| Husband: Gary Lee Slama | Page _3_of _3_ |
| Wife: Jane (Hay) Slama |
| M/F (Children continued.) List each child (living or dead) in order of birth. |
| M | Name: Eric
Joseph Birth: 10/26/1975 Marriage: Death: Buried: |
Spouse: Place: Place: Place: Place: |
| M | Name:
Jason Birth: 3/2/1977 Marriage: Death: Buried: | Spouse: Place: Place: Place: Place: |
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