| Father | Male Buddy Lee Self |
| Born | 6 Apr 1930 | |
| Died | 7 Dec 1967 | |
| Buried | ||
| Married | 16 May 1958 | |
| Father | ||
| Mother | ||
| Mother | Female Shirley Maxine Broome |
| Born | 30 Sep 1930 | |
| Died | ||
| Buried | ||
| Other Spouse | Anthony Guy Petrogallo | F20708 | |
| Married | 15 Jul 1967 | |
| Other Spouse | George Edburn Dunn | F20710 | |
| Married | 12 Sep 1960 | |
| Father | William Shirley Broome | F20704 Group Sheet | |
| Mother | Eula Beryl Fox | F20704 Group Sheet | |
| Child 1 | Male Timothy Lee Self |
| Born | 7 Feb 1959 | |
| Died | 23 Mar 1959 | |
| Buried | Shiloh Cemetery, Pigeon Forge, Sevier County, Tennessee |