Fay Questionnaire - Butler-Jones
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Edward Allen Fay Marriage Questionnaire, Clarence P. Jones and Pearl
Butler (#2022), signed by H. D. DeLong, 21 January 1893; copies at
Gallaudet University Archives, Washington, D.C. See approximate location on map. |
No. 2022
Marriage Record
of
Clarence P. Jones (husband) and Pearl Butler (wife)
p. 1
1. Details Relating to Marriage
Date of Marriage? [blank]
Place of Marriage? [blank]
Were the parties related before marriage? [blank]
If so, what relationship? [blank]
Give any other details known relating to marriage. [blank]
2. Offspring.
Total number of children born of this marriage? [blank]
How many deaf? [blank]
How many hearing? [blank]
How many died in infancy? [blank]
Give any other details known relating to offspring; for example -
names, dates of birth or death, causes of death, ages at death,
etc., where possible. If any are or were deaf, write the word
deaf after their names.
dau. b Apl 24/93 - Col. Index Apr 29/93
p. 2 - Questions to be Answered by Husband.
1. Parentage
Name of your father? Eliphalet Jones
Name of your mother before marriage? Louisa
Were your parents related before marriage? No
If so, what relationship? [blank]
Give any other details known relating to parents; for example -
names, causes of death, dates of death, ages at death, etc.,
where possible.
2. Brothers and Sisters
Give your full name and date of birth, and the names of all your
brothers and sisters, with dates of birth, if possible. Where
dates are not given, state whether names are in the order of
birth or not.
Clarence P. Jones b. 1867
How many of these (yourself included) are or were deaf? 1
How many hearing? [blank]
How many died young (under two years)? [blank]
Give any other details known; for example - causes of death, ages
at death, etc. Write the word deaf after the names of all who
are or were deaf. [blank]
3. Other Relatives.
Have you any deaf relatives other than brothers and sisters or
children? No
If so, give relationship and names, if possible. [blank]
4. Note.
Are you deaf or hearing? D
Age when deafness occurred? 3
Cause of deafness? Spinal fever
Attended what School or Institution? Iowa
Residence when admitted? Council Bluffs, Ia
Year when admitted? 1879
Age when admitted? 12
Years under instruction? 9
Present residence? [something erased?] Colorado (returned to Kans
Occupation? Printer
p. 3 - Questions to be Answered by Wife.
1. Parentage
Name of your father? [blank]
Name of your mother before marriage? [blank]
Were your parents related before marriage? [blank]
If so, what relationship? [blank]
Give any other details known relating to parents; for example -
names, causes of death, dates of death, ages at death, etc.,
where possible. [blank]
2. Brothers and Sisters
Give your full name and date of birth, and the names of all your
brothers and sisters, with dates of birth, if possible. Where
dates are not given, state whether names are in the order of
birth or not.
Pearl Butler, b 1873
How many of these (yourself included) are or were deaf? 1
How many hearing? 1
How many died young (under two years)? [blank]
Give any other details known; for example - causes of death, ages
at death, etc. Write the word deaf after the names of all who
are or were deaf. [blank]
3. Other Relatives.
Have you any deaf relatives other than brothers and sisters or
children? No
If so, give relationship and names, if possible. [blank]
4. Note.
Are you deaf or hearing? D
Age when deafness occurred? 3
Cause of deafness? [blank]
Attended what School or Institution? Col
Residence when admitted? Pueblo, Col
Year when admitted? [blank]
Age when admitted? [blank]
Years under instruction? [blank]
Present residence? Colorado
Occupation? Artist
p. 4 - Remarks
From Colorado Index
Additions from Census School Statistics
" " D. M. Critic, May 11, '93
Date of information, Jan 21/93
(Signed) H. D. DeLong
Follow up: Get Clarence Jones school records.
Follow up: Colorado Index, 29 Apr 1893 (Inez birth).
Follow up: Deaf Mute Critic, 11 May 1893 (probably Inez birth).
