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Department of Archives and History of The Lutheran Church--Missouri Synod

Record of Congregation

Service Bulletin #5a

I. Location: __________________________________________________

Name: ______________________________________________________
Previous locations and/or names used:
_________________________________________________________
_________________________________________________________
Work begun on _________; by ______________________; Cong. organized ___________
Synodical affiliation: Which? ____________________; When joined? _________________

II. Pastors Served and Dates

    1. ___________________________
    2. ___________________________
    3. ___________________________
    4. ___________________________
    5. ___________________________
    6. ___________________________
    7. ___________________________
    8. ___________________________
    9. ___________________________
    10. ___________________________

III. Parish School: Opened ________________ Closed ______________

Sunday School Opened:____________________________________
Other educational agencies: ______________________________
_________________________________________________________

IV. School Teachers Served and Dates

    1. ___________________________
    2. ___________________________
    3. ___________________________
    4. ___________________________
    5. ___________________________
    6. ___________________________
    7. ___________________________
    8. ___________________________
    9. ___________________________
    10. ___________________________

V. Societies (Dates of organization)

Women’s __________________________________________________
Men’s ____________________________________________________
Young People’s ___________________________________________
Others ___________________________________________________

VI. Who Keeps the Congregational Records? (Name and Address)

____________________________________________________________
____________________________________________________________
____________________________________________________________

VII. Record Extant

1. Minutes of Voters, from __________ to __________
2. Official Acts

a. Baptisms, from __________ to __________
b. Confirmations, from __________ to __________
c. Marriages, from __________ to __________
d. Funerals, from __________ to __________

3. Constitutions (dates when adopted or revised)

a. __________ b. __________ c. __________ d. __________

4. Histories of congregation written? When?

a. __________ b. __________ c. __________ d. __________
Copies available? yes[ ]no[ ]5. Photos available of

a. Churches ______________________________________________
b. Schools _______________________________________________
c. Other buildings _______________________________________
d. Pastors _______________________________________________
e. Teachers ______________________________________________
f. Events ________________________________________________

6. Does the congregation own a cemetery? yes[ ]no[ ]Dates used, from __________ to __________
Records available? yes[ ]no[ ]7. If the congregation has been merged with another, state which and when: __________________________________________
8. If discontinued, when? ________________________________

Where are its records? ____________________________________

9. List unique events in history (catastrophes, experiences, fortunes, growth, etc.)
_________________________________________________________
_________________________________________________________
_________________________________________________________

VIII. Bibliography
_________________________________________________________
_________________________________________________________
Research Performed by ______________________________
Date ______________________________

signature ______________________________

Copyright © 1997 Concordia Historical Institute, 801 DeMun Ave., St. Louis, Missouri, 63105
These bulletins may be freely reproduced & distributed, as long as the copyright, name, and address of the Institute are properly displayed.

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