Act makes it unlawful for the Bureau to disclose any facts, including names or identity, from census reports sworn census
information concerning the Nation's popalation, resources, and business activities. Your Gensus Reports Oannot Bo sed for Purposes of

DEPARTMENT OF COMMERCE—BUREAU OF THE CENSUS
SIXTEENTH CENSUS OF THE UNITED STATES: 1940

POPULATION SCHEDULE rs2

will seo your oo Data
Ss. D. No. ;

(Name of unincorporated place having 100 or more inhabitantz)
Enumerated by me on

Dyartgore, 8 fy ot city 46 Unincorporated place
os Y
—#

Block Nos. 340 Institution __

UV. &S GOVERNMENT PRINTING OFFICE if--1L1576

PERSONAL

DESCRIPTION PERSONS 14 YEARS OLD AND OVER—EMPLOYMENT STATUS

HOUSEHOLD DATA EDUCATION PLACE OF BIRTH

ciTi-
LOCATION ZEK-
SHIP

For persons gine Lb amaoe J OCCUPATION, INDUSTRY, AND CLASS OF WORKER

“No” to quest.) nonemer- | signed to § Fors at work, assigned to public gency wor ith ‘ob es” in
21, 22. 23 and | gency Gov- public Col. 7 22, or 24), enter eenene cuuapation, inlay: and fe nelF plas tik ais
24 ernment For a person seeking work (“‘Yes” in Col. 23): (a) If he has previous work enter

: experience,
last occupation, industry, and class of worker; or (b) if he does not har work
experience, enter “New worker” in Col. 98, and leave Suitin

Name of each person whose usual place
of residence on April 1, 1940, was in
this household.

BE SURE TO INCLUDE:

1. Persons temporarily absent from household.
Write “Ab” after names of such persons.

2. Children under 1 year of age. Write “Infant”
if child has not been given a first name.

Relationship of this
eon to the head of the
household, as wife,
@aughter, father,

any time
(Yes or No)
during week of
0)
If not, was he at work on, or
reson

ivate or nonem
EMERGENCY Wo
’ : °

Visitation
le (S), Married (M)

Widowed (Wd), Divorced (D)
Attended school or colle

Marital status—
since March 1, 19407
» public
Ph.
=]
Ls]

to
Ww

F
E

man
laborer

rivet heater
music teacher

rofit in
Bor, wrk dur
SERKING WORK?

Number of household in order of
Does this household live on a farm?
(Yes or No)

House number (in cities and towns)
Highest grade of school completed

SES Sooo

Indicate wheth

Vas bi
Was thie

| Home owned (0) or rented (R)

8

© | Sex—Male (M), Female (F)

Das | cers

=| street, avenue, road, ete.
SR ESE Sp

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acy Olid [wo jo | SwWio KBR PB | bal ? elo [> [Ojo 1O be 1D 10 he | (Equivalent full-time weeks)

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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.

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6

FOR PERSONS OF ALL AGES

ee eee

SUPPLEMENTARY
QUESTIONS

_ For Persons Enumerated on Lines 14 and 29

Meech |

MOTHER TONGUE (OR NATIVE

LANGUAGE) USUAL OCCUPATION, INDUSTRY, AND CLASS OF WORKER

person usual pation and at which he is
—_ ithe person is unable to ine this, entet that occupation af which ho has worked
oe pre a peamnens & aE te Sey S work. Enter usual
* person without previous work experience, enter “ None” in Col. 45 and lesve Cols. 46 and 47

PLACE OF BIRTH OF FATHER AND MOTHER
If born in the United

If foreign born, give country in w Saaeues ee naan en geen
Distinguish Cannda-Beensh from Conada-Engtioh and

(3) je

made from (1) all, (2)

one-halfor more,

but less than
Number of children ever bora
(Do not include stillbirths)

L/w
A 1OoO

Cols. $9 and 47. CLASS OF WORKER:

Wage or salary worker in s
private work.......... PW

Wage or salary worker in

ee
Working on own account...
Unpaid family worker...

Col. 14. HIGHEST GRADE OF SCHOOL COMPLETzp,
5 0
Elementary school, lstto&hgrade.._. 1, 9. eto. to
High school, ist to 4th year-_---- H-1, H-s, B-3, w4
College, ist to 4th year_—--—- ©-1,C-2, 0-3 c4
College, th or subsequest year... o-«

WAS THIS PERSON AT WORK?
Oe cer “Ser he ns at work

for pay or
nonpemergency
un

workers—that is, ted mem-
bers of the family working

wahous mente wagee’s on
(other than
uted to the family income.

Col. 16. CITIZENSHIP OF THE FOREIGN
Bo0Rn

Naturalised_..___.........
Having @rat papers________.
Pe

American citizen born
obread.._._...____._.__.. Am CB

Enter age of children born em of afer April 1, 1939, as follows. Born in:
April 1998._............. 11/18 October 1939...
May 1933_............... 1/18 Movember 1999_......._.__
Jane 1... «= December 19399...
fay ee. CCT January 1940...
Augen 1902... .... =7/18 Pobruary 140.
September 1908........ &/18 March 1940____

(oe net inchede chil-iren bora on or after April 1, 1940.)

Filipe... ‘Fil
Na

Pa
4l

OA
uP

Kerean.._....... Kor
Other races, spel)

Se

/

come 050 or more trom

sources other than mone

To12
OG |E}

Col. 41. WAR OR MILITARY SERVICE:
= aa
eanish-Americen War,
hilippine Insurrectio
Bozer Rebellicn_

American War -24

RB,

avy, @& aro mon
odter war or expetition

fbn £ ha-h— eons aes Enumerator.

Line No.

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