$3) Budget Bureau No, 41-4944,—-Approval expires December Jl, 1950,

1) DATK SHEET STARTED | SHEET
» 1980 NUMBER

a. BTATE M in
e, HO" TEL, L ARGE ROOMING HOUSE, INSTITUTI IL 5 TO 20 ch
BSR aa — Kanon, Name sur aaa Vor me —— —_ | Real atrculea tiumes it eee oe tat te wt he t ‘The. Ces 4 ls t cans ig Bayirde bn gah he “et
~< = gps Mal eterilia tn, stishod i6 accor confidential treatment. ‘ repor ad ve nivers i NUMERATOR'S SIGNAT
b. OOUNTY } i CONFIDENTIAL taxation, duvesti,utica, or regulation, & ENUMERATOR'S SIGNATURE ey

doll

6. INOORPORATMA,PLAOR He Noir ats FORM U. S. DEPARTMENT OF COMMERCE 18 s¥045-2
|

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: | as Pp 1 BUREAU OF THE CENSUS
Coir = aah = Ht arc lana 1950 CENSUS OF POPULATION AND HOUSING

Notes -— - ieee ASE cca ro. aU nO tease ee ON ares Mild PRR RGt at Fe scoeneaniase asiattsasenesinies ‘satan

4, E. D. NUMBER

ee ere eee emcee geen meneame ee renee eseeaenepen *s

FOR HEAD OF HOUSEHOLD, FOR ALD PERSONS oe POR PERSONS 14 YEARS OF AGE AND OVER

ls te iat i 7% business hold last wook
| RELATIONSHIP 1. Ifemployed (Wk in item 15, or Yesin item 16 or item 18), describe job or
ace teh _ 2. Iflooking for work (Yes in item 17), describe last job or business
ithe What is the name of the head of thig | Buter relationship of | White (W) How Whal State (or forcign * | What Med of on: une IfNo |IfWkin |3, For allother persons, leave blank
pid household? beens te bead of were iae) old country) was he born in? | bom-- § was Did thie ie foe Yate Ao at bea Cl ¢ worker
16 Household, as Terican = ness or ass of worke
le What are the names of all other persons | — Head Indian tet ott person |w itamic- | What kind of work was he | Last hats 4 working in? |
thig who live here? Wilo (Ind) his ’ I{bom outside Continental United be do any thie’ Even H doing? ndustry was
house Daughter Jopanese last Btates, enter name of Territory, s work at . though | det For example: , Por example;
List in this order; | 2a8 possession, or foreign country most of Ibtast «=|PCF jhe many

STouse one The head Grandecn ee) birth- Inst ook not (29% |didn’t |hours | naits heels on shoos..................» | Shoe factory... For PRIVATE employer (FP)
(and | Berlal piace His wile Mother-in-law Chinese day? . week-~ | Week, not jj ook. work |did he | Chomistry professor State university. | For QOVERNMENT (@)
and numbe of Lodger (Chi) Distinguish Canada-Freneh counting y pr coewenennse-nnenwce | OI \
apart umber th Unmarried sons and daughtors (in order of ago) i ; z { from Onanadacther work. work ing last work by gut. Sed nnseseeers eel Tepe | P In OWN business (0)
nent) | of dwell. ree Married sons and daughters and thoir families Lodger's wife Filipino (ifun. . ing, d for week, | last Vraren telnet coscaecaels Wicdscasscenanen:! , WITHOUT PAY on family
jog unit | OF Other relatives Maid (Fil) der one : keeping | #roun work? |doeg | week? | farm or businoss (NP)

| Duinber |
unserer | more Other persons, such as lodgers, roomers, maida or Hired band Other year of ve house, ne (See he (Include | Armed forces..._-

ranch)? acres? Patient, ote. ,
hired hands wholivein, and their relatives race— pet p | oF (Undude Special have unpaid Nover worked......
spell out some- kf Cases |@job | work on
month * | thing work for bel
pay, inown ow) jor family

of birth \ elset | business, busl- farm or

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April, (Wk, H, | Profession, nega? | business)

Ot, or U onfarm,
May, \ or un paid

family work) ¢Yosor | (Number
(Last name first) ¥ | ¥ esor No)! N No) | of hours) (Occupation) (industey)

nn pee - — See a owere : - ¢ RRL by SES _—

(Yesor. (Yes or |
No)

| Name ofstreet, avenue, or road

@ Agriculture Questicnnaire Number

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HOUSEHOLD CONTINUED ON NEXT SHEET (_ |
Notes

Le QUESTIONS BELOW ARE FOR PERSONS LISTED ON SAMPLE LINES

FOR ALL AGES. = ee ae _FOR PERSONS 14 YEARS OF AGE AND OVER

If this person is afamily head ‘(mee de finition be low)— it Male :

l{Noin | } Pa neovme receiver @
(tem 21 } | What Did he Has he ( ene | Lastyear, | Income received by this person in 1949 licome received by his relatives in this housohold (Ask oach question)

— jisthe | finish | attended CYoein, | imhow | wn -|—-—— = a
lie Was | Was | highest | this | school at any {tem 17)—| many P | Last year | | Last year, | ' Last year, how 1 ant year 1 bast year, | Last year, how
living He | he What country were his grade | grade? | time since weeks did | (1949), how | how much | much money did | (1949), how | how much! much money did

a How | thi hmone
| living | living yhat county and State wag he li father and mother born in? of | February Ist? is perso} much money, moncy | he receive from | Muchmoney: money did | his relatives in
this ona | in WARES fia vearanete he living eee schoo} eck | | doany | did he earn: did heearn, interest, divi- did his rela-! his rela- | this household
same | fant | this : that haa ha‘ wotkatall,| working as ! working | dends, veteran’s|tivesin — | tivesin | receive from in- ‘other
ei a | same he has 3e | notcount- | an employee in his own | allowances, pen- | this houses | this house-; terest, dividends, (Tine

’

t sen : :

NOUS | one | cute at been ,| ing wok | for wagea | business, | sions, rents, or | hold earn | hold earn | veteran’s allow- World! World includ,
’ tended? anf Looking | ground the h working for | j rid) World inclu
one | ago? |tya ‘ : endec (For thoso under 209 fon | f or salary? . profession-| other income in own | ances, pensions, | War | War ving
Ago? | year aicce reenter mececaneed Wet yy yoors of go check work? house? i al practice, (aside from ht ad | business, | rents, or other i I
; ; ago? | voy Enter US daha LEAVE a st For tt ny 30 year (Num (Number | Hib cota | OF farm? earnings)? get profession: income (aside ent

State or foreign cour 4 . or WPA’. POReedS (OL ~ trade ‘oO Ose ¢ per yume NULITE EY CrOre Ge be : 4 ono ‘
| (lfoounty unknown, enter naine of RSAIO.OF UTES: COURT, BLARA ' ai ' BLANK sa “los old or over, chock 40 9 berof of weeks | tions for taros, , (Enter not LEAVE before dedne- al practice, from

4 7 EAVE) ScCrVe
Nace or nearest place et anh de below) | | or over) weeks) | in 1949) eto.) income) tions for taxes, or farm? | earnings)? L ;
leone BLANK) «ie ) * | (Net ineoine) BLANK ice

Did he ever serve in

Wau
the U. S. Armed Forces

|
| If No in item 23—
|

7

pres-

LEAVE SLAN K

on 2. ny, Poo 26 Ce p 29 30 «|B la 3Ib Ble 32a 32b “82c_ eae bet ear 330

'S)0. Wye | fa No {e $2 [~[Noug [NfNone DF None Wi | PRP None ref i None Y | hee |
| ]No | Ss WF os — t Lenin CEN Seana) Puaseeee snes ‘ SSN eae | Prams NN No So
} —

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r Yes joa a ne i{ ] None [J syone [ Nop { Won ae at {_] None : [ os | Yes

“No } 7 Pea mt D iil a - ii ani | Becieansaheceadlaninas
reyes | tC) eo oS oY tcl oes = CG] NS = [ems
jo Pree : Be $ i Seninignr ore tea near sit sone Qc cocaine
PRN RG Cer ORE TE Rt AL reise Se — Webereet i 7
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1) Yes

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ish CARS SRD Aer Fontes oe ha es ns eae eT GE peratace tet OAM MND eaTTA Rn eeesaena YAU LTFLLUTE HTL wt i = _ . : ‘ | . enbiens iniccbieida inikihilgaimatabit i
item 26: CODES for GRADE ATTENDED Corr | tems 923, A2b, and 32: EFINITION OF FAMILY HEAD 34, ‘To cnumerstor: Tf worked Inst year (Lor mora | 35a, What kind of work didthis 35). What kind of business or | Be. Clas 1 of worker
Asap aN, wes in Heya 9): Ha Abere ary entey in Mem person do in his last job? industry did he work in? (P, G, O, or NP,

seta j A family head is i 20n, 20b, and 20¢? | as in iter 20c)
inuergarteu - + haces : EAVN eet hi OE i ? ea ! f C
ELEMENTARY, HIGH Hither (9) head of househotd with related persons present in household | { J Yos—Skip to item 36 |
Ki n entaty ts grades 2 Oe wis | 7] >) person unrelated to havselold head but wilh persons rebated to hin : [ | No-—Make entriesinitems 5, 35h, and 35e / '
— oA Ae ARS FO ah se ste : gre Adeprctsbh teatioteh Ba he j listed: below nim on the sehedile—for example: Lodger with wife wa ~ - - svntat sennia aiid oY FTO RE wer et
FOR “DISTRICI OFFICE USE ONLY RLEMENTARY, JUNIORSENIOR BIGH 8lws praseut in household ONT, § 36. If ever ‘married (Mar, Wd, D, or Sep: If Mar-—How many years since this person was (last) married? | a8, Hee a io bo (Mar, Wd,
Blewentary {6 Rraceé) Satomi "ye in item 12)— {f Wd —-How many years since this person was widowed?

Yomber of lines " “ar Minher of ber Junior hieh (3 years) P S7, S8, 89 | | 4 : P
on ahis linet Numi BE Keel Wie eavitiauatedt Senior high (3 yeats) ES. 810, 8H, S22 Has this person been married more if —How many years since this person was divorced? How many children has she ever

his sheet Es on this sheet COLLEGE OR UNIVERSITY | than once? if Sep -—How many years since this person was separated? borne, not counting stillbirths?

Undergraduate (4 years . Cf, C2, C3, C4 } — 4 ° . + J )
G¥aduate or professional schoo) (1 year ‘ov more). CS | Yes C No years, or ) Lesa than 1 year i children, or [ J None

rsons whe

—