Genealogy Lookup Request Form

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Genealogy Lookup Request Form
CSAGSI has indexed and can make photocopies of the following publications.
They can be accessed at our Paul M. Nemecek CSAGSI Library. If a library visit is not
possible, a request can be made using this form. A non-refundable fee of $3.00 per
record searched is requested. You may request any combination totaling up to 4
records. Please include a stamped, self addressed envelope with sufficient postage.
1 ) INDEX TO THE EULOGY NOTES OF FRANK FOSTKA 1949-1992
Mr. Kostka presided over 17,000 funerals. His notes on 3” x 5” cards contain
information about the deceased that lent meaning to the service. Occasionally there
may only be a memorial card and no notes.
2 ) INDEX TO THE RECORDS OF LINHART FUNERAL HOME - Cicero, IL - 1913-1954
These are ledger sheets of the more than 1,730 funerals that took place at
Linhart. As a rule, one can expect a fairly detailed amount of information regarding
the funeral home’s accounts.
3 ) St. PROCOPIUS DEATH RECORDS 1872 – 1915
It is possible to obtain a copy of the full death record of a person whose name
appears in CSAGSI’s publication.
4 ) BOHEMIAN NATIONAL CEMETERY RECORDS
This database is currently available at the CSAGSI Library on computers.
Full Name of Deceased _________________________________Death/Burial Date_______________
Circle numbers of records above that you want searched for this name 1 2 3 4
Full Name of Deceased_________________________________ Death/ Burial Date______________
Circle numbers of records above that you want searched for this name 1 2 3 4
Full Name of Deceased_________________________________ Death/Burial Date_______________
Circle numbers of records above that you want searched for this name 1 2 3 4
Full Name of Deceased_________________________________ Death/Burial Date_______________
Circle numbers of records above that you want searched for this name 1 2 3 4
Number of records searched _________ x $3.00 each = $______________________
Name_____________________________________________________Phone ____________________________
Address________________________________________email_______________________________________
City, State and Zip Code____________________________________________________________________
PLEASE print the lookup form, complete it, enclose the stamped self addressed
envelope and mail it with your check or money order to:
CSAGSI, P.O. Box 313, Sugar Grove, IL 60506-0313
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