‘Bo Wend te Purpeoss Tension, Uagulcsna, ot Invemiguees
J DEPARTMENT OF COMMERCE—BUREAU OF THE CENSUS S.D.No__“”

Ward of city —-.-._ Unincorporated place i cimiawankieas 4 SIXTEENTH CENSUS OF THE UNITED STATES: 1940
Township or other a ee
division of county —--————-—_—__—_—-—____-— ; —~Giimame of intibation and lines ou wich eotrios wwe made) POPULATION SCHEDULE Py Bela

—_—_—_——

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LOCATION | HOUSEHOLD DATA NAME PERSONS 14 YEARS OLD AND OVER—EMPLOYMENT STATUS

h

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 housebold.
Write Ab" after names of such persons.

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

Enter (X) after name of person furnishing information.

Monthly

s at work, assigned to public emergency work, or with « job Clea” im 3

_ Col Hi, 3, or 1), enter prevent Occupation, indusry, and caso worker a
oP corer rand work (“TesTM is Cel. $3): (a) If he bas provioes work experience, cuter |
last occupation, industry, and class of worker; of (b) #f does not heve prevwus work
eZperience, enter “New worker” in Cal. 35, and leave 28 and 30 blank.

lt
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wo) =

(Yes or No
+=4
k ia
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k (U), or
ted
me Ww

wed ites | OR

ngaged
house wor
achool (8

EMERGENCY WORK

NWYA,OCC, etc.) d = a

(Yes or No)

OCCUPATION INDUSTRY

rental, if rented
), uae
wor

NS OC

Single (8), Married (if),
ee Nay Ditaced tb)

Widowed (
f not, was he at work on, or assigned

7
of March 24-301
SEEKING WORKT
(Yes or No)
f not seeki

Wes this

did he HA

business,

or No)

~ | Street, avenue, read, ete,
House number (in cities aad towns)
lames ef household in order of
Vidtlalics
*| Home owned (0) ot rented (R)
Value of home. if owned, or
@ | Does this household live on « farm?
to
| (wea,
Number of weeks
(Bquivalent full-ti

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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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53 ra Ps j } | ,
SUPPLEMENTARY . FOR PERSONS OF ALL AGES
QUESTIONS MOTHER TONGUE (OR NATIVE

For Persons Enumerated on Lines 55 and 68 PLACE OF BIRTH OF FATHER AND MOTHER LANGUAGE) ee USUAL OCCUPATION, INDUSTRY, AND CLASS OF WORKER

Enter that eccupation which the person as his usual occupation and at which he is physically
able to work. Ifthe person is unable to this, enter that occupation at which he has worked

longest d the 10 and at which he is physically able to k. Eater alec usual ind

For a person without previous work experience, enter “ None" in Col. 45 and leave Cols. 46 and 47

FOR PERSONS 14 YEARS OLD AND OVER

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si Gisdien Gam aioe een in anich bacthobens ae Jan 1
country was on wary 1,
SERS Ceseee Cees hem Connde- and Irish Free State

Peis
Yes or Ho)”

Were deductions for Fed-

n have a

Rectal

Humbert

Retirement

v CODE
B et (Lesve blank)

worker

, . 46 ie ee eee
5 | LSE GEOR : 3 = ; : a} A SS
sa| Wuight “ f |Z \ aah _| ha ahuest [isdaclinn\ 2S a8 :

Federal
eral re aie Be Insurance
or Railroa
made from (1) all,
one-halfor more, (3)
but less than
or ;
more than once! (Yes or No)

If eo, were ded notions
1

Has this woman been married

Number of children ever born
(Do not include stillbirths)

Does this

7
5

35

il tx] | CODE (Leave blank)

—— -_—-

La .
Col. 6. VALUE OF HOME, IPOWNED: : Cel 11. AGE AT LAST BIRTHDAY: Col. 14. :
Mises ee of dhltach eeu ok on itis nahdt %, Seen ae talaei: Dice HIGHEST GRADE OF SCHOOL COMPLETED: Col i CORERNURIP OF TEE FOREIGN

SYMBOLS os ENTE 1L13 toa 5 ® x Be
AND May ts Bevember 1898_________.. Elementary school, latte &thgrade_____ 1, 8, efa., to 6
EXPLANATORY Jane 10 on = December 1939__ ep a Revng it pepe Ps
Jaly 1908 8 January 1940 High echeol, ist to &h year... B-1, E-4, i-2, B44
NOTES Awe is... «= 7/18 Pobruary 1940, al
September 1800....... G18 eee Callage, let to th year_______. O-1, ©-8, O-8, C-4 4uqina Giz tere

(De pet tmelode chikdrea bere an ex fer April 1, 1888) College, th er subsequent year... ©-5 ON ee