o—1800

DEPARTMENT OF COMMERCE AND LABOR-BUREAU OF THE OENSUS ioe a supimvigue: duiner NOS LoL ae 3

“county Once “THIRTEENTH CENSUS OF THE UNITED STATES:,1910~POPULATION enumesarion Distmct NO, Lo. $V ocho

NAME OF INCORPORATED PLACE .. _ LA I~ / o ee Nene SRST Sie WARD OF CITY.

(iusert geuper Kau and, wher, bniter tind, 0a dity, “villag’, ww, of bereigh fee lnstvediniaf

ee SF pay or Print . gto. OW gh. Oa. =p :

OCCUPATION, x Rt - “ EIQNs

——

fas eurplagyee

TownNsHiP OR OTHER DIVISION OF COUNTY... ae

[insert proper tarmn aud, alen, pasce cd clams. an lewoabip, bow, gy Sac, pita gn wc. eo latractional
a NAME GF INSTITUTION — aif iad was St Gasset 5 ea end ea a ewe oon ENUMERATED BY ME ON THE

i De deat ptee ere sete «Abe [pretence tips

“TocaTios, NAME RELATION. PERSONAL DESCKIDTIOS, NATIVITY,

Whether natare)

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he sa ew 2 ee ~_

Whether able te apeak en VWhethy Nei
Trete of profewstom of, or | Urners!l eniore of fudaetry, } empterer.ber + ud | | ber of

Awatiodt of, If ent,
give language spobex, ftUeelar Aled of sark | business, or eetaklishnsrnd loin gdoyer, ef | weeks

Pietw of birth of cach perees and parents of each person coamerated. tf born Ie the Valted States,

3 site ‘af
or eae give the slain wr territary. Lf of foreign birth, gite the country.

ere Wea F
Serle; FEM,

_| ef each person whese place of abode on April 15,
1919, was in this family.
Betatiamate of thie per

Eater euruame first, then the gitee aame ahd middle wen to the bead of the
faitial, if aay. family.

FF

fen channels a ae e

hy thle person, 04 Ja whieh (its poreem works, | be ork t cst of

Sem! her | ; inner, salen ta- 88 cotton mitt
| Place uf Mrte of Father of |; Place of birth of ~ Ae . saleaman, ia- | oo whe tw gots | werkisg en f work

ci ® Place of birth of thle Perace, this person. I thin ee i berer, sir. atere, farm, 4. on owe + April | dering

i on ; ee

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ee es (>| ud Tee een FA” . Pl lb St amp ae" Lr patod ez Wrncanlll ngs | enn ad es PMA focla

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Whether ahts al

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log beuw In or
Summerel prory #f)
Premat marrisze, |
| Whetaer able
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dete

lectede every listee om April 15, 1910. Olt
chitkrea bare slate April it, tits

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‘Historic census records are , maintained anid released by
the National Archives and Records Administration,

not the U.S. Census Bureau.

Sexe ee ees : nd mee Visit http:/www.archives.gov for more information about publicly
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