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[This is a form that was filled out by hand. Handwritten parts are shown here in quotation marks]

Pennsylvania Historical and Museum Commission

Bureau of Museums

P. O. Box 1026

Harrisburg, Pennsylvania

Date: "7/23/72"

BIOGRAPHICAL RECORD for "George Petrushka"

Home Address: (Street) "133 Main St."

(City, State): "Eckley" (Zip Code): "18255"

Home Phone: "636-2604"

Occupation: "Laborer/Pump Starter [?] at Eckley mine"

Hobbies, Crafts or Other Skills: "Woodsman/Berry Picker/
Plant [illegible]/ Mechanic/ Hunter"

Business Address: (Street) "Main St. Eckley" (City, State) [left blank] (Zip Code) [left blank]

Business Phone: [left blank]

Previous Occupations: (years) "Contract miner, Electrical motor engineer--mule driver"

Religion: "Roman Catholic"

Place of Birth: (town) "Freeland" (State or Country) "PA--lived here since age 2 or 3"

Year of Birth: "1909"

Other Places of Residence (years) "None"

Father's Name: "John" Birthplace "Europe"

Father's Occupation and Special Skills: "Miner (died when Geo. was 5)"

Mother's Maiden Name: "Mary Gera" Birthplace "Europe"

Mother's Occupation and Special Skills: "Housewife"

"Parents' home-- #53 Backstreet"