($5)
- Budget Bureau No, 41-4914. —Approval eapites December 31, 1950,
4. STATE

\¢, HOTEL, LARGE ROOMING HOUSE, INSTITUTION, MILITARY INSTALLATION, ETO, DATE SUBET BTARTED —. SHEET

—— ae

rR en 1 Nome ? = This inquiry is authorized by Act of Congress (46 Stat. 20:13 U, 8, ©, 201-218) which requires that a report be made.
b, COUNTY | Nome CONFIDENTIAL 20 iaforinition furnished is ‘necorded eonddontial treatiuent,” ‘Mhe Consus report cantot bo used tur purposes of = ma. Zeman NUMBER
t baaatlony investigation, of regulation, lg, ENUMERATOR'S LUNA TURE

- - —

= 7 eon hone epee ¥en * aa j a PEE “a
c. INCORPOKA! 0D PLACHKOR 4 owen) type Type FORM U. S. DEPARTMENT OF COMMERCE M0084 MY a a ag
d. E. D. NUMBER | ner — | i 1 BUREAU OF THE CENSUS bh QUECKED BY  ,

8

rexubo omega OF POPULATION AND HOUSING = race,"

— _ = x — sve 5. nih tae (Crew leact ry nitme wes!
SEMOLD) _ == FOR ALL PERSONS ___ ee = _ FOR PERSONS 14 YEARS OF AGE AND OVER
NAME

J | :
RELATIONSULP RAOEK SEX 1, Ifemployed (Wkinitem 15, or Yesin iter: 16 oritem 18), describe Job of business held last week

If No What is the name of the head of thig | Kater relationship of | White (W) How (Is he What State (o i If for. if f 2. Iflooking for work (Yes initem 17), describe last job or business
, r foreign | lft Wha HorOt |ItNo yng | rewet :
oe | household? person to hoad of Negro(Neg)| jold | now country) was he born in? | {ih wie’ in item 15— lin item | in item | itom 16, | 2 For sll other persons, leave blank

’ the household, as | Arnerican was | mar- Did thig | 16- t= se Yeut — -- —
le What are the names of all other persons Head Indian he on | ried, It born outside Cont: Is he Sc person Ww : ioe tee What kind of work was he, What kind of business or ' Class of worker
this who live here? Wife (ind) ate wide voutside Continental United | natu- F doing. | do any Adon Even doing? | industry wae he working int

States, enter name of ‘Verritory |H

house Daughter Japanese last |owed : % | ral | work at though) How )

Listin (his order: onan py Male | las OU, sseasion, OF foreign CoL ate most of “OrK A er Vor example; | For example: |
Is ona Tha howe Grendacn (Jap) (M) | birth. | divore po: 4 wutey ized? last l all last pere he |; Many HUE & I ple 1

| : | son ' ' ane
House Berial this place Ilis wife Mother-in-law Chinese day? ced, Distinguish C: le F week } wee k, not | tooke eet t qoute Nails heels on shoes. Seandazuon ; Shoe fuctory For PRIVATE. employer (P)
(and number | house | of Unmarried sons and daughters (in order of age) Lanlger (Ohi) Fe | SCPRe és ig eon Pt Work. § | COUDUINE | ing rat | work PENNEY PrOLCAICE sn +n2nnsanennerve ee Mnlvecsiiy sigs bed eas a
. . § MH maps . nT i : om Cana ort . } rT) . t <a
Apart ofdwell., ON a | three Married sons and daughters and theirfamities Lodger’s wile Filipino | (Ifun- | rated, MR OEE ing, work ast Pariner_____ sbeteconconeeeses | PO Bcccccussssssecasesecaicans wesaensen In OWN business (O)

ment) iogunit | farm | or Gthanyidaitess Maid (Fil) der one | or (Yes, around for week, last Farin helpor............ Sidccaswanauas =) eS aauceoe exsenseese WITHOUT PAY on family

N keeping work? NP
nutaber (or more Hired hand | yearot | never CP tor the docs | Week? f business (
Other pe , ome ' Al for Ih » [the arm or busines )
ranch)? | acres? er persons, such as lodgers, reomers, malds or Other ouse,

m ; he
' i . Rs, Patient, ete, = age, mar- born J house? (Pee | (Include
vired hands who livein, and their relatives ef aaa enter | ried? abroad asia (Include Xpecial | have htsjnvie
st month Auer thing work for Cases | BJOD | work on
ofbicth can ‘ise? pay, inown| below) | or farily
“ pare else business, bual- | farm or
April, ents) CWk It profession, nega? | burluess)
May Ot,orU | onfarm,
Dee. i forun- or unpald

(Last natne firss) :, Nev ae enue wore) (Yes or | (Number
| (Yes or No) No) | of hours) (Occupation) (ludustry) LEAVE BLANK

male
(F)

—

MBER

Name of street, avenue, or road

LINE Ni

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a ee Ae ee

~@ | Agriculture Questionnaire Number

LINE NUMBER

pmeeaa O | = =:
16 | iB) 19 | 2 20b

“sa saneened

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19 atl wry Neack

Fa - au ‘\ i f/f i¢

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

Visit http://www.archives.gov for more information about publicly
available records like the one shown here. ee

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= : _ THE QUESTIONS BELOW ARE FOR PERSONS LISTED ON SAMPLE LINES”

GB are = _ FOR ALL AGES
| If Noin |

| iter 21 What Did he Has he Iflooking | Lastyear, | Income received by this person in 1949
(posi Eom isthe finish attended iPod mtg inhow | | mi
he | Was . Was Nein tian Ss highest | this school at any ‘tom t7)—~| many | Last year | Lastyear, Last year, how | Last year Last year, ‘| Last year, how ae peas ct iy ak
living | he | he. ST aes What country were hig Krade j grade? time since How | Meeks did | (1949), how! how much | much money did! (1949), how, how much muck money did | nae me has
i | living | tiving ‘ ; $f: ae helt nd tees ‘ : of February Ist? this puso®” much money! money he receive from | Muchmoney! money did his relatives in | @uring—
in : What county and State was he living father and mother born in? many | do, ; TM y,TM : lid hiarel . ; i hap Soeetsicst
thig |; ON A jan in a year ago? school wick Qany | did he earn, did heearn interest, divi- mG MS rela- higrelas , this household \ An
same | farm | this ’ that hea ha work atall, | working as working dendy, veteran’s | Uvesin | tives in 'receive from in- othe
house} #4 | Same he has oan botroual- | anemployee in his own | allowances, pen- | this houses | this house. terest, dividends, 1 Nea
a b year | coun. ate ei Ingwork | for wages business, sions, rents, or | hold earn | hold earn , Veteran’s allow- ‘World World includ
VCi

‘ago? | ty a tended? (For those under 30 LcUmENE around the | of salary? profession- other income working for | in own ; ances, pensions, War War

!
—————_—_—_——— —enwee —— z ; yexrs Of age check | house? I (i (aside from Wages or | Lusiness, : rents, or other ing
ayo? Eves as ay (enter ; ; le Ton al practice, (aside fro VagCE ; business, 8, | ’
ugot _— LEAVE (Enter US or nameot one | oF OF Ne Work? (Futeramount or farm? earnings)? | Silary? | profession- income (aside | a [pres
: State or foreign country BLA
iNK

LEAVE rradoe~ For those 20 years J ( Num. (Number | before dedue- waned (AOUNL : ent
ea ’ . a ot . e « . i ut it i t = i
CT paco OF Hoareet Deeks oF eluegy oun [ -PeANE aor OE OE) eR wcokay [fatanp® | Sonwlor tases, ; (Rnter net | LEAVE) (itore datas. | oe ferme. onrninge)? [LEAVE | ere

FOR PERSONS 14 YEARS OF AGE AND OVER —— ——

If this porson is a family head (see definition below)— (If Mals—
Income recvived by his relatives in this household (Ask each question)

—— ~ — aa . __-

LEAVE BLANK

= |
& | SAMPLE LINE

below) or over) yook4) in 1049) | ete.) ineome) tionsfortaxes, or farin? | earnings)?

{ BLANK ote.) (Netincome) , BLANK ' ice

be

— ———— --- - - a

~ = See Be ete : Safe ES SERBS SORE |e
2 | See eeerS _24b = | 25 E | 26 27 | 30, | ta 8b

’ eg G 7 1 Ta " : a ee a MNT TT7 sec) he oe AT me ~ ; anise <n -- } imp
a ie seid: = | ither VU : A | Hit Sf Yes i) * f }Nene } Soue (| Nene Fr] Nowe itt ‘j(_] Mone

Fr a at ae | S2h te |G | 33a Sab 38e

U ve 2) “= ii | i rates Sess ["} Yes I
> ti Hi oe No ie No RNo

ee ——+ -

No | or nearaag "Tere | | =|" | i}
is place ; Hi C4 [Ne Od Wor over 4 airerc ne, _ I; ee |S ETT
eee en ets eee euecssunemeeunenens ; ° : AL Oates Hd “KS fex PASS re = oS. ES RE aS | it =
3 m7 Ves | County: i ath ty j = “1 Yes cAN . hou ) Nan } ' r f Nou
eA 7 | eee ANH HTT it Sh Yes ) = [fJNone | (7) dg Sone poy te ix! None
] Ne Carnes HMA Mother: _ Hi . No 4
: | place; ili tf : us a No = - |§ wuld? '§_snctmmn '§ af] ; . .

Pe we | : ’ (7) dU or over ~~) uA ska)
rr as err eee eee que ccmnaniieedenoe a CSSSEPUELL , po Ougpwstsncp qupencssenemestaess —
, ean | . County: f petit Father: — Mins :
TM) Yos ; if athor , | Yes +0 yf ee
Lee Zee aaeewaEbsesascescs Ma Airman by Yes or * ; ag “one ae
| No | 0! dX No or nearest | Mother . j r ef Ix ve , ‘ q i = == 36 ——
place: f 0 or over (Weeks) |(\Vecks) = eas E: : "
RS See aero —— aH ted.» bbina 28 bo: . ese i Sees suemneianinspare ammnstee’ ats deo -eon . 3 PEIPIEREI oenert-eeckeeeeeeee
' mm Yes| a Yoa | C Vos | County: | | Pather; rf m7) Yes rN [-) Non v = No; | | [Sq/None >. None \el Ne

©

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[] No | [Ne | [No | rnearest ee : THAT Mothers Na
. nes '

Tee. Hi
} place: Hie a uaI| U8 W) or aver _— a p $__. M4 ¥ | Vir UMaine sre ot
WwW

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1 ‘i ]]

B } iM ’ ; rr Nowe T<ph., ' ] NT) {_) Nouo i] None (| Nong
‘ a FAN :

: if IN = $ $ | SSS, Sey
wn mop st tere \ Se ° .  itanheabwed| Ne i Sat thse

Dd Yes | ces) ro Yes| er = = Ht iT Ha Father:

[_] No } No ‘ye | or nearest Rae Hat Hh I ‘Mother
| '- = HEHE iH}

i nl
; Pigee:

Ke

eo County:

rN | | ee ad i eA ae Po P= (oe i os See es) So

im NOT T9 No No | Mother ite i) seses= i : | i { 1} ; i fit} N mene e = =
l ] i ea ] place: SE ; rill ' =~ winaes= 4 os nmtecen = | Beenie ions a tee SSS {iyi No No
| pa 11] tea a = 80 or over (Weeks) ! (Weeks) j iH] C) 2 j (
OE ere ee a eet os iogiaoaaee _ me DS t SS - eucuntiieeuths OS ES.

Item 14: SPECIAL CASEKS--Enter Yes also for persons who tiem 20: CODES fur GRADE ATTENDED Hema 32a, 32b Hani’ TSOYA IT SG aves hr ihe $4, To enumerstor: Tf worked last year (lor moro | 35a, What kind of work did this | 35b, What hind of business or | 35¢,. Clacs ‘
would have been lnokiug for work except for— : "SNOW seccautis aap PTA s : And 320: DEFINITION OF FAMILY HEAD v4, weeks in item G0): Is there any entry in items = : : d5e. Cla: of worker

sit Kena hee week a erson do in his last job? industry did he work in? , Pr, G rp
(a) own temporary iiness ' . Kindergarten... A family head is 20a, 20b, and 20c? » ous = ' (P, G, O, or NI ’

bse , : = : : . a : asin item 2
(b) Indefinite or more than 80-day Inyort MLEMEN TARY, HIGH Fither (a) head of household with related Persons present ia household [] Yes —Skip to item 36 wen a)

; PONS cattaty'c bluinentary (8 grates)... = -.. Sito S& : : : 1 ay Se ers
(¢) bolfef that ao work was availabte High 4 yous)... 59, 810, St1, 812 ur 5) person unrelated to household hei) but with persons related to hin 6) [ | No-~ Make entries in items 35a, Ub, and 35¢ ’

: ‘LEARNS , ORR ENIC a listed below him on tho sehedule—for ewample: tordger with wife | cee - Oi FE . — maminenig > Ss SORES 9 RR: OS eee

_ FOR DISTRICT OFFICE USE ONLY is os URES OBE ee Ags SI to 86 present fn household ; eee 36. Lf ever married (Mar, Wd, D, or Sep | 37. If Mar—How many years since this person was (last) married? | 3a, ge and over married (Mar, Wd,
Nitnnier of tines | feasiaitce ae sans | t Number of pers | Junior high (3 yrars). 0) St, ga, 89 in item 12)— a lf Wd —How many years since this person was widowed? 1 OF Sep in ter 1a)—=

on this sheet celled’ tines on | dG sons enumerated fentue high (3 years) 00. Sots eee S9N0, S11, 43 Has this person been married more 1f 1) —-How many years since this person was divorced? How many children has she ever

30 (\ } this shoot ; on this sheet + COLLEGE OR UNIVERSITY than once If Sep —How many years since this person was separated? borne, not counting stillbirths?

Cudergradiuate (4 years) : 1, C2, €3, -
a. yours, ot {_] Loss than 1 year ———. children, or CJ None

Cinduate or professivual sehoal (1 year or tiores,. C | [] Vos {"} Noa

ere oe 5 ° se. + os eae nace oe ceeeeseene-enasensesmuansinenenntnatnesiensee-aseecewneen