQ~':!..t.._~_:J?~--- borD----------~~_5lQ ____ G!'_~!f_<L.R9-J2.tQ.§...J~j._Q.b._~ ~ (1) 1962 ~

died------------------- --------------------------) mfe __ l~<!.1:QJ:J~--~-'--~\!I91'LC_t. ________ born _________ 1_~52_? ____ !J?-_J?y_c:g•_s:!_, __ :J;)._1J..A9_t.~-- § and his (

died _________ ] qr:L_ ____ _ Gr .. aud_Jlc'1.p.ids,_.J.licll-..--- ~

<2> grandson oL------~~YLA.c!cl!§_o_'!_0~I_d.R.~E----~:::~===I~~Q;}.}1=~Q===== =~9i<i;J=Il}=i:i~:==tiii~~~ ~ died-__ 5..-Jl9.:-l.9.l.6----- -G~· .. 'U'..d-~·:..j).i.ct~,-.Jlib.f:~.--- ~

and his ( wife __ Ade1.e_}_uglt£L.t..a_~.,}'..aJ:. -_______ born ___ ]_-Jl2d£.6.7. ______ I;',m-_•.L<:rrd,lll-.-...(.C;.'l:.i.o..)...?.- • dled ___ ll.::.lC.: J.S:.i.G ______ Lrt..<:.._;,n.g.Rl.e.~..,-I::.,.:J.ll.i..--- ~

Me.rr1ed __ ]..C_-?. l=JJl~2.1 ____ ~ _L'D:..I..!:J:-4-Ill.i..r::.o i-=----- S. ( 3) great-grandson of __ G,~QrJ_;~ ... -.t\.Y-~L------------ born _________ l.?<fLQ_____ _:;.e.rl .. O.S.L:.a., __ Lis.c.illlsi.r:_ ___ It

died------------------- _[a.r..\:.ar.L ....... ~llin..o.is _____ ; and his ( w1fe __ ,L!]ly_§ ......... ______________________ born _________ l B.fl<t ________________ j~elL York_ ____ ~

died------------------- -~3J~~~r9~ __ llliJ~Qis _____ ~ Marrled---~-~L--19Jl5=9 ___ -------------------------- ij

( 4) great grandson of _}_<2)l!] __ ~t!:IZ.!}!'3.}.:..:~L---------- born ___ ]._-_Q~:-J~_I_f_ _____ V!lJ~Q.J.:.tiJ)_.__~;_E\_5_~ ... ------ tl'

died-- ----------------- _LeJlQ~h.n ...... _.Jif>_C_Q.lJf:'ilL __ , Elida ~:annev 1813-14 f.. e;'l York and his ( ) wife ______ _________ J ________________ born------------------- --------------------------

died ____________________ r~Jltl~b.?_,_J~!g_Q.ll§.L:__ __ ·

3 Married------------- ------(6) great-grandson of __ S_~;2~~_l_!~~~I-----------------born __ lJ_:..~~:JJ_-~~-----

died __________ E~E ____ _ and his ( ) wife __ _::_~! !.Y __ (~)29~~----------------- born ___ .f!_:..l~::-J.J~'l'l_ ___ _

dted ___ a-___ =J..C.S.tL ___ _ Married __ ll-"CdLfl;J. ____ _

4 (6) great-grandson oL~J...Ui .... ·:rLGL.a;& __ ~-----------born ___ .£L..J..'2-l..7-·;.;~-----

dled __ l~;_-:_l;,_:::-1~-;_c~;l ____ _ and his ( wife __ _i:_~!_j~_i_l __ g_9_y_e ________________ born ___ _9_-:.~~~::-1.J~~L ___ _

dled __ ].]_-:_~~2.:-L~l-1_ ___ _ Ma.rried-_1L~ll::-JJJ13 ____ _

( 7) gro:t-grandson oL!:-~IfL ~j~:::_~g------------------born_-- ]_-:.Q<J ::-J.JJ .. 7 ____ _ died--- ~·"l_-:.(l:J::-l]_9_:i_ ___ _

a.nd bls ( wi!e __ }_t~~~f3-]l__i~QY..L~----------------born---~---l~:L·~~.l :-~: __ _ died ___ !2_-:.:~:~=liJ~~~-----

Married __ !,;~_-:_'-;:..~ :J}::...l!. ____ _ 6

( 8) great-grandson 0!------------------------------born __________________ _

died-------------------and b!a ( wife_------ ___ ----------------------- born-------------____ ---

died-------------------Married __________ ---------

_p J~!..i ~ !.9.!Lt.. f'J ,!_li_!_ _______ _ _ t:~!J!..c.!.~L•il_, __ ·.:.i§~-~~l~ir~--­_ DIL~~~biJ~lL-~~~~~~-----­-~~su~~~is£Jlllsir~--­_[_!J~~LbiJLL~-~~·-----­-:.'~J,:!:i.l.J..r_:.:_CS.S..,.------- ~!_i,\}~~ It j )_l_L_:.. _?_S_ ~ ~- -----

_ l~~-,~ tQl'L _C~!J~-~-~~-:~L­_!!_1.l:..c.i:l'ill .. _:~~s. .. -----­_i. . .f:'JW.i JJ_iJ...Q.U •--_ ----------~:s:~ :..12 u I .Y-L _u g;; _s_~---____ _ _ L .. m:.Q:cbiJJ_ .. _~:_G_s_~ £ ------- ~!lJ:.<::_t ~ j._l_l_ .. ___ <:_:::_...:. .. - -----

_ :]_\:_C2_~ ~ j _l)_ L _:_~ ~<;_ ~ !.-----­-~ _l_V_Cl_!:~l-_l_l L_:..)_S_~!.------

E·-r·· C '"" 7 . and ho, the sa.fd _________ t. -'-- ............ -> .. ------------------ ---· ---(No. --------) Is the ancestor who IIJlDisted 1n

aett.blinhin~ .A.merlcan Independence, while ~tine in the capacity of _:..;;j_.rl-U-1..C~'41-----~.:.'ls.~.;.u:J.lUSL!l..!..s _ _____ _

-----------------------------------------------------------------------------~~li!JLa _____________ _ • Applicant was born Leslie L. Kin:-r; , Jr. His parents were divorced

when he was less than 2 years old.

' .

.• Applicant anlrmR I h &dheron ce to t h e prlnclpl~ set forth ln tho D('('.ln!'ution of Indopt"ndence v.nd his nnq~l­

'fled !iupport of tho Comltitutlon or tbo United States of Amc1·ica , to tho end tluot tho l.ruill~nablo righ(.B of the dtU·Ml mJ\Y bo p~or\'t'1 BOd our ideal rcp t•e;;.entat.he govcnmtl'>lt perpetlmte<.i.

ANCESTOR'S SERVICE "SECTION 1. Any m<~n shall be eligible to membership in this Society wbo, being at the Rge of eighteen years or over,

and a citizl!n of good repute i:1 the community, is tLe lineal <k scendant of an ancestor who was at all lime:. uniail ing in his loy-.Jty to, and renrlered active service in, the cause of A;nerican Lu lcpcndcnce, ei ther as an officer, so!dier, seaman, marine, militia­man or minute man, in the armed forces of the Contiru:•:-~ tal Congress or of any one of the several Colonies or Statrs, or a:; a siguer of. the Declaration of Independence; or as a member of a Corr.mitlee of Sa fety or 'CorrcsponcieJJce· or as a member of any Continental, Provincial, or Colonial Congress or Legislature ; or as a recobl'l ized patriot who performed ac~ual service by overt acts of resi~tance to the authority of Great Brit.aio."-Ccmstitution of Natio~wl Society, S.A.R., Article III

Momboer'shlp Js ba<,cd npou one. orlgfnn.l claim; when the applicant derives elfgiblllty by desoont trom more tha:1 olle lt.evolutlonary ancestor, ~md It Js dee.ired to file additional claims, separate applicado!l.!l on s~W tonns provided for the purpo6e, r,hoald be made in each e&'le nnd filed with the orlgln.a.l.

State fully such documentary or traditional authority as you found the foUowing record upon, and also the residence of ancestors, v. ith dates of birth and death, if known.

By otder of the Board of Trustees, May 3, 1911, the recipient of a certificate granted on this ap;:Jlication agrees to surrender his certificate upon failure to pay his membership dues, wllcss his membership shall cease by reason of de~th or actual cii:.ab:\i t~·, t':) bt: :l ~!emlin~d by thP. ~ociety cf "!:>icb Le is a member.

My ancestor's services in assisting in the establishment of American Independence during the War of the Revolution were as follows:

~ ·-------------~zl·_a __ CJi9.~~-§~IJ.~e_c]__~~-2-~!..i.J!.l.!.l~'2~~-~~l-_!;J~e_Ji~~~E~Lt~s_~~~:-~:!!_i_t_~~-~ :~:_2~e ____ _

~ , ________ 'll~Q_f.!:ll'J!..i_~.ll~Q_%Y:PS:.:~_fQI_.!l1~-I:!.~~~!£!J ~!.i~~--o-~_'!:i2~-~·2·_l}_t_~~:.-----------------------.. ~

i·-----------------------------------------------------------------------~--------------------1. ___________________________________________________________________________________________ _ :l

~ ------------------------------------------------------------~--------------------------------i

~:~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~----------~-------------------------------~----------------~---~-----------------------------~ ~--------------------------------------------------------------------------------~------------~ . ~---------------------------------------------------------------------------------------------ti ~-----~-----------------------------------------·----------------------------------------------

~·------- --------------------------------------------------------------------------------------

Please list below proofs and references for genealogical line by generations:

(1) _ ~i.!~l_ Pt.~~~~~ - ~~.s9-rd§ ____ ..-----···_,...,...._.,__~-~----------_.__·-·---~- .--.:.. ____ . ______ .;. ______ _

(2) ____ Y!!~J_Y_~~~~~-~~~~-~~~--------------------------------- -----------------------------(3) :t~5_Q_ {~ _J_J:l~Q __ Q§A~~-~,!_.K~!l-~~.h.~.,--W~-~~9A~~A! __ :tt3.f-lQ_y_fl~~~§_,__!i_~~Y-~!'9-_t-].:_~~-·

(·1)

(5)

(6)

"{:1,_!;_~1-_A~y_Q!'.¢~~ -L-~?J.:i.?_~9~'!J}_, _ _l'L.H_!._.R.!..9_2;. _ _1i~y-~~hAl-_l __ lt~-~9£~.?-t.-P_•_?.?_:hi__~?_?O 1860 Census , Kenosha , ~isc on3in .

Y :1,j;_~ L _1~ § _s::_ Q!'.sl ~ _, __ ~ .?J.:i §_ ~ 9~"..~ _,_}{.:1!~-'- .J?:p_. __ 3_~ _,5_~ _, .f-l'Z_;_ _IJ~ ~~!' AtJ.).: _!1_ ~ ~_o_::~-~L.P • 231 ; "7 Gcner~tions Des~s. of Aquila & ri ' t'los Chas e ".

·~ "}_ ..Ge.n..t-~ra ti..nns~~-as. _.ahoy_e. .. __ ( J ...... C ... .. ...S lli1.s.a,. _l92.8. ~- _p_ .. l.Lt.8} ___________________ _

(7) '~7-_Gencr.ati..o.us_'~-.as_.uboy_e~_Jii.s.t~_..oL..Ha.v..e.rJlill.,_.p. .. 3J~5--(E.f)_"£.s __ ~y.9_t.)_

(8)

" . .. _.. ! born __ !p_~i~_8_,__l918 __ _

Full maiden name of applicant's wife_IUi~Q.b.e..th_.B.lO..QJD.~R _________ married_.Q.c:t_.__l,5_-* _ _l9~t8"

NAMES OF CHILDREN AND GRANDCHILDREN OF APPLICANT

Name Date of Birth Residence

·---~1~gh<:!~_l __ g_~-~~1.~_p~g;r_4. ______ ~t~:r~ __ l.5_\._]._<}5Q. ______________ }Y<0§_ll:!:!lEt.9A.2 __ }2:_.9_.~----

----~9h--~-Y-C!£sJA~I;__f_q;~Q. ________ l1~1-'-~-1.E2.1._)-_95.? _______________ J{~~-4:!:!:l.Et.9A.2 __ 12:_.9_!. ___ _

Statement of applicant of services, if any, in the Military or Naval forces of the United States of America. ~ .JI~t-~~~--~~-~~~-~-~<:!~~-~Q£_~~-J{~r __ !J_!. _______________________________________________ ~

--------------------------------------------·------------------------------------------------ j ~

·--------------------------------------------------------------------------------------------~ 8

---------------------------------------------------------··---------------------------------- ~ . &i

·----------------------------------------------------------------------------~---------------S The following are references to the authorities for the record of my ancestor's service ~nd for the i

genealogical data contained in this application: • ~

___ JJ.ass ... _5_Ql.clic.L:s_§;.;._a:Llm::s_iJt_tJlc __ '.:.:Jr_9LJJ;_~_t; QY.9Lv,..tj_Q.n~_Y.9J_. __ :u:.la._LJ ... __ 3.fLQ.;,_ __________ ~ ~

History of Eaver hil1, G. W. Chase, 1861, p . 3C5. C> --------------------------------------------·------------------------------------------------ = ""\ R D ·,...t I ! 1'16 . l

·---~'2--~..?_t_r_:_-: ___ !}~·~!-• __ Q. ~~=---------------------------------------------------------- ·------ a,

i -------------------------------------------------------------------------~-------------------

---------------------------------------------------------------------------------------~-----1 Nominated and recommended by the undersigned mem­

bers of the Society: -

-----------------------------------~--------

Signature of appllcant, (Name In full)

1

~--L:k:~~/t2_:_~l--------------Address. The Vihi t e House. Washington , D.C. --------------------~-----------------------Occupation,

The President

The following form of acknowledgment is required

STLTm 0~---------------------------- l ss:

CouNTY_ OJ'--·--------.-------·--------- ) ; .

____________________________________ ! ____ _

Personally appeared ---------------------------------------------------------------------. . . . . .

----------------------------,------------------.----------------------------------------------. .. . -signer of the above and foregoing application and statement, and made oath before me that the state­ments therein contained are. true to the best of his knowledge and belief.

Official Signatur~

[L. S.]

. .