Bates, Gerald R.
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Annual Conference
Ministerial Relationship
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SERVICE
RECORD
(F or u se in Annu a l Con fer ences)
N arne
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Sex-Male
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Female ---
Date of Retirement
Social Security Number
Month
Date of Birth .J..I~
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Month
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Spouse --- - - -- -- - , - - - - - - - First
Middle
Year
Last
Day
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Date of Birth
Sex-Male
Female _ _
Month
-
Social Security Number
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Date ofM arr1age ----------------------Month
Day
Year
Year
Social Security Number
Day
If Deceased
Give Date -:-:-~---------Month
Day
~·
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3
Year
,, '
Date of Birth _ __
• ___-_,_·-_"_ _ __
Month
Day
1
Spouse
-------· ---~·~~'----------------<second Marriage) F irst
Middle
L ast
Sex: Male___ Female___
Date of Marriage --- - - -- -- - - - Mon th
Day
Year
Year
If Deceased
Give Date -=-=---=-- ---=-- - ----Month
Day
Year
Year
Date of Birth
Childre n U n der 18 Years of A ge
1951
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Name -----~~~:~l~
~~~~··~c~~~-------------------------------------
Month
Day
r_ _
... ct .
dee.ne --e •.. e
Year
Month
1953
Day
Year
19.?8
5
Month
Da y
Year
Quarterly Conference License (U.B. only) Granted by --- - - - - -- ---:--:----::-- : : - - - - - - -- - - <Annual Conference )
Date Granted------=---------------~~------------------Month
Day
Year
Annual Conference License (U.B.)-orProba tioner's License (Preacher on Trial [Ev.]) Gr an ted by _ __....:.':..:i:...:C::......::........:~:..:.~:.:.·--=:.;--~...::...-"'-:-'-':.-----------------------(Annual Conference)
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Date Granted _ __,·-------------------------------------/-------Month
Ordained Elder by the
•
Graduated from
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'
Day
Date
(
(Annual Conference )
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Seminary Date
'"Y
Month
1?
Day
,
......
Month
(SEE OTHER SIDE)
Year
1953
Year
1953
D ay
Year
Annual Conferen ce
Membership
Appointment
Conference
Relationship
Organization
Responsible for
Pension
Payment
Service
From
Month
To
Year
Month
Year
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56
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59
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66
S ervice P rior
to Ordination
as an Elder
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S ervice Since
Ordination as
an Elder
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GENERAL INFORMATION
If your service under appointment was not continuous please describe any su ch periods giving precise dates.
Date
Signature
Address