Use the print function of your web browser to print this form.

==========================================================================
USGS Web Site/Trish Surles Book Order Form
==========================================================================

Name _____________________________________________________________________

Address __________________________________________________________________

City ______________________________ State/Province _______________________

Country ___________________________ Postal Code __________________________

Telephone ________________________________________________________________

Email address ____________________________________________________________

Genealogical Data taken from Obituaries in Maryland Newspapers of Queen
AnneCounty, MD
[  ] May 1851-Oct 1853, Obits & Marriages ..........................$13.50
[  ] 1875-1876, Obits & Marriages ..................................$13.50
[  ] 1877-1878, Obits & Marriages ..................................$13.50
[  ] 1879-1880, Obits & Marriages ..................................$13.50
[  ] 1881-1883, Obits & Marriages ..................................$13.50
[  ] 1884-1885, Obits & Marriages ..................................$13.50
[  ] 1886-1888, Obits & Marriages ..................................$16.50
[  ] 1889-1890, Obits & Marriages ..................................$16.50
[  ] 1891-1892, Obits & Marriages ..................................$16.50
[  ] 1893-1894, Obits & Marriages ..................................$16.50
[  ] 1895-1896, Obits & Marriages ..................................$16.50
[  ] 1897, Obits & Marriages .......................................$13.50
[  ] 1876-1942, Misc. incomplete years, obits & marriages ..........$13.50
[  ] 1900-1901, Obits & Marriages ..................................$18.00
[  ] 1902-1903, Obits & Marriages...................................$18.00
[  ] 1904-1905, Obits & Marriages...................................$18.00
[  ] 1906-1907, Obits & Marriages...................................$18.00
[  ] 1908-1909, Obits & Marriages...................................$20.00
[  ] 1910-1911, Obits & Marriages...................................$18.00
[  ] 1912-1913, Obits & Marriages...................................$20.00
[  ] 1914, Obits & Marriages........................................$15.00

[  ] 1898-1899, Obituaries only ....................................$13.50
[  ] 1915-1916, Obituaries only ....................................$11.50
[  ] 1917-1919, Obituaries only ....................................$13.50
[  ] 1920-1921, Obituaries only ....................................$11.50
[  ] 1922-1923, Obituaries only ....................................$11.50
[  ] 1924-1925, Obituaries only ....................................$12.50
[  ] 1926-1927, Obits only, incl. "Old Timer's Column" .............$13.50
[  ] 1928-1929, Obituaries only ....................................$13.50
[  ] 1930-1931, Obituaries only ....................................$13.50
[  ] 1932-1933, Obituaries only ....................................$13.50

[  ] Queen Anne Co. Marriage Licenses, 1858-1897....................$20.00
[  ] Queen Anne Co. Marriage Licenses, 1902-1914....................$18.00
[  ] Queen Anne Co. Marriage Licenses, 1914-1926....................$18.00
[  ] 1910 Census Index of Queen Anne Co., MD .......................$20.00
[  ] 1930 Census Index of Queen Anne Co., MD .......................$22.00
[  ] Queen Anne Co. Register of Voters from the Poll Books 1890.....$15.00
[  ] Asst Assmts, Tax Assmts for Queen Anne Co., MD, 1820-1858......$22.00
[  ] 1896 Tax Assmts, Queen Anne Co., MD, District 1................$17.00
[  ] 1896 Tax Assmts, Queen Anne Co., MD, District 2................$15.00
[  ] 1896 Tax Assmts, Queen Anne Co., MD, District 3................$19.00
[  ] 1896 Tax Assmts, Queen Anne Co., MD, District 4................$15.00
[  ] 1896 Tax Assmts, Queen Anne Co., MD, District 5................$17.00
[  ] 1896 Tax Assmts, Queen Anne Co., MD, District 6................$15.00
[  ] 1896 Tax Assmts, Queen Anne Co., MD, District 7................$15.00
[  ] 1896 Tax Assmts, Queen Anne Co., MD, Districts 1-7.............$75.00
[  ] Patents & Plats of the 1600's, Queen Anne Co., Vol. 1..........$19.00
[  ] and They Appeared at Court, Queen Anne Co., 1770-1772..........$20.00
[  ] and They Appeared at Court, Queen Anne Co., 1774-1777..........$20.00
[  ] and They Appeared at Court, Queen Anne Co., 
    1779, 1782, 1785-1787...........................................$20.00
[  ] According to the Church, 1825-1900, Vol. 1.....................$21.00   
[  ] According to the Church, 1825-1900, Vol. 2.....................$21.00 

[  ] 1930 Census Index of Talbot Co., MD............................$22.00

[  ] 1910 Census Index of Caroline Co., MD .........................$20.00
[  ] 1930 Census Index of Caroline Co., MD .........................$22.00

[  ] Maryland's Eastern Shore During the Civil War, 1861-1862.......$23.00
[  ] Maryland's Eastern Shore During the Civil War, 1863............$18.00
[  ] Maryland's Eastern Shore During the Civil War, 1864-1865.......$25.00
[  ] Maryland's Eastern Shore During the Civil War, Bundle..........$60.00
[  ] 1910 Census Index of Kent Co., MD .............................$20.00
[  ] 1930 Census Index of Kent Co., MD .............................$22.00
[  ] Kent Co. Obits & Marriages, 1825-1827 .........................$ 9.50
[  ] Kent Co. Obits & Marriages, 1866-1869 .........................$13.50
[  ] Kent Co. Obits & Marriages, 1870-1872 .........................$13.50
[  ] Kent Co. Obits & Marriages, 1873-1875 .........................$18.00
[  ] Kent Co. Obits & Marriages, 1876-1877 .........................$18.00
[  ] Kent County Commissioned Slave Statistics, 1864 ...............$15.00
[  ] Kent County Valuations, 1860-1895 .............................$18.00
[  ] Kent County Orphans, Minors and Heirs, 1821-1826...............$22.00
[  ] Kent County Orphans, Minors and Heirs, 1825-1829...............$22.00

[  ] Civil War - Drafted Men at Camp Hicks, MD 1862-1863 ...........$15.00
[  ] Death Certificates of Maryland Prior to 1898 ..................$12.00
[  ] Births & Deaths of Kent, Queen Anne & Caroline Co. 1865-1884 ..$12.00
[  ] County Death Certificates of Maryland, 1898....................$18.50


Shipping charges are included in the price of the book.  Maryland residents 
add 5% sales tax.  Payment must be made in US dollars. Checks must be drawn 
on a US bank.

                                        Total number of books   __________

                                             Total $ enclosed   __________

==========================================================================
Mail to: Trish Surles, P. O. Box 736, Gambrills, MD 21054