Long George W      Head     M In 30      Married  Wisconsin New York  Wisconsin  labor Farm
  -  Edith M       Wife     F W  23      Married  Minnesota Ohio      Vermont    None
  -  Gilbert B     Son      M W   4 2/12 Single   Wisconsin Wisconsin Minnesota  None
  -  Kathrine V    Daughter F W     2/12 Single   Minnesota Wisconsin Minnesota  None

State of Minnesota, County of Pine} ss.
I HEREBY CERTIFY, That on the 31st day of October in the year of our Lord one thousand nine hundred and fourteen, at Pine City in said County, I, the undersigned, a Justice of the Peace did join in the Bonds of Matrimony George W. Long a resident of the County of Pine , State of Minnesota and Edith Pankake a resident of the County of Pine , State of Minnesota.

In the Presence of
Catherine Hurley}
Mary C. Vaughan}
Witnesses.

A. H. Lambert
Justice of the Peace

Filed the 12th day of November , A. D. 1914, and duly recorded in Marriage Record E on page 220.

A. W. Gunn
Clerk of District Court.
By: Portia M. Huber
Deputy.

State File Number 25005
PLACE OF BIRTH
County of:  Pine
Township of: Ogema
FULL NAME OF CHILD:  Curtis Victor Long
Sex of Child:  Male
Twin, triplet, or other?  Single
Legitimate?  yes
Date of birth:  April 20, 1918

FATHER
FULL NAME:  George W Long
POST OFFICE ADDRESS:  Lake Lena
COLOR:  1/4 Indian
        3/4 White
AGE AT LAST BIRTHDAY:  29
BIRTHPLACE:  Benson Wis
OCCUPATION:  Common Labor

MOTHER
FULL MAIDEN NAME:  Edith May Pankake
POST OFFICE ADDRESS:  Lake Lena Minn
COLOR:  White
AGE AT LAST BIRTHDAY:  21
BIRTHPLACE:  Litchfield Minn
OCCUPATION:  House Wife
Number of children born to this mother, including the present birth:  2
Number of children of this mother now living:  2

CERTIFICATE OF ATTENDING PHYSICIAN OR MIDWIFE
I hereby certify that I attended the birth of this child, who was born alive
April 20 at 6 - 00 A.M.
(Signature)  Mary Davis
             MIDWIFE
Address:  Lake Lena
(Signature)  Joseph D. Beaufeaux
             REGISTRAR
Filed April 21, 1918   Address:  Lake Lena

State File Number 13996
 1.  PLACE OF DEATH:
     County:  Pine
     Township:  Ogema
 2.  FULL NAME:  Curtis Victor Long
PERSONAL AND STATISTICAL PARTICULARS
 3.  SEX:  Male
 4.  Color or Race:  White
 5.  Single, Married, Widowed, or Divorced:  Single
 6.  DATE OF BIRTH:  April 20, 1918
 7.  AGE:   5 ds.
 8.  OCCUPATION:  None
 9.  BIRTHPLACE:  Minn., Pine county
10.  Name of Father:  George William Long
11.  Birthplace of Father:  Wis., Burnett County
12.  Maiden Name of Mother:  Edith May Pankake
13.  Birthplace of Mother:  Minn., Meeker County
14.  The above is true to the best of my knowledge
     (Informant)  Geo. W. Long
     (Address)  Lake Lena, Minn.
15.  Filed:  April 25, 1918  J.D. Beaufeaux
                                  Registrar
     Address:  Lake Lena Minn
16.  DATE OF DEATH:  April 25, 1918
MEDICAL CERTIFICATE OF DEATH
17.  The CAUSE OF DEATH was as follows:
     Congenital Ventral hernia
19.  PLACE OF BURIAL:  Bensen Wis
     DATE OF BURIAL:  April 28, 1918
20.  UNDERTAKER:  None
     (Address)  Randel Wis

Updated January 17, 2009