PRO Gy on te ery enn, ne es ptr peepee ae 5 ~ ‘
en ae

EDR A DS DTM) a

Budget Bureau No. 41-4944,--Approval expires December 81, 1950,

¢, HOTEL, LARGE ROOMING HOUSE, INSTITUTION, MILITARY INSTALLATION, ETO, , DATK SHEET BTARTED

_| Kame CONFIDENTIAL

nquiry is authorized by Act of Congress (40 Stat, 21313 U, 8, ©, 201-218) which requires that a roport be made.
Phe aay ee furnished 1s accorded confidential treatment, Tho Census report cannot be used for purposes of
taxation, investigation, or regulation,

U. S. DEPARTMENT OF COMMERCE
BUREAU OF THE CENSUS

1950 CENSUS OF POPULATION AND HOUSING

. FOR PERSONS 14 YEARS OF AGE AND OVER
Iftlor Ot | IfNo |

1, Ifemployed (Wk in item 15, or Yosin{tem 16 oritem 13), describe Job or business held last weok
2. Iflooking for work ( Yesinitem 17), describe last Job or business
wast initem 15~ |initem 3. For s!lother persons, leave blank
this _| Did thia | #6-
person

g. ENUMERAWOR'S SIGNATURE»
h, OHEOKED BY : j =

— on

—- —

16---59925-1

FORM

® may ey PLAGE saad

d, BE, D, NUMBER

ort ae

FOR HEAD OF HOUSEHOLD

ne ey

Line Nos, -

Line Nos, ~. —, Inolusive

> _(Orew leader)

~-

ee eee meee -- — 1 eee [

NAME

What is the name of the head of this
household?

If Wkin
item 16

or Yesin
item 16—

IfNo
initem
lj

IfNo
iu item

4--

What State (or foreign
country) wag he born ia?

-— €ie

the household, as What kind of work was he | “What kind of business or

American | Class of worker

Is
this
house
ona

What are he names of all other persons
who live here?

List in this order:
Tho head

Head
Wile
Daughtor
Grandson

Indian

If bora outside Continental United
States, enter name of Territory,
possession, or foreign country

peraon | io ane

doing work at
all last

Was
this

per-
gon

doing?

For example:

Even
though
he
didn’t

How
many
hours

industry was he working in?
For example;

| Bhoe factory.

|
|

i For PRIVATE cuploger (P)

week, not
counting
work
around
the
house?
(Include
work for
pay, inown
business,
profession,
onfarm,

or un pald

| family work )
Yes or No)

did he
work
last
week?

(Include
unpaid
work on
family
farm or
business)

look- |
ing
for
work?

(See
Special
Oases
below)

thie Mother-in-law

house
ona
farm
(or

ranch)?

' State university
BOS ss iscdas cakes ioe cece

| For GOVERNMENT (Q)
In OWN business (O)
WITEHLOU'T PAY on family

' farm or business (NP)

work
last

| week,
does
he
have
a job
or
bual-

| nega?

place
of

three
or

| more
acrea?

His wife

Unmarried sons and daughters (in ordor of age)

Married sons and daughters aud their fomilies —

Other relatives

Other parsons, such as lodgers, roomera, malda or
hired hands wholivein, and their relatives

Distinguish Cauada-Fronch

Filipino froin Canada other

(Fil)

Othor
race—
spell out

Patient, ote.

thing
else?

Wk,H
t, or
for un-
able to
work)

(Number

(Yes or
of hours)

No)

YE NUMBER

(Ocoupation) (Industry)

(Last name fret)

REBEROE aul tis aT awewa

Historic census records are maintained and released by
the National Archives and Records Administration,
not the U.S. Census Bureau.

+ —- ——

=i NBs: 16 17 | 18 | 208

|

Visit http:/Mwww.archives.gov for more information about publicly
available records like the one shown here.

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ROUSEHOLD CONTINUED ON NEXT SHEET [7]

Notes Sample heme ¢ Cela d Da,

THE € QUESTIONS BELOW ARE | FOR PERSONS: LISTED ON SAMPLE LINES
_FOR ALL | ALL AGES _

—

‘FOR PERSONS 14 Y YEARS | OF AGE Al AGE AND D OVER = *

If this person is a family head (see definition below)—
Income received by his relatives in this household

—— —

(Clooking
for work
(Yesin
item 17)—

What | Did he
isthe | finish
highest | thie
mane grade?
0

school |
that

he has
ate

tended? (For those under 30

ears of check
or Yes or No"

BLANK oh

| Has he
altended
achool at any
| time since
February Ist?

ite Male -
(Ask each question)

Did he ever servein
the U. S. Armed Forces
during—

Income received by this person in 1049

(— ; —=

Last year '|Lastyear, Last year, how
(1949), how ' how much. much money did
much money, money he receive from
did he earn , did heearn interest, divi-
working as ‘working ‘| dends, veteran’s
anemployce in his own | allowances, pen-
for wages __ business, sions, rents, or
or salary? | profession-, other income |

' alpractice, (aside from
orfarm? — carnings)?

i ( Entor not
| income)

Last year,
in bow
maoy
weeks did
this person
do any
work atall,
no tcount-
ing work
arouad the
house?

Last year | Last year, ‘Last year, how
(1949), how, how much, much money did
much money; money did | his relatives in
did hisrela-' higrela- | this household i
tivesin  — tivesin ‘receive from ine |
this houses | this house. terest, dividends, i
iin ety hold earn | veteran's allow-
‘inown | ances, pensions,
wages OF = business, rents, or other yt i ae tag
salary? ' profession- income (aside ent
Amount al practice, from | :
|

efore deduo- i Serv:
tionsfortares, Or farm? earnings)? fee :
(Netincoms)

a 30 Ala kn 31b ie 825 — 32b Be 33¢
Yo

yom dee 28 pate sin HN
[]No

aGNo. &.

td P

[None Os None 5% [7] ¥es
2 | 34 tthe rive

(Weeks)

(_}None

(Weeks)

DaNoue
4 No $
Vv 30 of over (Weeks) (Weeks) . |

| {] Yes [_]None " (J None

2 C] No

Vv is 80 of over (Weeks)

(]Nons |] Nous (ef >. Cam. Note
$

Sol |s. S12235; ;

(Ww eck 3) | easy

‘26a, “What kind of work did this |  35b. “What kind of business or

wonteg 181 apa yee mere ay eens Sn eee person do in his last job? | industry did he work in? |

anagiey ’ a : as in item 20c)
‘

Yes—Skip to item 36 . fe)

No—Mako enlriesin itoms 35a, 35b, and 35¢ 0 Ctt14-) yy Uutww

$7. If Mar—How inany years : since this | person rwas(last)married? | $8, [ffemale and over married (Mar, Wd,
If Wd —-How many years since this person was widowed? D, of Sepiniter 12)--

If 1D How many years since this person was divorced? How many children has she ever
If Sep —How many years since this person was separated? borne, not counting stillbirths?

_J-O.. years, or Less than 1 year children, or "4 None

ItNo tn item 2~

What county and State was he living
io a year ago?

What country were his

father and mother born in? How

many
weeks
has he
been
looking
for
work?

(Num-
boroft

, Any
{ ‘other
itime,
World World ‘includ

——-

LEAVE BLANK

(Enter amount
before deduo-
tions for taxes,
ete.)

County

qUfoounty unknown, enter name of
place or nearest place)

(Number
ofweeks
in 1949)

For qty 30 years
old or over, check 30
or over)

——- =

26 27

Sp | You
SAal Ry”

SS

:

| SAMPLE LINE

ee ee

33a 33b
on4 Yes Yos
“PNo ‘ae No
Yos
1No

—

28
Erie
py

_E 29

©

722

i Weeks)

ae

30 or over

i

2

v

1 Yos
2 No
Vv

1

2

30 or over

(Weeks)

“1 Yus ["] Yes
No (] No
r~) Yes
“No

[| None

$...

County:

TOIT Teteeterritiirreririitr TTT tt terre ry) oe}

or nearest 1!
stor

Yos
No
Vv CJ 30 or over

1 [] ¥es

Yos
ae
C] Yes

S ©

—

C] No
Yes

[_]Ne

[_] ¥es
CJ No

wR Yes
7) No

[[]Noe

[] ¥es
(KJ No

aft Yes C} ¥es)
[Ne | | (N°

*] Yes

"1No ([)No |

=

Father:

[ _ ‘None |

ses | Fa

ia Nous

$

v= _ -

Noone
(]

“Mother:

Aan les Tam.

Sy),

| place:

County; )

or nearest

“Yes | [~

f }Ne =

bee.

No [7

No

| Lied

(Weeks)

[] Yes ) ¥es [ ) ¥es
cs iL ]Ne Eee

7 Noa a
No

30 or over

1
ba

(Week coks)

34,

——

35c, Class of worker
(Pp: G, O, or NP,

To enumerator: If workid last year (1 or moro

@

36, If ever matricd | (Mar, ‘Wd, 1, or Sep
initem 12)—
Has this Feteen been married more

than once
Yes [] No

gun. ~ eer bterrerieince~ eos