Incorporated place // 0 ad. Ward of city -- Unincorporated place ——————————— === ing 100 oF more inbablanta) SIXTEENTH CENSUS OF THE UNITED STATES: 1940

Township or other

division of county...

-_—————— ee =

U & GOVERN @teT PHIWTING Orr ce 14—1157h

RELATION

HOUSEHOLD DATA

LOCATION NAME

Sour roe sill be wire ouisiy toc preparing statins tadormetion conseraing the Renee's pce ny nme, insta on yg a ty te
DEPARTMENT OF COMMERCE—BUREAU OF THE CENSUS

Block Nos. FE Hem nstitution ts a POPULATION SCHEDULE

athly

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

hE SURE TO INCLUDE:

Relationship of t>is per-
gon to the hwad of the
household, as ;
daughter, father,
meather-in-iaw, erand-
son, lodger, indger's
wife, cservant, Bired
hand, oc.

= am oe ree ene

| Home owned (0) or rented (R)

i. Feesons temperarily absent from household
Write “Ab” after names of such persons.

Write “Infant”

Visdibadiods

rental, U rented

2. Children under 1 year of age.
“Wf chud has not been given a first name.

Enter (X) after name of person furnishing informeticn

>| Nember of household im order cj |
aine of home, if owned, er mo

ani

<— |

106239

OCCUPATIOS, INDUSTRY, AND CLASS OF WORKER
at work, assigned to public emergency
21, 22, 23, and J eency Gor- public Col. 21, 22, or 24), enter present occupation, in@umr;, and dass d worker

a4

ernment emergency | For s person seeking work (“Yes im Col. 83): (a) If be bas previous work
work. | work. last occupetion., industry, end class of worker; of (b) @ be Goce uct have

|

!

work, or with @

job (Tes

bed in lnm
of

Baquivalent full-time weeks)

Yes” in | ("Yes in experience, enter “New worker” in Col. 28, and leave Cols. 39 and WO blank.

receive in-
1% or more from

e ¢

OCCUPATION IS DUSTRY

. Profeanicn. cr particu- Industry or business, as
lar kind of

work, ee -
frame epinner
salesman
laborer

rivet heater
music teacher

cotton mull

retail grocery
farm

pubhe school

iid thie

come
| #our@es other than mone

Number of @vebs @or

O pL RESIDENCE
DEscatprioN | EDUCATION| PLACE OF BIRTH | zx. aaa a ee PERSONS 14 YEARS OLD AND OVER—EMPLOYMENT STATUS
?- © IN WHAT PLACE DID THIS PERSON LIVE ON APRIL 1. 19351 . ‘sues | TP neitherat
ES|i vz For a person who, on April 1, 1935, was living in the same house as at present, enter in 533 e=@e plete yy For persons ast i§§ Weeeking
a1 7-4 2 If born in the United States, Col. 17 “Same house,” and for one living im a different hous: but in the same city or | <a Se | public emer- |. omivering | Private of _ Work ras-t os
— gs > ~_ aes Seeerenes = § town, enter, “Same place,” leaving Cols. 15, 19, and 20 blank, in both instances. =f a zs ae oe. No" to quest.] honemer- | signed to
2 i : diferent place, enter 7 eS No” in Cols.
S 22 F of | a k person who lived in e ore . city or town, county, an4 Static, as m@ FS sy) ’
© e335 a 0 s If foreign born, give coun- 5 re (Enter actual place of residence, which may differ from I= 2 | gus licen a
= Se = } Se | <n try in which birthplace | — , : : > ~ 3 | 2° sen
3 > | esc] eS | : Z | was situated on January | 3 § i 5 He te cs 33 25 SS | Col at) Col a0r93))
2 aot 6S} 1, 1937. “¢ eS. B ~~ -a2->S52 |-=
toe s =" 3 / ce ‘ = 4 255/802 2 oo o avo bes -=
E a A =f = nt : - = village Sege @uok so —— -e-> 4 ~eSa
= z 3—— i: = FS Distinguish Canada- 2 = City. er 7.300 OF more £ 3 Ewe 2 <: ae — 23 34, say AE Sexe Trade
= g “S |mtepece, # z French from Canada-{| « — nhabutants COUETY STATE (or Territory | — 3 Ba Svigtu”| xn Ade ‘i = 84 —~ 782 sits
£ 3 Z ae or & A English and Irish Free] 5 = —_ vee oll or foreign country) | 2= Lo BL 35n4) =. = 3 £352 css= | Des
c 5 = a2} 3% 7 ~ State (Eire) from North- | ~ = | Ester “® other as aoa 2405 9355! SRS SSsl S583 fa"g | 223.
Piatt! #H4at a aja; = #2] 83 [sad .c" sé Fe82| 5234/8] ezic | Be
TM =3\12 ro) 2 e o- = [ae au “Sat z = 3
é) 8 | & | 2° =] 8 545 o=i S&S &£ eed Le ws Od F ie
yo | a1} 12 15 c }16 i7 18 19 D 21 | 22 23 | 24 | 2 |Ei 2 | 27
} . a ti ee ee ¥ 4 1. ne ba 0 i — | yg

#8 Bn z ©

ee
* ae :

the National Archives and Records Administration,

SUPPLEMENTARY
QUESTIONS

For Persons Enumerated on Lines + and 40

FOR PERSONS OF ALL AGES FOR PERSONS 14 YEARS OLD AND OVER

PLACE OF BIRTH OF FATHFR AND MOTHER

—— oe

If born in the Tnited States, give State, Territory, or
If foreign born, give country in which birthplace was situate

Distinguish Canada-French from Canada-English and Lrish Free State (Eire) from
Northern Ireland

NAMF

FATHER

Col. 19. COLOR OR RACE:
White.
TI ccectinctocninits

Col. 5. VALUE OF HOME, IF OWNED:

Where owner's household occu-
pies only a part ef a structure,
estimate value of portion occupied
by owner's household. Thus the
value of the unit occupied by the
owner of a two-family house
might be approximately one-half
the total value of the structure.

++ ewe

SYMBOLS
AND
EXPLANATORY

NOTES

t\

v1

"*v\

F

= er Te = ee Sa 7 a —-
NGUE ( ws }
MOTHER LANGUAGE) RE ee ntti USUAL OCCUPATION, INDUSTRY, AND CLASS OF WORKER =z | §
- ar ‘to : e . . ee
Is this perso Ss SEE®S tae | Enter that occupatio which the person regards as his usual occupation and at which he is physically as | 2
soils —_ n a veteran of va Sez as : a > Zs able to work. Ifthe perme is unable to determine this. enter that occupation at which he has — es | 33
on January 1, 1957 7) orthe wife, widow.or under- } £ s tet. -3-9 longest during the past 10 vears and at which he is physically able to work. Enter also usual us- se | eg
‘ iG 18-year-old childcfaveteran? | .Y. § 23 a= 6 Ta try and usual class of worker. _I Ze | é
2 —J ESE PSs> [38 25] Fore person without previous work experience, enter “None” in Col. 45 and leave Cols. 46 and 47} — & 5s
Language spoken in home in Pt .* © 2 28,55 = 322]  biank. =o z2
eafion chitdbeed 13 22 a4 |§ |S. syste ese 53 E
- - = e—S i & a So
CODE S | (3 ist] Ef Se] 28: $ogé33 5-325 35 5 | 3
MOTHER (Leave os 7 isegs) Se [BS] oss se *tee ss “
blank) s |< Bese] sf [S52] fee fte2se gist 34/ 2 | 56
o 2
G 39 | 40 | : : 49 | 50
---- —— -- - - —- ee we -——— == Fxelint -——-<—- -2e-eere aah tak ae a eee -— -_-o—
: oO; |
Col. 11. AGE AT LAST BIRTHDAY: Col. 14. HIGHEST SCH MPLETED CITIZEN THE FOREIGN Col. 21. WAS THIS PERSON AT WORK?
e of children after follows. Born in: abe oF ool co ' Gel. 38. 7 © Enter “Yes” for per at work
Pili Enter ag iidren born on or April 1, 1939, as Bone BORN: Gr pay ox pout in pet on
pino._.___.. April 1938__ he eae October 1939__............ 5/12 issn ace hae cca asmiptaleincsa 0 Govern mens profeasi ol
Hinde sin May 1839___.__.....__. 10/12 November 1939... 412 Elementary Weturalised._---------- a work. Include unpaid family work week of
Jane 1939______.______.. 9/12 December 1839__..... 3/12 school, latto Mh grade... 1, 8, ete., to 8 Having first papers... Pa workere—thet s. related mem- oy @ the
| mak e 1940 High schea bers fhmily working > Qomperary
ee esky mT cas Sheree 1940 pi lst to 4th yoar_..... H-1, H-8, -8, B-4 Si sic nianevianpwakdiincin Al without money wages or salary 08 dapets; layed an
Seetiaipnnnvias er iS College, ae work (other thes or ee aes
Other races, apeil September 1939___..___. @12 March 1940_............ 0/18 Wee tth your... C-1, 0-8, C-8, C-4 American citizen bern inerde nial cheres' whch ceatn b- oqgetts Ate:
ont in full. (Do not include children born on or after April 1. 1988.) Colegn, 08 or subesquent cs ebseed_______.________. Am C# weed to the family mesme. ‘ hed @ratiar
year...

not the U.S. Census Bureau. | Sates RppranTatire Het

Gol 41. WAR OR MILITARY GEEVICE:
Bait

sish-Americes Wer,
ippine Iseurrectsss.
Bagew b- veteoe

Gak Va.
ws wet ma
Bees

Peis

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