Genealogy Family Group Record for Susannah HOLLAND

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What is a Family Group Record?
A Family Group Record is a family tree genealogy chart.
"Focusing on the family unit, the family group sheet includes space for a couple and their children, along with fields to record birth, death, marriage and burial places for each." (genealogy.about.com/ od/ free_charts/ a/ forms.htm)

Husband's Name: George HEAP
Born: abt. 1809	Place: Padiham, Lancashire, England
Married / Joined: 24 December 1827	Place: Padiham, Lancashire, England
Died:	Place:
His Father:
Born:	Place:
Died:	Place:
His Mother:
Born:	Place:
Died:	Place:
Wife's Maiden Name: Susannah HOLLAND
Born: 6 November 1808	Place: Padiham, Lancashire, England
Died:	Place:
Her Father:
Born:	Place:
Died:	Place:
Her Mother:
Born:	Place:
Died:	Place:

Male/ Female	Children: Give names in full in order of birth, living or dead.	Born: When:                       Where:	Married / Joined: When:                       Where:	Died: When:                       Where:
F	1. Jane HEAP	1844		January 1917
		Padiham, Lancashire, England		Padiham, Lancashire, England