TWELFTH cuanetries OF\ OTHE UNITED STATES.

SCHEDULE No. J.-POPULATION, _{*rtsrs tus nAcfiating pee

Enumeration District No. 222 | OW Siceaeorctieess

Township or other division of county oer Name of Institution,

[Insert name of townabip, town, precinct, dutrict, or other civil division, as the case may be. Seo Instructions]

Name of incorporated city, town, or village, within the above-named division, ws eS past seas Ward Of tttal ps

Enumerated by me on the ——— — uu day of June, I9OO, — _., Enumerator. Le Za if

OCCUPATION, TRADE, OR EDUCATION, OWNERSHIP OF HOME.
PROFESSION =

of each persou TEN YEARS of age
and over.

LOCATION. NAME RELATICN, PERSONAL DESCRIPTION. NATIVITY.
——— = Place of birth of cach n ond ts of each
Of each person whose ogo te of pateor | “give the Slate or Terriry; if of forvtgn birtit, Srraeke hemi ahi a

abode on June 1, 1 IRTH.
in this family. — —

Enter surname first, then the given name and Relationship of each
middle initial, if say. permon to the head
of tie family.

y

Number of years In the

United Statea,

(in

IN CITIES.

¢, marricdl
lvoreed

divorced.

——$_—_$___

Place of birth of Farnxe Place of birth of Morure
of thie person.

—

INCLUDE every person Iiving on Jane 1, 1900,
Omir children born «ince June 1, 1900,

—

iz | stunthe not

hous, In the onder of |

Number of years marrlod
Mother of how man

children,

Number of theee children

liviiig,
Year of tmunigration to

tha United Statea,

Owned free or mortgaged.
Narmber of farm schedule,

onler of vieitation,
Age al Jact birthday,

Attended achool

Whether sing!
Wwilowed, or

Naturallzation,
employed,

Can write,

Can epeak Englieh.

Owned or tented,

Fann or hous,

Visitation,
Number of fanilly, tn tho

Tlouse Namber,
Number of dwoelling-
Color or mee.

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ike a Ww the National Archives and Records Administration,

CPiraca. Cocintisei not the U.S. Census Bureau.

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