Supervisor's District No: | State: |
Enumeration District No: | County: |
Sheet No: | (Original) | Name of City: Institution: |
Enumerator: | Township: |
Date: | Ward: |
Line Number: | |
Number of dwelling-house in order of visitation: |
|
Number of family in order of visitation: |
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Also resident: |
Name: | , |
Soundex values: |
Soundex is a method for indexing names by sound as pronounced in English, attempting to match names despite minor differences in spelling. |
Birth date | |
Age in 1900 | |
Marital status: | |
Years Married: | |
Race & gender | |
Children: | |
Children (living): | |
Address: |
Read? | |
Write? | |
Months in school: | |
Speak English? |
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