Qualtrics Survey Software

Initial Report

Last Modified: 07/11/2013

1.Please fill out the form below:

First Name	Last Name	Email Address	Address Line 1	Address Line 2	City/Province	Zip/Postal Code	Country	Phone Number
Paddy	Waldron	xxxxxxxx@vodafone.ie	55 Ard Coillte, Ballina	Killaloe	Co. Clare		Ireland	+353 87 2547230

2.How many duplicates are you requesting? (Limit of 5 per request)Please use the slider below to select the number of duplicates you are requesting.

3.Request 1 Microfilm/Microfiche to be duplicated

Family History Library microfilm/microfiche number	Item Number/Call Number	Name of Individual	Title of record or book and name of parents, spouse, grantor, grantee author and so on	Event Type: B = Birth M = Marriage D = Death Bu = Burial C = Christening	Complete event date (if applicable)	Complete event place (if applicable)	Parish and volume number	Registration, page number or item number
101558	101558	Windham Bradley	marriage certificate; wife Anne O'Dea	M	1870, first quarter of year	Superintendent Registrar's District of Kilrush	Vol. 4	Page. 443

4.Request 2Microfilm/Microfiche to be duplicated

Family History Library microfilm/microfiche number	Item Number/Call Number	Name of Individual	Title of record or book and name of parents, spouse, grantor, grantee author and so on	Complete event date (if applicable)	Complete event place (if applicable)	Parish and volume number	Registration, page number or item number	Event Type: B = Birth M = Marriage D = Death Bu = Burial C = Christening
101087	101087	Thomas Elligatt	Birth certificate, son of Patrick and Mary	8 May 1864	Registrar's District of Tipperary	8	789	B

5.Request 3Microfilm/Microfiche to be duplicated

Family History Library microfilm/microfiche number	Item Number/Call Number	Name of Individual	Title of record or book and name of parents, spouse, grantor, grantee author and so on	Event Type: B = Birth M = Marriage D = Death Bu = Burial C = Christening	Complete event date (if applicable)	Complete event place (if applicable)	Parish and volume number	Registration, page number or item number
101123	101123	Bridget Coughlan	Birth certificate; parents Patrick Coughlan and Ellen Kelly	B	29 Dec 1865 (registered 1866)	Registrar's District of Kilmihil	Volume 4	Page 425

6.Request 4Microfilm/Microfiche to be duplicated

Family History Library microfilm/microfiche number	Item Number/Call Number	Name of Individual	Title of record or book and name of parents, spouse, grantor, grantee author and so on	Event Type: B = Birth M = Marriage D = Death Bu = Burial C = Christening	Complete event date (if applicable)	Complete event place (if applicable)	Parish and volume number	Registration, page number or item number

7.Request 5Microfilm/Microfiche to be duplicated

Family History Library microfilm/microfiche number	Item Number/Call Number	Name of Individual	Title of record or book and name of parents, spouse, grantor, grantee author and so on	Event Type: B = Birth M = Marriage D = Death Bu = Burial C = Christening	Complete event date (if applicable)	Complete event place (if applicable)	Parish and volume number	Registration, page number or item number