Budget Bureau No. 41-4944.—~Approval expires December 81, 1959,

¢. HOTEL, LARGE ROOMING HOUSE, INSTI TUTION, MILT TARY INSTALLATION, ETO, {. DATE BHEET BTARTED ' SH
N sai om This inquiry is authorized by Act of Congross (46 Stat, 21:13 U. 8. OG. 201- ~218) which requires that a report be made. G 19/0 NUMBER
—} ome Nang CONFIDENTIAL ‘The information fumished 13 accorded confidential treatment, he Oensus report cannot be used for purposes of srr a ee em cman Alco
g. ENUME TOR NAT

taxation, investigation, or regulation,

REED PLAORORTOW NTT | "AL godt eee U, S. DEPARTMENT OF COMMERCE ee
ee) SOS LL oe ee ek EE ene MBN pak /P1 BUREAU OF THE CENSUS

a, D, NUMB
iain (ic 2 cl eS Fr _1950 CENSUS OF POPULATION AND HOUSING = | —____.

30KED BY

Sennen Enc anes nO | Shadi sbsificah

FOR HEAD OF HOUSEHOLD) SCS FOR ALL PERSONS _ aa ee er ae, FOR PERSONS 14 YEARS OF AGE AND OVER

NAME RELATIONSHIP RAOK | BBX 1, Ifemployed (Wk in item 15, or Yosin item 16 or item 18), describe job or business held last week >
' ‘ . 2. Iflooking for work (Yes in item 17), describe last job or business .
ItNo What is the name of the head of this | Fnter relationship of | white (W) How |Ishe | What State (or foreign | itor ff what ieree iwete Js: - For allother bib, fete take :
household? porson to head of | Negro(Neg) old now country) was he born in? | bom— 4 was mA Agere item 15

4—~
i Did
a, a Aa age A Roe ce rene fran 16s What kind of work was he! What kind of business or! Class of worker

Is What are the names of all other persons Head Indian d ; Ia he }

ite who live boot Pp 9 a se on ne Kipons onlaie Continnntat mae males come do any : Save doing? | industry was he working in? |
PhS ates, enter naine of Territory, 8 work ;

aoa List in this order: aed —— ae peta possession, or foreign country Hf d? oe of al i he mn any For example; | For example: |

Tho head 8 : - * i ours { | %
Ifouse Soria} place His hos Mother-in-law Ohinese day? | ced, . aa week— week, not 1 did he Nails heels on shoes | Shoe factory. For PRIVATE employer (P)
Lodger (Ohi) sepa- Distinguish Canada-French work counting Worle Chemistry professor State university... For GOVERNMENT (GQ)
° r POM ni ncensnuessicceseacacehy \y ' In OWN business (0)

(and o
number Unmarried sons and daughters (in order of ago) ; f
Apart. Lodger’ Filipin s com Oanads-othor work
pat of dwell- three epee and daughters and their families Mail awit r Fu) So. cae, hae peeled around , | last k Farm helper. iF WITHOUT P&#Y on fomily
ote pemsitng such as lodgers, roemers, maids or rat yg Othor year of | never AP’ tor house, phate h ve ' ee eee eee
atient, ote. age, mar- i or (nelude B “—

hired hands wholive in, and their relatives race-~ 4 br
spell out onter ried? of TM some- | (Include unpaid CO wewann wan ennnn r . ari

month Amerl> Bi thi ng work for Jas work on

ofbirth can pay, inown family
par- else business, farm or

as

April, outs) (Wic, 1, | Profession, business)
Ma Ot,orU | onfarm,

vs forun- or unpaid

Ls meer abléto — | family work) (Nimiber

iia | “er | (Yes or No)| No) of hours) (Occupation} (Industry) LEAVE BLANK

7 ! | 12 | 16 19 20a | 20b

——_ ere: sit Stee ane eee | ee + An LO (Sa ahedirad Naren An Ae

Thoemon . Louisa

H | | | |
Hemp: oot woe at y iM | f: [a Yes SMivel Paeam

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Ma

ment) ing unit ; or
nuwuber more
acres?

Name of street, avenue, or ro2

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| o 1 Agriculture Questionnaire Number

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the National Archives and Records Administration, ne a enema -
not the U.S. Census Bureau. :

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: Locille _ Wife 1 |W £4) Une I] IP | | | | WAITR &s3 |
—— Wi Maen To Seas TABOR OY BML ee _| | | | |
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THE QUESTIONS BELOW ARE FOR , PERSONS LISTED ON SAMPLE LINES

FOR ALL AGES FOR PERSONS 14 YEARS OF AGE AND OVER

, me oat ‘If this person is a family head (seo definition below)— | If Male
What | Did he Has he Tflooking| Last year, Income recoived by this person in 1949 Inooine rec elved by his = in this household (Ask each question)

isthe | finish attended (vest | in how = T
highest | thie school at any item 17)—| many | Last year | Last year, | Last year, how | Last year | Last year, Last year, how rig agt ave eure ie
What country were his rade | grade? | time since How weeks did] (4949), how | how much | much money did| (1949), how | how much! much money did ‘ . . rmed Forces
father and mother born in? of February Istt many | 5?) much money; money | he receive from | Much money! money did| his relatives in | during—
school veks | 2) | did he earn | didheearn| interest, divi- | did hisrela-| hig relae this household | | Any
that cae ha work atall,) working ag | working | dends, veteran's tives in tivesin receive from in- ‘other
a same he has ste n | Botceunt-| an employee! in his own | allowances, pen- | this house- | this house- terest, dividends, ‘time,
year | coun- j ate i oil ingwok | for wages |! business, , sions, rents, or | hold earn | hoid earn | veteran’ @ allow- | world World! includ:
ty a a) | _ | tended (For those under 30 fe 8 aroundthe| o¢ salary? | profession-, other income working for | in own ances, pensions, | war { War jing
pe = rie 2 years of age chock § ‘OF house? al practice,| (aside from wages or | business, | rents, or other ll 5 | press

year ; (Enter "3 or No work? > i lary?
ago? County (Enter US or namoot ono res 0 nfs ss (Enter amount | or farm~ | earnings)? Salary profession-/ income (aside ‘ent
State or foreign country 5 Territory, possession grade— For thoso 30 years # (Num- (Numbor] before dedue- (Amount al practice from
(If ox ounty unknown, enter name of ! or foreign country) . se6 codes old or over, cheok 30 f ber of of wooks | tions for taxes, | (Enter net before deduo- % LEAV ' serve
place or nearest place) below) or over) weeks) in 1049) | ete.) ; Income) tions for taxes, | or farm? | earnings)? !

: orotate Nes poor vace — ete.) | (Netincome) | BLAN
24a 2b 25 _E 260 | y ; p29 30 3la | 81b | le 32a 32b | $32¢

a = a - -- ------ ——— - oe MITTIN eo . — i nr een fy ye - =
Oounty: L 7 Hl i Hl Hy — ‘Us : siti i | : a beg [-]None C7: None oh 3g None fg None H Hi | Kyron ». 7 Nous | Saf None
or nearest —_— : mV Al ‘Mother: ATTA ; |2 » bed : 4. ZL peor |: sie | 5 Pes Wilh Bancemrescnmmciicrnes: | Pincibsiasiics ig.

place: eA ih hat il Hit | i+ A Weeks) | (Wocks) H ; \ a

“TINO i in
{tem 21—

he he
living | living What county and State was he living

ona |in in a year ago?
farm | thia y

|

y
Was | Was If No in item 33— |
|

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SAMPLE LINE

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County; “ Ht TTA i|] father: , WHIT iH | 71 Ye eB) {_}None ; N c jone “TN HT [] None None a None

“ot teareat HII Motions : SAAN > HA | |

ne Wl HAAN iF — is | ———._ |t_— —
mks A ASTUAALAAE PCLT : (Weeks) | (Weeks) HH

County: till {ii} ather: i} 11] i | SY cs “Ni >) Nox } WE None ) None

|

T
or nearest Hit {| Mother: WAL TLL se . i|| Ht \ ii} 7) Ni
Huy | HURT _ + - ‘ - Hit — ee | S$ il \ o

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| None

Yes

place: HH HiT _} 90 oF over (Weeks) | (Weeks)
a VT ether WWI ff Xs None N None HUH PON | ~) None [} None

seioned

[aBNo
i Yes

“| No

idl
Yos

or nearest : ; HH Mother: Wil ale
saeco TT HAUL i iin (Weeks) | (Weeks
ai Gounty: Hi || lj HHH Father; AMAT [pets _| ¥es [“JNone | [7] N 'r“)N “)N Hp N if JN 1 ~}] None

"on a HATTA igen , HHHHIHHT| [_]No . i HHI -

O¢ nearest HET Mother:
place: it v [| ] 80 or over (Weeks) | (iWeoka)

Peccsinecatinsicss

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te

‘ornearest. SSS ° HI HH H] it Mother: VS HH * ad 8 alana a (6)
; -

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County: Hitt Hp Bather: PTTL ; i] 63 TN : : . ETL) BT eeeeenemeee ope

pone Ht ee ASEH TH mre | be ‘Yo | ase ! i ! i

Hy

place: eks (Weeks)
(Weeks) | (Weeks) _ WLU

} SPECIAL CASBS—Entet Yes also for persons who | Hem 26: CODES for GRADE ATTENDED EO itents 32a, 32h, and 32er DEFINITION OF RAMILY HEAD. G4, (Zo secutierntors Ft worked last year (1 or more | 35a, What kind of work did this | 5b. Ww hat kind of business or ; 35¢e, Class of worker
would have heen looking tor work except 'for- Nonec 0202005... ; pexeuyunes fantily Koad ia s : hg ze tot tam 3) 8 there any entry in itema person do in his last job? industry did he work in? ; (P, G, O, or NP,

: Kinder atten. : PenRsceees Rane uy
(a) own teinporary tliness y Fither (a) head of household with related persons present in houeehold Sd. Yos- Skip to item 36 a tem 200)

. (by indefinite or more than 0-day luyoil © EL EMENTARY, ma Bee ,
Blementary (3 trades). Sisawaienia gee ay or () person unrelated to household head but with persons related to hitn [ | No- “Mako entries in items Sha, 35h, and 3be

6) belist #t Chat ho Work was available High (4 yor ars)... ; pcectiest « | 4 Sto, SH, $12 | listed Below. Mim on. the scheriute for example: Lodger with wife nits , Ba) (2 Wider j

pee FOR DISTRICT OFFICE USE ONLY EERE My, JUNIOR “BN NIOR na Satie as i present in hutisahotd : . @ 36. Lf ever ‘married | (Mar, W a, ‘D, or Sep | 37. If Mar-—How many years since this person was (last) married? 38, Rea and ever married (Mer, Wd,
Number ties) | N ter of ean. | [Number of pore}. Junlor high (3 years), Sees. eeeee tas 87, 8889 oes in item 12)-—~ If Wd --How many years since this person was widowed? von

LOE DE Aue uraber of eon. | ee a Sorifot high (3 years). 21. B18, SL, 8 i Has this person been married more 1f 1) —How many years since this person was divorced? How many children has she evar

On thin phieet, | called? Hrex on Sons enumerated fos C SEAR E RS pee ; , pas

ate ; | | this sheet on this sheet, Coe Ped tes OR a VERS bios bl : : ; than once? If Sep BO He many years since this person was separated? borne, not counting stillbirths?
ee BY 5 ‘ Jndergraduate (4 years). 0: wiviem Se $9: be Re ey ES ae Se J : i

Graduate or professional seliool (1 ‘year OF MOTE) C5 She € ; : (] Yes $1. No ia years, or [_] Loss than 1 year anne Children, or None

eeeenanrmnn >

RSENS hie he etnametentines