Continuing the family history reaearch of
Dr. Ezra Clayton Saylor
(1881 - 1954)

Input Form

 

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Page #                                                                                                   Date

 

 

 

 Father : ___________________________________________________________________

See Page ID for parents

                                        First Name                   Middle Name                           Last Name

 

 Date born: ___________________ in _______________________________________

 

                          DD/MM/YYYY                                City                             County                           State

 

 

Date Died: ______________ in __________________________________________

 

                          DD/MM/YYYY                       City                             County                           State
  Cause _______________

 

 

 Mother    :   _______________________________________________________________

See Page ID for parents

                                        First Name                   Middle Name                           Maiden Name

 

 Date born: ___________________ in ________________________________

 

                                      DD/MM/YYYY                                City                             County                           State

 

 

Date Died: ______________ in __________________________________________

 

                          DD/MM/YYYY                       City                             County                           State
  Cause _______________

 

 

 Marriage Date: ___________________ Location ___________________________________

 

                              DD/MM/YYYY                                          City                   County                           State

 

 

 

 Current Address:                                                                                          Phone                              _

 

                                                  Street                                 City                       State           Zip Code

 

 

 Child #1:   _________________________________________ Born _____________

See Page ID for more information

                    First Name                   Middle Name                           Last Name              DD/MM/YYYY

 

 

 

 Child #2:   _________________________________________ Born _____________

See Page ID for more information

                     First Name                   Middle Name                           Last Name              DD/MM/YYYY

 

 

 

 Child #3:   _________________________________________ Born _____________

See Page ID for more information

                     First Name                   Middle Name                           Last Name              DD/MM/YYYY

 

 

 

 Child #4:   _________________________________________ Born _____________

See Page ID for more information

                     First Name                   Middle Name                           Last Name              DD/MM/YYYY

 

 

 

 Child #5:   _________________________________________ Born _____________

See Page ID for more information

                     First Name                   Middle Name                           Last Name              DD/MM/YYYY

 

 

 

 Child #6:   _________________________________________ Born _____________

See Page ID for more information

                     First Name                   Middle Name                           Last Name              DD/MM/YYYY

 

 

 

 Child #7:   _________________________________________ Born _____________

See Page ID for more information

                     First Name                   Middle Name                           Last Name              DD/MM/YYYY

 

IF MORE THAN SEVEN CHILDREN COPY THIS PAGE AND CHANGE CHILD #

 

Comments and other notes of interest

 

 

 

Page #                                                                                                 Date

 

 

 

Sources of Information:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Comments (Church, Education, Employment, Medical, Stories of interest, Other Facts)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Questions?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 




This will continue the data collection begun by Dr. E.C. Saylor many years ago.

My sincere thanks to all of you that support this effort.