Badget Berean Ne. -40thmAppewral expires Decombor 8), 1959.
aT AT , .

a ~ - "This inquiry ia authorized by Act of Congress (46 Stat. 91:12 U. 8. O, 201-218) which roquires that a roport be made.
Nea st 7) la CONFIDENTIAL pd oaggs eee Le regen ts accorded confidential treatinent, The Oonsus report cannot be usod for purposes of

U. S. DEPARTMENT OF COMMERCE
BUREAU Of THE CENSUS

eae (tm 1950 CENSUS OF POPULATION AND HOUSING

-TTSS

FOR ALL PERSONS : FOR PERSONS 14 YEARS OF AGE AND OVER

NAME RELATIONSHIP RAOR | GBX i, oaeeael (Wh fe Gas Ut 0 Sata ieee ee tench Nee
é & Iooking for work (Yes in item 17), describe last job or business
What fethe name of the head of thig | Eater relationship of | White (W) Ishe | What State (or foreign | lifer ite tee IfWe te |3, For all other persons, leave blank
houschold? og to need of peer new country) was ke bors in? | bora- Did thie we ae
coer ame heall pacer all What kind of work was he | What kind ef business or | Class of worker
What are the names of all other peraoms | Tend er 11 born outaldle Continental United po Meme | doing? he ndustry was he working iat | ‘

who live here? Wile (Ind)
Daughtor States, eater name of Territory, ral- work at How Por example: For example:

List in this ordor posession, of foreign country ho many
ne ; Grandson birth- all lant hore | nails heste on shoes..........-....-- wa | 8b00 factory...-.-c-ceneeeenoseneveeene | For PRIVATE employer (P)

The head a
His wifo pa “ aw sepas Dfstiaguish Oanada- French et k did he Ohemistry professor ........-<s<.-<00=- ' State Uni Verdl ty... eneencnanentan ' | Tn OWN bushiess (0) (9)

U | work ' Fert. — casendine ee eRe ce Te ees Cee ee enNe
nmarried sons and daughtors (in order of age) Lodger’s wife from Oanada-other work Inet | WITHOUT AY on teh

Married sous and daugh &
Other park Sapelick weet aoe aad oF %: k eeee d week? farm or business (NP)
Other persons, such as lodgors, roomers, maids eg Patient, ete. mere house? | (ee (Include
bired bands wholivein, and their solatives (Include unpaid Never Wet COE sec ccencsveveneones sheen \ SEE ence oreceseseReSReSTaNesenelenS | STN
work for Oases work om
pay, iInowna belew) !
business, |
t

profession,
onform,

or unpaid
family work)

(Yes or No) ms?

MKM, &- 20-0

etuaateree
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not the U.S. Census Bureau.

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HOUSEHOLD CONTINUED ON NEXT SHEET $4 THE GUESTIONS BELOW ARE FOR PERSON LISTED ON SAMPLE LINES
r an A Ae ee ee FOR PERSONS 14 YEARS OF AGE AND OVER

seca eer Ineoune received by this person tn 1949 It thle poreon ts 0 frentty baad (ose ete Ee boceshod household | (Ask cash qusstion)

Did he aver serve in
ool at an Last y Last yoar, | Last year, oa Last year | Last year tava hee”
If No in item 93— _ since " ] (1949), how how * year, | eos money did (1949), how | how much | much money did |the U. S, Armed Forces
What couniry were his f February 1st? ruchmoney' money | he receive from |muchmoney| money did| his relatives
What ny, and State wag he living father and mother born in? ay | did he carn , did heearm, intorest, divi- did his rela} big re thie household
ne yosr ager working as j working | dende, voteran’s | tives in tivesin | receive from In-
an employee! in his ows | allowances, pen- | this house | this housse| terest, dividend,
for wagea | husinesa, | sions, rents, er | bold hold cara | veteran’s allow-
or salary? profession other & in own ances, pensions,
al practice, business, | rents, or other
{Enter amoans | or farm? salary? profossion-, income (aside

County 5 name
State or foreign country Portats haces LEAVE tions for taxes, | (Enter nes ol pr

ag ef rower Fo name of \ or foreign country) BLANK ) income)

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Sag HELLO T PER TL ek Pe je GRADE ATTER is 3) $4 bKa bcs DNVINITION OR PLIOLY RAD cee 84, To conmorator: It worked last yess (lor more | 35a, What kind of work did this | 35b, What kind of business or 85c, Class of worker
bakes. cr < a h. Sef os f » ney gates “sige fo it
sha a ro oF ne Se ie ga | PN Thee sa are! eth eye ess |" parcom doin lo tnat Jobt |” Industry did ho work int | (P.O 0, oF NP,
we SEN ety : es : 3 ss * ) Ka detesns ‘ ate api > (72 Sai, Ae Bos are

‘3 oo Ary (8 yrad

No—Wake catricn iv itoms 35a, 35h, avd 250

LEM EER ROC JUNOHBBNIOR IMG ead a8 phe Hekea, baton’ ular. om the catneduta oe eiemp ect Adent wits wer, | 96. If over married (Mar, Wd, D, or Sop | 37. If Mar—Hewcany years since this person was (last) married? | 38, If teonets cin cans tireied (Mur, Wa,
= SRI a ogee Bh RRS, he : pe thio potoon beon marred Ht Wd —iew San? Yee sacs thie rece wes iveread] | How mang ditto has she ve
oa): ~ se ton He, ne aie : < ge BAY Ey thie person been married more Hew many years since this perso wre stiltbieths

tor high 9 pansy) =: = ne Ses: : "ay aki “4 OF EE Roe Se ioe once If Sop —How many years since this parson war separated? borne, not counting Bs

[) Yea &) No years, or [_] Less than 1 year ___. children, or F} None

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