Your name and address:_____________________________________________________________________________________________________________________________________________________________Your phone number and/or e-mail address:_______________________________________________Surname to be searched:________________________________ Given name:____________________________________________ Vital data (if known) date and place of birth, date and place of marriage, to whom married, date and place of death _____________________________________________________________________________________________________________________________________________________________________ Name of parents (if known)_____________________________ Name of children (if known)____________________________ Area to be searched___Fulton ___Marshall ___Pulaski ___Starke ___Cass ___Kosciusko ___LaPorte ___Miami ___St Joseph. Type of service being requested ___Basic look-up ___Search/research ___Do it yourself. Amount of money enclosed $______. For estimates, please contact me by fax, mail or e-mail. Once the correct amount has been sent, I will advise when I will begin your search and when you should expect to hear from me with any updates or results.