APPTICATION FOR I}TEMBERSHIP

TO THE BOARD OF MANAGERS,

The Colonial Dames of America4!ll Ern 6lrr Sucorl Ncw yorh 2l, N. y.

I, the undersigned, hereby "PPly for membenhip in thir society by right of lineal descent from****

......99.YF.S.T....1199.,S.F. BllA.ll ... .

who was born in ....T.g.r.lhggt.r....F.e.r.sium ,.... dr ......1.9.9..?..(Plecc)

"""""rtrr(dete)

end d ied ar . . . . . . . . . New york , Ny probabry dur ing r .a te

on .9Y lYm 9 f 1979 ,

period (May ltrh, lo0z-April r9rh, 1775) upon which my claim of Eligi-

AlrtsoBttrElr rs IU gEnvIcE

N Y G B R 8 : 1 4...;.,-..;.;.....

the purpos€t, and

. . : r r . - . : r . '

e4 -/ ---A ,/Thecand ida te fu r thersays tha t thesa id ' ' ' , ' ' ' . ' . ' *W. . .> f f i | . , , k /

(nemc thc anccstor from whom eligibifity ir dcrivcd)

is the ancestor mentioned in the foregoing application, and that the facts hereinbefore set forth are rrue, !othe best''Lf her Lnowledge and belief.

Subscribed and sworn to before me at Oq"s{** k) ,),6'a:F*user wC (Signerurc ol cendidarc)

Qualifications examined and accepted

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In support o[ Application lor Membership in the Society of the Cotonial Darncs of Arncrica,r, .......... 9XNT9.I4...(.!V.rJ v.a

(ful l nrme o[ clndidalc)

born in 8t-cLttl.'Cnd....Qo-, ..N.Y.8 . . Jan . . 1 .94 .8 . . . . . . . . . . . .

NY. on . .15 . . , Dec . . . I .8 .8 .9 . / . 9 O. , . . . . . . . . . . . mar r ied in . . .Ne.w. . . York . . , . . .NY. . . . . . . .

._ , '. .-s--o-n of BACltE l4g EVEBS...WHI.T.LQcX. . . d ied in Southampton. .D . . .C . . . . .Quo.q .uew i f e , b o r n i n . . . . N e w . . . Y o r k . . . . , . N V . . . . : . . . . . . . 1 .

. . . . . . . . , . . . . . . . o n 1 7 , . . D e c . . 1 9 3 9 . . . . . . . . . . . . . . .

4. That the said ...BAcHF. .M.C-..EVF-nS-. !{HLTLQCK.. rvas rhe son . of ..SAMUEL HAIGHT.. y{HI.T.Lo.cKborn in. . . . . . , . . . . . . . . . I ' - l .Y.q. .on . .19. . .May. , . .1856.. . . . . . . .and Ef i f i i l f i . l r i t eve.Rg.. . . . . . . . , r r is ( ) wire, born in . . . . . . NyS.. .on. . . .1.2. . .Aug.. .18.2.6. . . . . . . . d ied in. lwejs$d; ; : . . .Gerrnany. . on . .Z. l . .J .uI . I884. .rna r r i ed in . . . . . .New. , .York . . . . . .Ny . . . . . . . . , . . . , . on . . . . 2 .1 . . ! ' eb . .1 .g5 .0 . . . - . . .

5. That the said ' iEANETTE..EMMET.. I ' l .C. .EVERS.. was rhc d.au . of .BACIIE. MC EVERSborn in . . . . N9.w. . Yp,rk. . . .NY.. . . . * . . . . . . - . - .9q , I ] . - ,Qct . . .1.7.9.8 . . . . . . . . , . .d ied in New. .york. . Ny. . . . . . .,rx :E-3\tg3lg5-r '.1o.qfif;ilRTilf,tE+*.'" . his ( ; wire, b<,rn i' ssetrandi _ -1 , ^6 ,2 ,19 * ! f ; 1gO?.d red

tn . .S t ra t . t on - .AnS19y Eng land . . . . . . . on 7 Ju .n t r890 . . .aged 89ymarr ied in. , . . .N.ew.. .York. . . . , . . . .Ny. . . . . . . . . . . . .on. . . .15. . .Oct . . .1.9.2.5. . . . . . . .

. . . . . . . . . . , . . . , . , on . , 5. / . 6. . . J .un. . .L.7. 6 4. . . ,. . . . . t4ARY.. .BA.CH8.. . . . . . . . . . . . . . . . . . . . h is (

"""" ' on. ' . . ' .22. . .Nov. . .1?8 7. . .

fo- : .s.onot i . : ' . g: l nlp S. . l { .-c . . EyE RE .. . . . .. . . . . . d i e d i n . . . . N e w . . . Y o r . k . . . . . N y . . . . . . . . . . . . . . . . . .) w i f e , b o r n i n . . . . N e w . . . y o r k . . . . . . N y . . . . . . . . .

, . . . . .o ' . e Maf i t?a ; r ;

;ff,qi&,f* $8*ox;|f ::r'-"- :. . . . . . . . . . . . . . . . . . . . . . , on . . . 2 .3 . . .Dec . . .17 .7 .8 . . . . . . . . . . . . , . . . . .

. i9I of .$AI4llE.l. .yERPLANcK

)

12.. .No.v.

.dau of .GovERT.. .LoocKERMAN.. . . . . . . .. . . . . d ied in. . . . . . . .NY.S.. .) wife, born in.....gps.te.r:dam.... .H.oL.I.and

.. ".. Rft ...be.f o.re....1..1....J.uL....tr.64 9

, 1 2 . T h a r t h e s a i d . . . . . . . . . . , . . . . . . . . . . . w a s t h e . . . . . . . . . . . . . . , o f . . . . . . . . . . . . . . . . . . . . . .

o n . . . . . . . . . . . . . . . . . . . . . . : v . . . . . . a n d . . . . . . . . . . . . . , . . . . , . . . " " " " ' : " " ' : " " " " " " " " h i s ( ) w i f e ' b o r n i n " " " '

n t a r r i e d i n . . . . ' . ' . ' . ' . . . , , . . . . . . . . . ' , ' . . . . o n . . . ' ' . . � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � �

mar r ied in . . . . . . . . . . . . . . . . . . . ' . . ' . . . . . . ' . ' on " " " '

n r a r r i e d i n . . . , , . . . . . . . . . . . . . . . . . . " . . . . o n . . . . . . . ' ; . . . . . . " " " " " " " '

mar r ied in . . . . . . . . . . . . . . . . . . . . . . ' . . ' . ' . . . .on . . ' . ' . ' .

AUTHONTTIES AS TO DESCENT

Give below t ref erence for cach statement of birth, marriage aud death. Where reference is made to unPub-

lished records, applicant must submitphotosratcopies o[ same. State Volune and Page o[ Referenccs'

GENEIATION AE?EIENCES CENETATION TIFERENCES

soc. Rese *rg?9,! i1Iu"q ? i1?lTHyifini:igl:--: -:?::-I:9:i -2. ..PI3F.l.'. ..99.T.! : -2.i.. r9.f.T :.IIrl- i.. .. . .... .. ..

. . . . . . . . , .3he.., .N.X...T. imes...sb.i t .s.. . .9.. . .14n...1.9.4.8... .e..

ii :11":: 1unt:::.:"o':.oln:**: 1'o|!l !!?' lu

,. R?etBotef8etrfr8f.i*tgt6t.. s.sc ' Bes '"""' "BareL'ays':of "'NY ('1 9'0 4'l '1 62'; 't '8'9';" """ "

: : : : : : : : : : : : : : :

. 1 8 5 0 N Y C e n s u s i B a r b e r , N Y E v e . P o s t4. .dea.t.hs " 33': '1'9"'&""5'3 :28 ;""Barber'r"" "

......,..,NVEv.e..-PostMar.r.-.1.3.r.17.;....NY.GBB..... '.......

: :.'::::::::::i lllTll]-l ::li :l1l1l ::ifi:i: :1850 NY Cen( i b id ) ; NYEve . Pos t

. D e a t h s 2 7 : 9 9 & 5 4 : 1 4 5 ; N Y E v e . P o s tJ , . . . . . . . . . . . . . , . . . ,-

M a i i . 2 7 z 9 9 r L . r . S t a r 2 0 o c t 1 8 2 5 t"""""ve;Hdii ; ; ; I ; i i ; ; i i ; ; ; ' : 'ef i*u;. ' i ;54 ;,8' " 'tqt-co r':;wtrr g'; I 'o : 't20'l ' .f r=ifi ' ;Ny'' 'veul t d i ' '

L . r . s t a r 1 s e p r 8 4 I ; s a w v e r , A b s t r - . . . : . : . . : : . : . . . : . . . ' . . . : . . . . . . . : . . . . . . . . . . . . . . . " ' . . " " " " : " ' " " " " "o. ,.t{.Y.Qa.'.W.+lIs.,.. l,Ql;.,1.2.Q;....Hunt.i itg.ton/-Swezey, Marr, / Deaths

,.,...,..."..,.,..|.tFiyspape.r.s...p.'.,?5.;....T,r.in,^3pis....Ch. NY . MS in NYG&B;

Hun t ing ton , Mar r /Dea ths f rom Mj -sc . .Neras .p . . . " .25 . ; . . . .NYGBR. . . . . . . . . . . .t . . .7. .9. . ; . ! .F. . i . lEer.de. l .ey. , . . . .YB. i .s . . . .g- ]d. . .NYC.. l tewspapeis pp.25, 35;

..........-e.e.fh.ef .,....1,1.X....$.y.e.,..Pe.s_!....Pe.a.ths...?..;.3.;.,. WNYHS 4 t 364 - 3 6 5 ;

'''...'..*t*n*..$,1 t.:1'II'r* a ii3t"tt.......

r r. .I!.Y.Q.P,R., 5 ; 6.9.-.7.Q...4.. .9..;,13.: ].5.;.. .1{NXHS. ..2 i e .& .4..i.3.7.7.:.37..-8..i....

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IDO tTOf VnITE TTT SPAGES BEII}'7

THECOTONIAL DAMBS

OF AMERICAt

SAPPLEUENTAL NECOru)

€f

Mn ..Haseld...14.i.9sh,e].1...Van...Hu.san

Maiden neme . . . . . . . .. .9-y,tt -t hi.e. . . [h i- I ].9. .9.h. .IN N.IGHT OP

$]AJIIAIY ::AAS9T Y.TTII,ATg5. ..Record rcceived

Examined end approved ............

Ofriciat Gencalogist

Plouo tyrp crccDt vbcrt rljlrturcr rrc ladicrrcd

The colonial f)ames of America

ST]PPLEITIENTAL RECOND OF

MTS. HAR9LD MITCHELL VAN HUSAN

. (Cyn*ria Whitlock Van"Husan)

tN I'ICI{T OF

IFBAgH -r9AA9:P yPl:tAI9I

who war born in ........F.0.en,.1!.g.9hgt-Ig*9.i...'...--.""" "', on """"" ""' """""""""""'w'u a

rcrident or .ll-e.y...1s.9.-t9rg?I1.............and died ar..I:Y..*L::.fl911....'...o' . '-1-::':'

Hir rcrricer in rhc Golonial pcriod (May ltth, 160?-April lgth, 1775) upon which thir supplemental

claim ir baccd wcrc ar followr:-

. gghepen .e-f..I-e.:Y..1*e9er.93*. Il{'}p: l-e-t-? }i:l} "

(Servicer and deter murt bc proved either by references to volume and page of published authorities

or by ccrtificd copies of manuscript records')

AUtIIOnIltES AS TO SERVICE

.....1Th:...F.*-r.e.hsI.e...e.t...Isll...*:li..t.e.Tg.e*..*l9 lh: Tr.:..:*:1.9I..I:j':e'TI"]qls'-r865"(COLT,ECTIONS OF TITE NEW YORK IIISTORICAL SOCIET':T FOR THE YEAR 1885)

P . 2 2 -

SUPPLEMENTALREcoRDMUSTBEMADEoUTINDUPLICATE

i n

, . . o n . . . . .

. . . o n . . . . .

marr ied in . . . . . . . . . . . . . . , , ' . . . " " " " " 'on" " " "

AUTHORITIES AS TO DESCENT

Give below a rclefelrce tor cach statement of birth, rnarriage and death.-lvhet'e t'eference is made to unPub'

lished records, applicant must submit certi(ied coPies o[ same' State Voldnte a",d Page of References'

TEFETANCES GINER.A'IONrlrgtlNcll

GZNAI TIOJ

2 ;. . . f

ro. . l l IgPB ?9il9Li vrNXII9. . . . . 3-3. . . . . (and. . . .5.7.) . ;

n, !!NIIi9

. . . . . . . ' ' }90q.

l'

uu:: lI

l n suppor t o [ Supp lenrenta l c la im in the soc ie ty o [ thc co lon ia l Dar r tes o [ Arncr ica ,

r , CYNTH. f A (WHITI ,O_CK) VAN. . HIJSAN be ing r lu ly sworn , say : -l f r r l l nan rc o f n r c tnbc r )

l . - l . l r : r r I w ; r s l r o r n , n N e v Y o r k N Y o r ) 3 I o q ! I 9 2 L

nrarr ied ro HAROI,D .I \ , I . ITCHELL VAN HU.SAN . in Palm. Beach.. FLA. . on 15 Mar" 1947

2' That I arn the tlaushter or P49HE M-c- EV-E-'R9:"WHITLO-C-K Pott in Rich$tond c'a ''' 'NY

"" _1--5 A'pr ieg9- l:ili; we:! Reln -apeqh E-LA o" I Je+. I94qand DOROTHY GLBB. . . . . . . . . . .h is w i fe , born in Brook} lzn . . NY. . . , on 1 .5 . Dec . . 1889/90

d ied in .We-S! - .PA lm. .BeaCh . . .FLA. . .on 23 . . .Dec . .19 A7. . . . . . . . . . . . , . . mar r ied in New 'York NY

o r , . 2 - 3 J a n . i 1 9 1 5 . . . . . . . .

3 . T h a t t h e s a i d

born in !-i9w..Yo-rk

son BACHE MC EVERS. . . . . . . . . o I

. . died in . .SouthamPLon..NY

WHITLOCK

. . . (Quogue)

4. That ttre said BACHE MC EVERS WHITLOCK rvas the .99l . of .SAMUFL HAIGFT. I|IIi.ITI19-.C-K

born in . NYs srsgp f 819 . d ied in. .Richmond-. Co.. . , . . . . . . . NY

o n 1 9 ' . . M a y ' } 8 5 6 : . - ; " ; I " . f i d E s . H g * g ' l r i s w i f e , b o r n i n ' , ' ' , . ' ' . ' ' � � � � � � � � � � � �; ; l , A ; a r e z o . a i e a 1 q ' w , e . i i b a o E p . ' . e 9 , r T 1 l Y � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � �],".r,.J i,

- Ne; Vorti Nv . o"... ?].. .{e-b.. }8-10,

"" 5 Alls. t.90.5 ..o , . ,27 sgp 19 .17 . .married in Ne!r. .Y-grb

8. ' fhat the said . . .

ffts;ul$${Tlll

. . .JEANETTE EMMET5: T\i3,in'v'3'fx nov ^r

his wife, born in New...Yor.k . . NY

. ' , , ' . ' . ' . . . ' . . . . ' ' ' . , o n . I . 7 . . . . D e - g . I ' 9 . 3 9 . . '

h is w i fe , born in . . , . . . . .Sea. t land . . . . . . . .

MC EVERS

n-engtey, . . .Eng.Land on7 Jun .1.89.0 aged1s-...p-9.!-. 18 2s .

V_ERF],ANCKN Y . . . . . . . . . .

NY

6. T'hat the said Mc EVERS was,the

son of CHARLEI 'l{c EVERS

yrr ^rr t** iu;s;l : *ou tgAS/"*. i;n' otun n,, .,i'iii#;Tf**lil};'PP Ny

." f : aR{r,17r!.9, died in..- New Yor}z NX; rie i

on9 }aav 180t "g?$

' " " r t i . i i " . .Lgy. YgIk . . . . . . . . .Ny. . . . on ' : " ' : '

7. That the said .CHARLES MC EVERS "' was the son of --CHARLES MC EV.ERS '

oo,z,bep-rBpH ";; .�Br$#sttr11uf;Rvltt' ;,1*1t"1*;Tl-$.;*"!5;n-t"*"% ;;3gi1si . ' . d ied in J-ar . ra. lca. Ny - on 23 Dec . I77.A. . . . . . . . . . . .

f f ; ; lu= i ; - ' i i '3# ' ' v " ; r . ' ' " iFv : ' . - - ' - - ; ; - ' -1 '2 ' ' 'A i ; i ' ' t ' ie '1 ' ' ' � � � � � � � � � � � � �

lli,,i.J ,^ *;' voiri

ll. Thar thc saict GELYN..VERP+4IE5 $'asthc sonof abBa'irA'I{ I-gAAc-sF V'ERP'IJANCK

. -.

Rrram ;#-ile-ih;k;"iF. diect in " Ne!- Amete'r'd.am

l:'n 'n qeqrl'

f 6 a o'*l=',6 .-uenia. .Vleup . . his wire, born in.. Tir.e. .l{e!her.}.f,.nd.s.... .o n . . . . . . . . . . . . .

married in . . . . .T}r.e.. .Nether' Iands on "" '