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STATE
County _.

TOWNSHIP OR OTHER DIVISION OF

etl—eait

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(Street. areas

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4

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OUNTY

[Insert proper name and, alec, nase of clase, as ownsbip, town, precinct, district, habdred, Test, etc. Hee justructions.)_

af tnetitetsn, Wf asy, and ipticate the liees ch which Ue eutrine are Mada. Bee instructicna|

Law aTION. NAME

of cach person whose place of abode on April 15,
1910, was in this family.

Rater sursame Oret, thee the cites name aed middle
initial, if aay.

RELATION. PERSONAL DESCRIPTION,

i

d,

< Wothke erof
= | how many
children.

Relationship of this per-
eon to the head of the

day.
or divorced.

be order of tle

det of thattation
lietios.

leg beuee be are

reed, ete.

ber now

Enclose every bere. Iir-

1910. Omit

reoe livieg on
fits, vie.

bere slere A

Heese sember (la

oliles er lawn),
| Newber of Camily
Age at leat birth. | }

7

Namberof pears of

Namber of daeil
arried, widewe
present marcia

| Whether

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se ao) ae

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a

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w LW pt/t+ A

Les |ay”

£t di 3
oa SEF A el rcteen-n bof

ae a

=f MIW

w-------. NAME OF INCORPORATED PLACE

NATIVITY.

Place of birth of each person and parents of enc miperee = onaeneenhes. “4 born In the
‘orcign birth, give the couatry.

give the tate or territory. tf

= . ‘
Vn. Oe ee KH L ee
~

Orherrwund  |Aitawar

OE nai Vex Lette -

; ’
Bry see” os
3 *
é

———_—_—

lage =f Eatwetene
A oe MLW £2 LM

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not the U.S. Census Bureau.

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

Oo CG OD PT a Ze Prag bom de.
eo V. J itorag hatimek cee

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ne i275 a ES

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aeert proper

— : ENUMERATED BY ME ON THE.

CITIZE ASHI?

United States,

Piece of birth of Mother of
thle person.

Piece of birth of Father of |

teed of alien.

od States.

tloe te the

Tear of Immlera-
Whether natural-

-
=
a

Place ef birth of thls Persee. this person.
cece ee |
is 13
af ° 1 | ES ,
Dlr a ee Law grem: —

ee ae |Z oe |

DEPARTMENT OF COMMERCE AND LABOR-BUREAU OF THE CENSUS

THIRTEENTH CENSUS OF THE UNITED STATES:

1910—POPULATION
Hrahnery in

a i

SUPERVISOR'S DISTRICT NO... x
ENUMERATION DISTRICT NO. 72*~<
WARD OF CITY

mf, alev, same ol of Claas, as city, village, town, ‘or orvagh. “Bee inetrecticna }

Pr ck __ DAY OF ___Z#L

occ t PATION.

~~~ ——* =

EDUCATION.

Whether able to speak
Rnglish; or, if aot,
give laogeage spoken.

borer, etc.

Wheta- Sem-
er ost mre

blind (beth

eyes).

Werner |

Trade or profession cf, or | General eatare of industry,
particalar bind of work business, of establishment
done by this person, as ia which thle perees works,
spinner, saleaman, la- 88 rotten mill. dry goede

employer.
em pleyre.

er able
read,

write.

— ot ef

Apes —

191d. thes.

the Lantom of Confed
erete hemp oF Nave

mortaneed,
eehedale,

ih)
| Whether wo enretine PY i

| Whether able

Atlended Seheool

| enmy theme alnee

} Beptember n|
1

| Owwed fron of) ©

Sember of form

|

ts Wheth

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) | Perm or hone,
Whether

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ee A nus ist~—, 4. 4 aden ty a'h4

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ind fn Prabarckwesime elie cy ie

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ten Auredit | Locke bee. Besa eees
ie ~ Llores

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etal leg a faeek_. Bo ears

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ee

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7 ae Pncnctix Pama tw Nero

ae Ta | hntetatnhtre Abe 16

| ey tia k Bachata 72. : 5 ani
are Lr2tae- Vink’ Vly. hysabe.

Shuey creche, AoLart dese. Mey

Historic census records are maintained and released by aig Se Spy ee
the National Archives and Records Administration,

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