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($5) LIES STEEN Se ee explreag December $1, 1950,

au ry ; 2 e. HOTKL, LARGE ROOMING HOUSE, INSTITUTION, MILITARY INSTALLATION, BTO. oe ieaaacsecls P e Saws i me ren t. DATE SUBET STARTED SHEET,
A ns tae rtm meg er nr te a IP — aa a ta ea cee his inquiry is authorized by Act of Congress (46 Stat. 21513 U, 8, O, 201-218) which requires that a roport be made,
“bh OOUNTS ja@e CONFIDENTIAL ‘The i ntormation furnished if accorded confiduntial treatment, {ho Census roport cannot be used for purposes of ee _ = Z 3

taration, (nvestigation, of regulation, ig. ENUMERABON'S SIGNATUKE
G INCORPQRATED PLACK OR TOWNBIIP | FORM

a OOF mart enon nr

U. §. DEPARTMENT OF COMMERCE wesmsr | KSC ene

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L in theo ~~ (Grew leader) _

| [ROR HEAD OF HOUSENOLD FOR ALL PERSONS i _ FOR PERSONS 14 YEARS OF AGE AND OVER

fh, CHROKED BY A
sod t | BUREAU OF THE CENSUS =" 14
ee sai amuse el PD 4950 CENSUS OF POPULATION AND HOUSING | 2>~=n-</, Sowa ae

—

Fe 2 htm anaemia, ——- a) a - ne

NAM# +P , , J, Memployed (Wk in item 15, or Yesinitom 16 or item 18), dosoribe Job or business held last week
eee oe, _ It I)tor Ot IN , 2 [tlvoking for work (Yes in {tem 17), desoribe last job or business

What is the name of the head of this } Mnter relationship of | White (W) How What State (or foreign or What Eat or Of o | TfNo | Win

; sf hn 3. For all other persons, leave blank
household? person to head of | Negro(Neg) old country) was he born in? | ban— | was (nitem Lim [In item | in item | item Ls. ran sae

—_ er eee

16—- tall &
a Symmes aca er Sg was this | Did thls " or Yesin | What kind of work was he; What kind of business or ! Class of worker

| What are the names of al) other persona Head } Indian Ta he person “ (
who live here? Wifo (Ind) 1 If born outside Continental United person Was | Even doing? industry was he working in? ,

Daughter Japanese Malo | last
Listin this order; alo | 108
| He The head Grandson (Jap) (M) | birth-

Tlouse Borin! this lis wile Mother-in-law Chinese day?
(and number | House

Natu- doing do any this How
Btatos, ontey namo of Torritory, ss work at though 0 F a
possession, or foreign country Hes 1? most of all last per- many For examples 1 For example;

©
' .

a _|ren neta, | dy) RSH, | Natt ee came Sree

’ a a ta - | wor © | Chemistry professor | Btato university or ; N*
‘: Unimarriod sons and daughters (in ordor of ago) easel it sures Fo | iy satire wary work. —*€ ing last | Work =| Farmer ; In OWN business (0)
pucks of dwell- rs a Married sons and daughters and thelr families re - oa ens malo : en (Yes, ging, around | eer woek,| last Farm holper...-cre--0+-e eS WITHOUT PAY on family
m ) | ing unit ‘arn Dalen seletiives ms = | (Fil) (F) Mr soe No, or keeping the work?) does | week? farin or business (NP)
BamusE aa ch)? Other persons, such as lodgers, roomers, maids or roe monn Other yerr'o or Bhouse, he

Vatient, ots, age born house? (Seo (include | Atimod Corces...,.-ceeceenncernceeee=s —
hired hands who livein, aud thoir relatives 4 rave-- ’ vert, for ( sate med to :
spell ont onter of some. | (Include peclal unpaid Nover worked

: work for Ouses | &jOb | work on
et aoe thing pay, inown| below) | or tamily
% dirt pare else? business, busi. —

’ business
rae ents) OW, mn, profession, ness?

Ut, or onfarn,
May, Yor ‘avs or unpaid

Deo., THe able ta family work ) (Yes or | (Number
K

———

(Last name first) } ef,) BL AW work) (Yes or No) No) | of hours) (Occupation) (Industry)

i
| ade

7

| @ | Agriculture Questionnaire Number

> Name ofstrect, averoe, or road

—— BRAS cma) ie ae

15 | 18 | 19 200

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WW LINE NUNBER

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NISSSS NES es SSS &&

storic census records are maintained and released by
the National Archives and Records Administration,

not the U.S. Census Bureau.

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

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HOUSEHOLD CONTINUED ON NEXT SHEET Z1-—y/,  , # } ae
Sade
BRIAL (79 ASD. 5VHD LIVE 14

ee a ee ee ~ —-_-—-— a a re re ee es ne

_FOR PERSONS 14 YEARS OF AGE AND OVER _

_- —_--—-—~ —-- oe — ~ — ~~ ~ —

THE QUESTIONS BELOW ARE FOR PERSONS LISTED ON SAMPLE LINES
FOR ALL AGES | _ . _. oe

iv F If this person ts a (amily bead (seo definition below)— int Male—
| them 21-~ | What |Didhe | Has ni , Aerts bart yeat, Income received by this person in 1949 Itioome recolved by bis rolutivesin this household (Ask each question)
isthe | finish attendec : in how —--- —— one — $e

(Yesin i l re } ,
Was . Wag highest | this school at any — litem 17)—-| many Last year | Lastyear, | Last year, how |Last year, Lastyear, | Last year, how Did he ever serve in

he Ti Nofn item 23 What couniry were his grade |grade? | time since weeks did | (7949), how ' how much | much money did| (1949), how: how much! much money did the U. S. Armed Forces

: : . id‘ hi dusing—
. . of February Ist? How this person | msch money! money 'he receive from much money! money did his relatives in pour = aii = Ae al |
arene What via * sey a he living father and mother born in? school sa do any : did he earn; did heearn interest, divi- a hisvela-' hig rela. ; this Sag vey ! Any
nal (hat ecks | workatall,| working as | working | dends, veieran's|‘ivesin | tivesin i reccive from in- eth
; Pe Api ce er
‘ga he has has he | not count: anemployee! in his own | allowances, pen | this house- ; this house-! terest, dividends, ' Hime
year al- nece , | mewerk | for wages | business, | sions, rents, or hold earn! hold earn | veteran’s allows | world World! includ
ago? f tended? (For those under 30 | Ne NG | aroundtbe | or gulary? , profession-' other income working for \inown , anceg, pensions, War. War \ing
; cars of age check 9 SOF house? - al practice,, (aside from WAECS OF business, i remts, orother | 4g i 4
(Enter work? ’ ' | prese

e3 or No (Enter amount | or farm? earnings)? salary? \ profession-| income (aside | :
‘ ‘ (Enter US of name ot rade Yor those 20 years § (Num (Nuambor | before deduce | #8) — (Amount ' i practice,’ from leas Hp
tato or foreign country Territory, possession, see cades old of over, chock 30 § ber of of weeks | tionsfortoxes, ,; (Entor oct PAVE) before delice. Pesltas LEAVE | Serve
LEA r farm? | earnings)?
or foroign country) below) or over) weeks) } in i0t9) | ets.) , iucome) BLANK tone for Luxes, arcs teens > 5°7* IBLANK jice

— = ae ee

County

LEAVE BLANK

| SAMPLE LINE

(If county unknown, enter name of
place or nearest place)

j-—-—---

-_ _- - ——

‘| 28 {
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i
nie 2
place; Hii | i!) ; int i}) Vv jar over ' es

——

2,~—Cté‘iL#*‘CKQ 3ia. |) BIb.S!~Ss«CSMe | 32a . 2b © S2e

— oe

ei “B8a | aay 880 |
TP Nons i(7] None Te Nono AH J None | None [] Nono i Yes | 0 és | = Yes
' ! J i \ ’ - .

| SAMPLE LINE

24a

7

Se ee —_——--

|

County: 7} Yes

[ Ne

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or noarest/

L fe ||| i ee $- filed? LP Ae Ne
(Weeks)

, (Weeks) | 7 | Ra ~~}
Conntk! j | ! . ° ; i i) if) } | } Ee s | “UN f Nou I ") Nong iT] Novo talk “ai | en P Xes i
auesesu lo A 4 AA A rere Teei ys ! +-6 -€. FF “* a <4 MF A 44 ioe iI} } i [ = : 4) I _ ‘i PI  ? Lm7y)N ~ No {
cert! i : ne jererere _Prwaaey [et tt ll a
County iY | F ° Ha ki [} ¥es tN ‘CT N N ([] None Hil None [_] Nous Hi] 4) [Yes , [7] Yes
TAA... |... AUS hate mi = No (|

f} 30 oF over WWeeks) \Cieals)

(Weeks) ee : :
i ee meee fee ee » -- " moeermmes | '

iva Yes ' iP ]None j ) , 1a) None : ij None if None r] Nous PHT res [7] Yes | ~) Yous
rf) No ° | 1] --

= N ¥

a dace veue a e0y wpRse t__.— |§ ' !
. (Weeks) | (Weeks) } ' ' '
9 ra ; [None ry} None Apa) Nons Nong Ey Neao IL] Non ] touo
=) No
| ¥ | 30 of overt if (8 HHI ! $ 3. --—-—— $—

or neare

‘ Nt y 7 =_— cy! ' N [Ne

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ut (Weeks) _} (Weeks) oo
HT Lf | Yes Nono '"} None PU Nona '(-] None a None
nT 2 No = ]

\ Vv Oo 30 oF over

iti Hy { i] ¥ No i

4 — > + — | pe oc

nti! panacea canine Sif pan ih annette UL ae

| 35>. What kind of business or , 35c. Cluss of worker
industry did he work in? ; (P, G..O, or NI

HAL ay $ My §

(Weeks) (Weeks)

one ene
Se ee te eee ++ — —-- 2

PREC BAS Paes se ie aes ie Pv aBy $ ‘ : » .
Titian THBRECIAL, CABRS~Kotct Ver: aléo Gr pergons who |. Hem 26: CODES for GRADE ATTENDED - 5 ae
would Rave heen looking tor work rxowpt for: AGEs NOW con; aieeeicnu cs abidedsal ts scecugtmennct heen ‘ 3 ; person do in his host job? , Gy '
> @ay wu tempornty tines SRS TS VS" Kindergarten. A fama y Heme 38 20a, 20b, and 20e? i | as in item 20c¢)
See (b) iddifinite ufanore than godly Ing oft: Se ee si Je Poe MENTARY. HIGH: career tot Bie? f” RAthee'(a) head of household with related persons present in household 0: r Yos—Skip to item 36 ‘ {
Ye) bevel that yo work sas available Coa BOE Plenty BIRDS) oie obs ny Sse ene ols 8 a ee Rts de or 9°10) person unrelated to household tread bit with péssons related ta hen No-~—Waks enltice in items 35a, 35b, and S5e : ' 7! =_*
oe ayer rae no 4 ks Fae 5 ok ach ancy ea age ibe haba eka AE By Hated below tian on the sehedule-“for exampler Cadger. with? wife ——- ee et ; rrr mat GH Cee ate and Aver martied (Mar, Wd,
< o-FOR DISTRICT. OFFICE USE: ONLY RLEMENTARY, JUNTORSENIOR HIGH: AN at > neesant tn hoieHona roo tasers rin Th ‘CONT, § 36. If ever married (Mar, Wd, D, or Sep | 3%. If Mar—How nvany yeara since this person was(last) married? | 33, iy: Sein ien aa aati
utah ot ithe [olannmber ot enc | | Nighes ar pace|: codumor eh Magen. c cee TT Bem eae ok toe LOE FORE Ae in item 12)— If We —Hovw many years since this person was widowed? | children has sh

_ pf sNatmber of cin. | Number of pete (005°: BW EES) «ace ain woe Sue AS ARCs Goes a Oder Rie rs —H since (his Mm was divorce ow many children has she ever

AA Hed *tinedcrae Shon aiunesttat ‘fe Benton high (F.yesrs) soba. 4 oe ga he 810, 471, 812 ey ae ee : Has this pom been saarricd more Wy ee many years ince = cee be eeicted | horae, net counting stiliburthe?

2p this pea g ‘| on this shoet P= COLLEGE. Of. UNIVERSITY 5 Ses ah than once 23, tow many years since this per P ’

ae : 542s Ay ee ' 9. < a - Wt : 7 ,
2) 5 saRoate oe protedlonst absok (viecor ares Or ce (J yea [RNo _ years, or (J Less than 1 year -£__. children, or (] None

‘hbe. -d4 Noe: : Q To enumerator! If worked lust year (1 or moro | 35a, What kind of work did this
iteris 328, 3%, and 32e: DEFINITION OF FAMILY HpAD Wh eee ein item boss Se tare nay enter in eens ba

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vse ang iS & et. : ° Recueil ers e aN
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