Your is required by Act of Congress. This Act makes it for disclove any fects, inclading names a census reports. sworn statements.

DEPARTMENT OF COMMERCE—BUREAU OF THE CENSUS SD.No._.*? E.D.No 252
— 2 aoree pV— Ward of ci 2AD Uni eee Le ;
Gr ____ Incorporated place 2 A * A Ward of city nincorporated Place = SIXTEENTH CENSUS OF THE UNITED STATES: 1940 .
Enumerated by me on apt f 1940.

Township or other

bie a sas Cath pee eee itution - i lnk iin pecans
county Sage vision of county 2 Block Now, —E__Instittion saa es POPULATION SCHEDULE as

U. & GOVERNEENT PRINTING OFrice 146—11576

PERSONAL CITl-
LOCATION | HOUSEHOLD DATA DESCRIPTION EDUCATION| PLACE OF BIRTH | ZEN . PERSONS 14 YEARS OLD AND OVER—EMPLOYMENT STATUS

IN WHAT PLACE DID THIS PERSON LIVE ON APRIL 1, 19357

For s n who, on A 1 was li
Col. 17 “Same cee ned aoe living

OCCUPATION, INDUSTRY, AND CLASS OF WORKER

t k, assigned to public emergency ith os” in
Col. Pon rah debe patted asomatton ten ante

° poeeivas was eapanianen, oni
last occupation, industry, and class of worker; of dces not bere previous work
experience, exter “New worker” in Col. 25, and leave 29 and 30 blank.

y

Name of each person whose usual piace itil dats
: of residence on April 1, 1940, was in oo ioonl off the

. i b-usehold, cs wife,
this household daughter, father,

. mother-in-law, grand-
BE SURE TO INCLUDE: sen. Soteun,; oda
wife, servant, hired

hand, etc.

)a
en oF HO
in

@ wooka)

¢)

or pay or
rivate or noneia nc

diatag weak of Maven

‘cy WORE

ss woek

NYA,COO, ete.

(¥
Taon
work,
1 (Yeaee

A 308,

did he HAV

a

Distinguish Canada-
French from Cansda-
ish and Irish Free

ublic EMERGENC

ph’

of March 94-301

Marital status—
Was this

Single (S), Married (M),

Widowed (Wd), Divorced (D)
d ia Di

OT as

9. Children under 1 j.ar of age. Write “Infant”
if child has not been given a first name.

Enter (X) after name of person furnishing information.

sources other than mone

his person
not, was he at work on, or

fit in
housework (H

vt. wor
24-301 (Yes or
rohooi (8), una

Was
Bor

to

(WP

(Yes or No)

any time
since March 1, 19401 ‘Winer No)
if not seeki

Value of home, if owned, of mont) )
this household live on a
(Yes or No)
Sex—Male (M), Female (7)
business, eto.? (Yes

Attended school or coll
©
SEEKING Work?

Indicate whether

engage

CODE (Leave
blank)

tw
~

7

» || Number of wocks worked in
| = Equivalent full-tim

36

tee S
Sis

Pan
: ra a) o

SSS aN
ESEERE

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; Historic census records are maintained and released by
“ls AAS the National Archives and Records Administration,
WH not the U.S. Census Bureau.

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SUPPLEMENTARY v FOR PERSONS OF ALL AGES
QUESTIONS

For Persons Enumerated on Lines 41 and 75

PLACE OF BIRTH OF FATHER AND MOTHER a see ___ SOCIAL SECURITY _ USUAL OCCUPATION, INDUSTRY, AND CLASS OF WORKER

which the person as his usual occupation and at which he is
ithe pornin is weableto ards as his usual eccapation snd ot which be is Ph7Saed

the past 10 and at which he is physically able to work. Enter also usual indus-
class of worker.

For a person without previous work experience, enter “None” in Col. 45 and lesve Cols. 46 and 47
blank.

hare a
Security
n's

Number? (Yes or No)
Wore deductions for Jed-

PT Lamage mbyaken in back bartkphece | yueted on January 1, 1987
ve country w was on January i,
Distinguish Canada-Prench from Canada-E and Lrich Free Stete (Eire) fom
£ in home in
= poken

\ sot include atillbirths)

CODE
(Leave
blank)

Bepbe of children ever born

or Railroad Retirement

eral Old-Age Insurance
made from this

G

“ Mobyfrwife Rrr | Wate |f\imeeee__ | fF YY $ Af 3 , . ii Si .
15 SPIITL PERM OA\ULHERR NHVUAMEARY | (Cs Z (¢ Fr. WIAA | \o Cacleaterma—|t | ; | |_| _}__}75

sme Tt: | CODE (Leave blank)

- s . Col. &. WAR CR MILITARY SERVICES:

6. VALUE OF HOME, IF OWNED: Col 10. COLOR OR RACE: Col. il. AGE AT LAST BIRTHDAY: Col. 14. HIGHEST GRADE OF SCHOOL COMPLETED: ee ee ae

Where owner's household cocs- White W Pilipim Fil ee ae ae eee Ee RE

SYMBOLS part of a structure,
AND Feuaate ales ol pettien cosugio’ Kegro Neg Hindu... Hin radeon 10/12 November 1939_____-.___. Elementary school, lstto Sth grade... 1, , eto., to 8

wnet’s household. Thus the eupcossccces 8/13 December 1839___._......
EXPLANATORY aes Ora ams encaaiad by the In Korean.......... Kor July 1990... S/18 January 1940__.__.._._.. High school, ist to 4th year_._... H-1, B-2, H-3, B-4

A a —
NOTES Chi inet mane a a sing apap — College, Ist to 4th year... C-1, C-2, 6-8, C-4

Jp out in full. (Do not include children born on or after April 1, 1940.) College, &h or subsequent year Oo

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