Chapter Name________________________________________  Number___________
City ____________________________________________

1. Number of U.S. government markers placed ___________________.
    List names of soldier, birth/death dates, military unit
     ____________________________________________________________________
    Was a dedication ceremony held using the UDC Ritual?__________.
    Give date and location __________________________________________________
2. Number of Iron Crosses placed ________ Brass Crosses _______ Total ___________
    List names, vital stats ___________________________________________________
    Was a dedication ceremony held using the UDC Ritual? __________.
    Give date and location __________________________________________________
3. Number of UDC member markers purchased ___________________.
    Was a dedication ceremony held using the UDC Ritual? __________.
    Give date and location __________________________________________________
4. Number of Real Daughter markers purchased __________________.
    Was a dedication ceremony held using the UDC Ritual? __________.
    Give date and location __________________________________________________
5. Number of non-UDC Real Daughter markers purchased __________.
    Was a dedication ceremony held using the UDC Ritual? __________.
    Give date and location __________________________________________________
6. Number of other grave markers purchased _____________.
    List type of markers and for whom purchased ________________________________
7. Number of grave marker dedication ceremonies held (using the UDC Ritual) other than those listed above
    Give name, vital stats and location_________________________________________
    __________________________________________________________________.
8.   Number of Grave Location Forms submitted – Confederate Veterans _____________
9.   Number of Grave Location Forms submitted – Real Daughters __________________
10. Number of Grave Location Forms submitted – non-UDC Real Daughters _________
11. Number of Grave Location Forms submitted – UDC members __________________

Chapter Reports are due August 15th.
Mail reports to:
Mrs. Barbara Gilbert
5872 Red Mason Rd.
Longview, TX 75605-6337
Email: BGriahdliw@aol.com