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Township or other division of county

Name of incorporated city, town, or village, within the above-named division,

Enumerated by me on the —---------

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__._ Name of Institution,

{Insert nume of township, “own, precinct, district, or other civil division, as the c 6 case may be. See inetractiona]_

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day of June, 1900, ,, Con

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TWELFTH CENSUS kee ELE: UNITED STATES.

Se HEDULE No. 1 —POPULATION.

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LOCATION. NAME RELATION. PERSONAL DESCRIPTION. - NATIVITY. Grerairsntip OCCUPATION, TRADE, OR EDUCATION, a OF HOME,
—— ~ Place of birth of each person — parenta of eich person enumerated. If born in the United j PROFESSION 7 :
Leanne: i 3 } of Sheds ton Tare L 1000 as of D: ATE OF | a3 Z = E States, give the State or Terrilory; if o of foreign birth, give the Country only, : 3 | of each person TEN YEARS of azo s | % 3
FE! [ee in this family. ol a2 : = 2: - and over. a E : <
i i zs nter surname first, then the given name anc elationship of each = 22 = Z =z gt | = % = 5 =
q See e3 " talddie initia If any, “a ro he = lee] < = Place of birth of this Place of birth of Farin Place of birth of Mormex | 22 <3 | 3 s ee z | i :
a é gus ge Ixciep n iy ving on i Jone 1, 190. | 5 Ee z z2 Penson. of this person, of this persaa. se zs 3 Ocrvratrox. = z : = $ z
z 2 533 gs Omer children born ence Ju I, “1H, A se E Za zs zs 2 z 3 iB E E
= ie = 1 ‘ 3 4 8 o 12 15 j ie 17 1a. 10 : es | 4 2h 20 + Ree fh
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not the U.S. Census Bureau. HMO MM :
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