I am in process of trying to construct burial places of persons of African-American descent to
complement listed cemeteries. If you have ancestors that were African- American and they are
buried in the Miller Co, AR or Bowie Co, TX area, please copy and complete the following form.
Return to:
Doris Lindblad
Rt. 5, Box 365
Texarkana, TX 75503


Name of Deceased ___________________________________________

Date of Birth_________________Date of Death_____________________

Cemetery ____________________________________________________

Other (family farm, etc) ________________________________________

Circle One: Miller Co, AR or Bowie Co, TX

Location of burial place if known: _________________________________________________________________

Source (Copy of Death Cert., Obit, Family Story, Aunt Mary said, etc)

Submitted by:

City & State________________________________________