Family Record Sheet

Father

BornAbout August 1855
 in Mercer County, Virginia, 
Died

Mother

BornJune 22, 1860
Died
NameLeslie Emesy Belcher
Born
Died

Spouse

Name
Born
Died

Marriage Information

Date
Place

Spouse's Father

Name
Born
Died

Spouse's Mother

Name
Born
Died

Children

Name Gender Birth Date Birth Place