Page ______ of ______
                              Packet Information
This Packet was Submitted by:

Name: _________________________________________________________________

Address: _______________________________________________________________
Address:________________________________________________________________
City: ________________________________________ State: _____________________ 
ZIP:____________________
Telephone(s): ___________________________________________________________
Email: _____________________________________

Information in this Packet:

(1)	Contains information about ________families and ________  generations.

(2)	Individual numbers run from _____ to _____.  These numbers were (check one)

	a)	_____ assigned by me
	b)	_____ are those from Gene Clopton's 1984 book The Clopton Family
	c)	_____ are from the online database at cloptonfamily.org which was
                 updated on ________________________

(3)	William Clopton and Ann Booth of Virginia had 5 children.  Families reported 
here have the following child as an ancestor (check if you know):
	a)	_____ Ann (b. before 1682)
	b)	_____ Elizabeth (b. before 1682)
	c)	_____ Robert (b. 1683)
	d)	_____ William (b. about 1685)
	e)	_____ Walter (b. 1687/88)

(4)	My sources for this information were (enter sources with specific items if clearer):
_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

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