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Pike County Ohio Military Form

We are collecting information on Pike County Veterans—any enlistment  connected with Pike County—born  -  died or buried.  Honor your living or  deceased veteran by submitting a bio, picture and obituary for preservation. We have been recording and preserving various records for over 30 years in Pike County. 

 

Name: ________________________________      Branch of Service: _________________ 

 

Date of Birth:  _______________________  Place of Death:  ________________________ 

 

Place of Burial: _____________________________________________________________ 

 

 

War or Conflict:  ____________ __     Rank:  ___________  Wounded in Service:  _________ 

 

 

Enlistment Date:  _________________    Enlistment Place:  __________________________ 

 

 

Discharge Date:  __________________    Discharge Place: ___________________________ 

 

 

Spouse: _____________________________________________________________________ 

 

 

Other comments: ___________________________________________________________ 

 

__________________________________________________________________________ 

 

__________________________________________________________________________ 

 

Permission Given to the Society to use and reserve all submitted records: 

 

Submitted by: ___________________________       How related: ______________________ 

 

Address: ____________________________________________________________________ 

 

Email:    ___________________________      Phone: ________________________________ 

 

Submitted date:  ____________________________________________ 

 

Submit to: Pike County Genealogy & Historical Society  P O Box 224 Waverly, Ohio 45690