aT Budget Bureau No, 42-49tboApproval expiewe Deceuher SL, 1950,

s HTATE ¢, HOTEL, LARGE ROOMING HOUSE, INSTITUTION, MILITARY INSTALLATION, ETO. & DATE BREET STARTED HEET
atone - esti - This inquiry is authorised by Act of Congress (46 Btat, 21; 13 U. 8, O, W1-218) which requires that port be made, 3 ou
ptt- __| Name Name CONFIDENTIAL ‘The tnformation furnished is accorded confidential treatment, The Census report cannot be ened tor purposes of / —— of = NOMGER

b, COUNT

taxation, investigation, or regulation. ; efx ror’s ONATURE —
flor ma. te | FO U. S$. DEPARTMENT OF COMMERCE Ws oeons.4 MNie————$ as ap

©. INCORPORATED Ppp ORgrOWNSHIP P14 wifi a UR BS xs =
a. B.D. NUMBIR ee Tiles Sak wets lie tether Piette Pe |
ahi PX qi Ree san oe ERT ROL 1950 CENSUS OF POPULATION AND HOUSING —

Notes

ncn OD eee ——- 19K)

Ia

—-+_—— -_—_

FOR HEAD OF HOUSEHOLD}

& ae FOR ALL PERSONS at FOR PERSONS 14 YEARS OF AGE AND OVER |
er nsavionsmie | ace aux | | | i Hiednate wat Yauivat davies

ItNo What isthe name of the head of this | Eater relationship of | White (W) What State (or foreign | ifr | what pee. iewe in |3. For allother persons, Leave blak

eae household? porson to head of | Negro(Neg) now country) was he born in? | born— wen Did thie roa tel -- gn
ee ee this "| What kind of work was he | What kind of business or | Class of worker
ts What we ihe names of all other persons Heed tots Sthern cuteide Continental Uaited ad a Seng i ua Mom = | dela? { industry was he working in? |
4 -s Btates, enter name of Torritory, ba How
house List in this order: ae Japanese Male owed, possession, or foreign country rel most of i gale many
or ‘The head va? last week, not — Nails heels 00 b005....---cccecseccone | BNO (UCtOLY-.-..ccmenceeneeerenseeene | For PRIVATE employor (P)

place Mother-in-law Obinese cod week— Shcaaiall ' t ' GOVERNMENT (Q@
Berial of His wile Laden (Ohi) ° Distinguish Oanada-French work. | counting Chemistry protess0r.....-c0s-seee-e0-= State university. For GOVERN MENT (Q)

Unmarried sons and daughtors (in order of age) ‘ Fe (rom Uanada-other work work Farmer | FOI ....--20--+-~--eneeeeeeeee erenceves In OWN business (0)
Married cons and daughters aud their (auilies | Sone, (SRE ha ‘ Yes, Jing last Farin trelper | FAmth......cs-eoneeeresserscceesssnsces | WITHOUT PAY on family

For example: ' For osample:

number
of dwell- three

lan uals or Other relatives Maid (Fil) or o,or |keeping: around week? \ j farm or business (NP)

Hired hand AP'tor | house the

hired hands whol i Patient, ote, one Bora or * | house? CInetude | Artaed [0r003.....-.0--eecnscensseenees | miiokadgupctdhtabpeiondappecnens ' eneeen

8 Wholivein, and their rolatives TAO eproed nome. | (Include unpaid Never worked nn nnn en nner ee cece ene nee eeeeennce —

spellout Amer Pthing | ork for work on

can pay, inown family

else?

par- business, farm or

euts) (Wk, HT, | Profession, business)
Mar, | Ot, or U on farm,

W ’ b, \ for uae . oni

He able to amily Number

(hank name fret) apt: Nev) |utav work) — | (Yes or No) Sion (Oocupat iow) (Industry)

8 Also |10 | 42 Bp | ud is 16 19 | 20a 20h

LY Ae | for | win vw Wy, ||
nT 7 Ze lee!

acres?

—_—— — —

more | Other persons, such as lodgers, roomers, maids or
6

= Name of street, avenue, or road

LINE NUMBER

* | = he aa aan . . 4 ! Olas |. iat ‘coe ba f sszdbeethkedl
Her | [as lan fpr Oe | | ac!
Historic census records are maintained and released by

the National Archives and Records Administration,
not the U.S. Census Bureau.

'
'

Seepi wari ctes cancel spivdegdll owesseese] Grease Titeeasiop

Seer Cer WI
Me (aed (Dither | at: Na her
| DP.

peaeetrens ara Saline eRGMLARLSE SCR

ah nn ewe en ween nnn eens en en ne tos ec cceeseconeessecousten, wrens

!

oop tt teeeee-

___ HOUSEHOLD CONTINUED ON NEXT SHEET ‘THE QUESTIONS BELOW ARE FOR PERSONS LISTED ON SAMPLE LINES -
FOR ALL AGES _ hk FOR PERSONS 14 YEARS OF AGE AND OVER

—-- ~~

seneemeeeeoe

. 5; If this is a family head definition below)— [If Male-—-
What | Did he Has he [f{ looking | Last year, Inoome received by this person in 1049 Inootne recelved by Ws nies {n thts househo! 5 (Ask each question)

isthe | finish attended for work | ia how - ne

(Yesin 1
highest | thie school at any item 17)— Last year | Last year, | Last year, how |Last year | Last year, | Last year, how _ at get ae

many
te {f No in item 23— grade | grade? | time since weeks did how | h h h did | (1949), how ; hy h | h money d
living What country were his of Febrency tet? | How | dispense] Coockcnenny' memey”” i! be receive much money: monen did | his t if during—
y H latives in bal :
. What count? and State ae he living father and mother born in? acheel 7 many bia pane ad beeaxa locas Mee TM | did his relac| ep eg | Pee camaahee | Any |
game on that yeee work atall,| working as | working | dends, veteran’s | tives in ‘tivesin | receive from in- other
—_— he has ema © | notcount- | an employee! in his own | allowances, pen- | this houses | this house-' terest, dividends, : ' time,
a at- leaking | "ek | for wages | business, | sions, rents, or | hold earn | hold earn | veteran's allow- World) World includ
year tended? (For those under 20 ¢ &| around the | or salary? | profession-| other income working for jinown | ances, pensions, | Wer, War ing
ago? | ale: (Enter yee of age obeck f fOr A? house? } al practice,; (aside from wages OF | business, _ rents, or other | oF pres.
County a ' one os or No wor (Enter amount | or farm? | earnings)? salary? | profeasion-. income (aside teat
” ko iaaieas Btate or foreign country Gaiters Bsc wg ee grade— ve those 30 years (Nam (Namber Before dedue- | pean tAmouns, . al practice, from
’ ‘ ° . 7 we 7 wtore ue

\" place OF nearest pice) meme ! of foreign country) | at below) orover) weeks) | into) | eto)” | income) aye tons for taxes, . form? » earnings)?

ewan mt ‘ ee = te ry clo, Netincome

E | 26 28 29 30 Sia Sib | F | 82a ___82b _32e | G | 83a! 33b_) 38e_

Yes : None iC Noa None ‘T7) None iH r Ves | [7] Yes |
No 1 ! Y i ' i

| ‘ P]No | [No
20 of over —— |§ i$ ft ee a

'

LEAVE BLANK

SAMPLE LINE

| perve
!
ice

| SAMPLE LINE

5

21

we , County: ‘ { » g 4 f Father:
eas Ty ee lar Teste ‘Motte
County:

6

(Weeks) ’ wi tue

es m None None Nono | Nove iH} it Yes | [77 Yes |!

No t CI CI) i}} vt a {
$ Ciscoe 12

' = oe . ;
00 or ovet (Weeks) |
Yes i | Le ||

None None | * Paa' Yes
Sit ! | | Oo |

. TU :
30 ot over (Weeks) :

Os N : i None
No L : ' a

<n = oe 0 =

O

)

‘of nearest

Or Nearest
place;

County:

=

a

=

or nearest }
W or over = ew % | $ — i$

place: (Weeks)

; j Hl | a
Conny: "ather: : “Eyrone ; » [Sarsone None Gerrone i |
- “-+- TORE Ee ee meee e nee eeee 2 ae ee | No — | ——— tl iP |
F or eaters ‘ ; : (EA 80 of over $ i$ ral hoon i seman! {8 ia HU
: { e Adonst SS t rT
= eae : |” a a Il i
M.: ORNORTEGE ee eRe “Mother: "=" "°°" a |i | N $—_—__— |$ — . : |

|
place: } Hitt] See — 5 il
it (Weeks) | (Weeks) , Hi
\ 1.) Se = a ae _

Hee WY: SPRCIAL CASBS—EntersVes abo for petwiaty Who | Liem 26f CODES for GRADE ATTENDED Code Iter 32, 126, and:tte; DEVINITION OF FAMILY HEAD 34, To enumerator; Lf worked Inet year (tor more | 36a, What kind of work did this | 35b, What kind of business or | 35¢e. Class, of worker
uid hinve been looking for work except tars Son NOG indo aig SS MRS cet eecetoey © A teeaiay Bead ta F. ote Pag Ele Rg to there say entey in Home | person do in hig last job? | industry did he work in? (P, G, O, or NV,

‘ wri tem: ithneas Kindergarten. 22.02, LG ee , a as in itern 20¢)
fa) © porary en Ne st Kither (a) head of household with related persons present in household | /s, Yes—Skip to item 36 |

“uel ewe “<b =

©

au

Yer,

No No |

nit} —

 csncpnspanlininsns NCO

{b) indefinite co more than Bday layott :. ELEMENTARY, HIGH ie : : ' f
{o) belief that no work was available Klomentary (8 grades) ne 5 ok ese ae tee SL bo SR OF. 308) person unreigted Lo household head but with persons related Lo that No—Make entries in items 35a, 35b, and Sie |

Wh (4 years) 2 Sos 89, 910, 831, SR : ; % — ~ ripeness i AR Aimee ; aah

FOR DISTRICT OFFICE USE ONLY |) ELEMENTARY, JONIORGENIOR HOH oS seacediecapl onder: eee Oe ene eee nS 36, If ever married (Mar, Wd, D, or Sep | 37. If Mar—How many years since this person was (last) married? | 338, {{female and over married (Mar, Wa,
Kom mir of nes || Number of can. | | Number of pers Junior high (3 y@atr)-...s2s4isestnsser sas ss 7,30 § Ba Re S etapa eer Sed , in item 129— | If Wd —How many years since this person was widowed? page
; this 7 ys 5 .

@

—

$7, 54,
©. Bentor high C3 years} ss. ye eee. 81, BOD, 81 “SS ; ; : ; ; ‘ illbi
thia shoot COLERQ® OR UNIVERSITY” by he See 8 se io | than once If Sep —How many years since this person was separated? borne, not counting stillbirths?

PETE Fates BA Rlemenitary (6 gradetp..-. 0... Oe
celled. lines on fons enumerated Has this getne® been married more If 1) —Hoew many years since this person was divorced? How many children has she ever
on