Enter medical expenses not covered by {nsuranee, and any part of a bill the insurance

M. MEDICAL
M-Il. Medical Expenses Not

rem

my oe

Cheek services received by each F.M. Enter charges by in
vidual item. Lf separate charges are not known enter combined
‘expenses on subtotal line,

IN-HOSPITAL CARE
Howpital Services:
1, Room (ineluding food and general pursing service)... -..

2. Operating or recovery room.,

3, Xen

, Iaboratory touts, medications, cte en
4, Special uursex.
5. Ambulaner sorviee...

6, Other (Bpertfy)...

7. Svprorat (1 through 6)...

Phyalelans' Servieea:
4. For ehutdbirth.

9. For surgory a

10, Anesthesia.

1). Other physicians’ services

12, Susrorac (8 through 11)

13. In-Hosertae Caxs—

EXPENHR IN AY
sy TOTAL REPENGE,
7M. No pune | nme | nM ne | ie
ali l | 3c) |a | Ze |
‘3520 3521 ‘3621 3521 ‘3821 3621
nT TIT 17 17 17 ur
oes | os.
Oo.
Dense Be

OTHER MEDICAL CAKE
Family Doctor:
14, Horae vinits.

15, Offive visita

16, Sumrorar. (14 } 15)...

18, Offter vials

19. Spprorat (17+ 18)....

Other Medical Spectaliste (excluding dental and eye;

20. Mome visits...

21, Odliew visite.
22, Sumrorar (20421)

28. Chiropractors and other practi

CARE--Continued
Covered By Health Insurance

did not meet

Expenses enmpletely covered by insurance should not be reported here,

EXPENSE 1N SY
eee

- : TOTAL ERPENKK
ITEM PM. ND. ¥.M_No. FM_No i
m . ee ali ||
3526 +5526 3520
TT
OTHER MEDICAL CARE—Continued
24. Nursing care at home... cece 22 seen eee. a ce Cc
25, Care at nursing home ...... eeeetanee. oa J... | O
26, Laborntory tests. seers --| 4.
27. Xerays (excluding dental sud eye). O..... o...
28. Therapeutic treatments. wf Dh. eee--| 0
29. Other outpatient services at clinics and hospitals. D..... | O
SUB TOTAL (2m Fasten 50)

v0. i TO. o ia
31. Suntoran (164-194 22 through 30)... oo s $s _! 5. = 3.

ous 528

WW nT
Dental Services:
32. Filhngs ecsscegeseeteeseeteeeneessie os. ns {Us| os
S, Extractions... os a essen G oC o
a4. X-rays. a oO a. 0.
5. Cleaning ae Jo Oo} On|
26 Dentures, inlays, crowns, ete... Jo. a.
37. Other... Jo rc
38. Svprorat (32 through 37)... oe $. $.
Eye Care:

39, Examination for eyeglasses.

40, Eyeglasses... ——

41 Other (Specify)...

42. Sunroran (39 through 41)...

Drugs and Prescriptions, Medical Supplies, ete.:
43. Vitemns.. coe

44. Preserplious.

45. Drugy and medicines hought without preseriptions.

18. Medien! appliances (artificial limbs, erutches, hearing aids, ete.)

47, Other medical supplies (bandages, thermonsters, ete.)

& SuRTorAL (43 through 47)

49. Orusn Mri

Cann -Torat (31438442448),

Os...
a
a Oe ef Dee of 8
$ Bocce oe] Sn =
BADS BAQK BK25 362K BA2K
76 ar 16 716 16
4 Os... as. us. 8... 3A 2M.
- fa] a. =e

164

165


XII. CLOTHING PURCHASED FOR MEN AND BOYS 16 YEARS | AND OVER IN SY—Continued

| ~ . al =
rem | ormor ens | CORE /ISUBER] gaskets | thusanaraye| et
cinnrs ) it
27. Dress shirts (code fiber) _— R313 os $. ci
28, Work shirts - a 068 | exx 8
20. Sport shirta, woven (code fiber) _ oT a ae 2
0. Sport shirts, knit (code fiber)... ceceeeee a OB - w
31. Other (Specify). — oo9 KxXX RE 3
. 2 |
2 |. .
. 2 .
UNDERWEAR AND NIGHTWEAR
92. Undershburts, briefs . 3314 O11 tre a - ef 82
33. Undershirts J. _ — o12 Kan .. .. cy
34. Undermhorta and unsersburt sata ora | aax cael xu
35. Other underwear; e.g., id
long drawers, beavy undershirts (Specify). Old wee xUX KAREN KK 35

36. Pajamas, nightstirts. = | U5R xex — porn ae
37. Bavbrobes, luunging robes (code fiber) .. a 085 7 |-. ar
38. Other nightwear (Specify)... ae 059 axel axx | exxkaxx 38

2 —

2

2
HOSIERY
wget | aus | os
40. Slipper socks...... - osT
41. Other (Specify) ~ - . ..| O38

2

2

2
FOOTWEAR
42. Street shoes., . 3316 O18
43, Work shoes, safety shoes. oe | «ex
44. Loafers, otter eaual aboes (code upper Gber)__ OL .
45. Goll, bowling shoes; riding, hunting, fishing boots... | o28 rxK
46. Houseallppers. 0
47, Rubbers, galoshes, boots.
48. Other (Specify).

1. Principally woul,
2. Principally
3 Pemeipally ray:

i/or acetate.
4, Principally manctaade fibere othor than rayon and

elatn,

(26)

142

nd blends, including eilk

i

ee

X-IL. CLOTHING PURCHASED FOR MEN AND BOYS 16 YEARS AND OVER IN SY—Continued

veo | crnce use) ease lyyapeel ugar | ropa exresen en
@ | o eerie ears ot oO

HATS, GLOVES, ACCESSORIES | | |.
5 ae a von} aur four leas «
50, Surnw hats. cece o1g | ax |. 60
‘$1. Caps....., --| | o13 xax St
$2, Gloves, dress. o21 cer 32
53. Gloves, work | o2z2 KEK fw 33

Aoceseoris (tes, handkerchiefs, belta, garters, wallets, vlc.) eee O39 ERE tz)
55, Jewelry and watches. _— 9 ty
86 Other (Speutty)... | 56

x

|

57, Lump sum expendiuires (Lo be used uniy when n respondent unable |

to itemize expenditures). ex | xarxxx

leer lnselsslealenseeeli

98. Torat U through 87).
FIBER CODE:
Prine

E, Prinepally gots
3. Principally rayon and/or acetate,
4. Principally man-made fibers other than rayon and acetate.

Norex:

143



P-I. Automobile Expenses in S

P. TRAVEL AND

—Continued

ITEM

1, INSURANCE AND FEES
44, Premiums paid in SY for:
(a) Comprehensive (physical damage) coverage.

(b) Collision coverage.

(e) Publie bability: bodily inyury (including medical payments), and property
dams,

ge.
(d) Total premium (if unable to itemize above)...

45. Regixtrauun few aud taxes; inspection fees.
(a) Paid to state

(b) Paid to ety/county,

48. Driver's license (oes.

1. MISCELLANEOUS
47. Toll charges (bridges, ferries, parkways)

48. Purkiug; garage reot; parking meters...
49. Other auto expenses (Gute, auto club memberships, ete.).

(Speeity) ce

TRANSPORTATION—Continued

P-Il, Expenses for Local Transportation in Home City

EXPENSE IN 8Y | toranexpenee woux 1 ]
— cd ! | rex me | ENGROE | woypager | mare | T9Tty TOTAL ERFENOE
Caw No.2 [1 | Can No. 25 [ 2300 | mm ow iy @ wl ny ©
3412-747 BAN2 TAT ‘BAL2-747 T ] 2300
_ 1 Streetear, bus, subway, etc. 3421-713
‘ stale BE Family member number...
3e Family member number__

HIET5S
-4t]
- Hae

0. Torat (27 through 49).

St. If the Iuuuly was REIMBURSED for any of the tems below, how much did at receive?

(a) On purchase of an automobile

(b) On operating expenses (fuel, parts, repairs, services, ete)

(©) From car pools and sharing of ¢aF coe

0340-795

Nores:

(46)

Family member number
Family member number.

Family member oumber..

Family member number.

‘Potal question 1. xxRXE

2, Taxleabs (Include tips):

Family member number...

Founily avemnber number

Famity member number

Total question 2... coon REX | Rxxxexe | exerere |exce| coxeeee

3. Car pool or ahared ear (net owned): |

Family member nuraber... |

Family member nuraber...c cece 6 nee

Family member number -
_ Total question 3... 2 | exxxree| cercurefevey| uxeaxex | $2
4 Tora (1 through 3)...

FOR OFFICK URR ona
Number of rides to Work
P-SII. Other Transportation Expenses Not Reported in Section Q
113M

1 conses (for non-ear-owalng families).
2. Operating expenses for borrowed car (from company or perwns outside the family).
3. Rent of ear (juciuding operating expense)...
4. Purchase, operation, and rental of motorcycles or scooters.
5, Purchase, operation, and rental of beste, outboard moters, boat trailers, et.
6. Purchase, upkeep, and rental of bicycies
7, All other transportetion expeuses iuclutling rental and aparation af utility Seailer (Specify
&__ Toran (1 through 7).

an

163



a ——— OT)

E. DWELLING AND OTHER PROPERTY: OWNER EXPENSES FOR REPAIRS, F. RECEIPTS FROM ROOMERS AND ROARDERS, AND FROM RENTAL PROPERTIES

REPLACEMENTS, AND IMPROVEMENTS IN SY

If che (amily din mot rent rooms or other property, oF Luke 1 boarders at any time in SY, ehap this sretion

pweLtiso ovcuningeeT END UF oy PORES Car REM SAN AER ast P-L. Receipta From Roomers and Boarders
on | aan Provery 30, 23 [1 ova aren _ - ans : ee _
a a ven wevions jnareren wenn) *gugpor | oetansricen | Torsuaouarn at
E-1, Repairs, Replacements, and Mnintenance s22t—718 3224-616 soee7iG | gv 816 3204-718 1, oor ast bourdd a Perwim... Beccsesene a
1. Painting outside. ee se ee ie oe &39 <1) |

BH = bere to 00 (ctacing new root, gntiers, downspouts)

Other outside repairs (steps, porch, fenee, walks, ete.)

2, Board only...

Rediesomting (painting. papeting. repair 10 plaster, ete )

Refinaliong floors (exeluding oor sowyeing) a

6 Electrical repair and roplusemrat cscs oon - . .
BRB4 RE BerETO S224-826 3. Room only. - . -
7. Plusobing repair and repiscement..... . . a coe
& Furnace or other heating equipment repur and replacy-
Menon - -
9 Hot water beater repnir and replicemen: ee te
10. Repair und repineement of window panes, screens, storm “

doors, storm Windows Al UWTINES .oeccore ween

11. Termite protection,

F-Il. Kents Received From Real Estate

Enter here information about other rent payments received during SY.
Uns a vepurute rolnton for esch property.

Other repairs, replace

13, Torat (1 through 12) 8... soo s.. _— | rkoPkiery NO | PROPERTY NO, | PROPERTY NU. | PROFHIETY NO
ITEM H | TOTAL
14 Do any of the above expenditures apply wuturely or par- | i “ar
Lially w the part(s) of this dwelling rented ta others or | YeG NO Ye NoO YeeQ Nom - —_ fab sey, 3 fe jH__-- ©

used for your awa business? (If yea, specity which |

items and uumvunt of nxpense ) | | 1, Totat rent payraente received (less agent's coramissivn). | 3. . . $s...
| |
seceteie . | Bo. . | ry | s. 2. Did these payments include (Check) | Tone | Ye Ne Yo rT
£ IL. Improvements zuza35 [21-836 2112-736 2112-86 2113-736 (9) Heaton cose | oolor oe! or] oo
1. Completing uufinished room, new bathroom, etc. wf 8 AEA) § AU AA) seseeel 3-RI) (b) Elwetricity/gas.. i GCe}]ai; vv) or! ae
{ \ i
2 Additions (new porch, coum, gurage, ete ). (e) Water... | co; ot goe;cr Be
3. Genernl remodeling. . (d) Janitor serviee......... go;or opofjar no
4. Central uir conditioning installed. - (0) Purnisbings..... Ge|ar/oe;n| oo
5. New lawn, treet, ahrobs, Inndseapsng - eececcecsecee 3 (Other (Spoerty).... a Loolor! po} orto}
6 New fences, walle, walks, pains, ete... . : 2b eset If any ivem in 24s chucked "Ves" ask:
Qt12- 842 WN 2-742 2? 842 BUNA T42 3. How much did you spend for these services for the
vented unit (5) ¥.. - onan B.. s
7. Other wsprovements to buildings (Specify). - |
4. If family twas computed its net mouwe from rental,
enter here. -
Tranafers by Editor
a. 5. Current expenses (See.
Wom 2)... :
6. Repairs, replacements,
9. Toray 0 ehrOUR 8). item 14).
7. Net cent. --
Noms: - .
‘ores: TEST
. Norns be cee : soceeeee 0°

124-711
IR.
Sthy

124

125



i ates

hal

N, PERSONAL CARE SERVICES

BARBER SHOPS, BEAUTY PARLORS, BTC.

Rs abby [PER IEAUEOR? | TOTAL wapeNen
Vinee | GALLE Mn, inaieine Ua
7 . _ a ‘o
2300, 2300
ant ar
CARE OF HAIR AND SCALP 74

1, Baircua:
(a) Por men.....

(b) For women.

(@) For boys (whrough 15)...

(a) For girls (throngh 15)..

2. Permanent waves or press and curl

3 Shampoos, other wave

47

ting and enloring..

5. Shaves,

6 Ocher care of tisur snd seatp.....

OTHER IERSON AL. CARE SERVICES.
7 Manicures... ne .

8, Musoges and slenderizing treatinente.

seneu

sue

®, Uther personal care services (Speeify)...

BOIL 125

Nores:..

(40)

186

a

O. RECREATION, READING, AND EDUCATION IN HOME CITY

ire
RECREATION— oe
Spectator Admissions: [rw soj Samonat
T. Movies, indoor IK eee
OFFICE USE | we
[nie stamens]
688 eee PBT, [. P00
| | faraae)
{ i -
_ wo BTR Ot]

2. Movies, drive-u

3. Spectator sports. ceo eeeeeceeeeneenee eee eee

4. Coucerts, pluys, and other adunissions...

6

a

9. Other sports equ

liclpunt Sport:
Duos for ineinbership in athletic clubr..... oe

Fevs for indanr sports (bowling, billie, 610 3.0

Fons for outdoor sports (golf course, tennis courts, ets.)

Hunting and fishing equipinent and Hennes.

cour (excluding athletic uxforms and shoes?

Club Dues and Membership:

10 Socinl and recrestions! elMbs see

11. Other (excludang union dues and insuranew premiums. ce tceeeeeneeeee
Hobbit

V2 Cameras. oes cece eee - ~ cess
12, Other photograplue equipment, (Klms, ete.)

14. Collectivns (vvins, stamps, atbunts, ete)...

15. Electronic instrument ond aniatour rudio (except HisFi sets and components)

16, Crufts (woodworking, model building, etc , excluding Keneral purpose Loot). on
17. Peta (purchase, supplies. liernses, ete., exeludiny fovd) - -
18, Other hobbies,

Toys and Play Kquipment:

19.
20.

ai,

22. Wagons,

24, Games and purzles...

. Dolls and accessuriey...

Stuffed toys and infants’ toys

Tricy lex.

. Mecnauioul toys.

Children’s playground goods and playground euuipment

. Other tuys od equipment (Specily)...... a

Lump sum expenditures (to Uy used only when recpondent us

an)

167



fee tea onc nteae | T. MONEY INCOME FROM OTHER SOURUES
S-II. Income From Profession or Unincorporated Business in SY

Report te total amount received by exh family member da
wordt) | ror TT |] sore tt

8 SY from each of the sources Iisted below.

v1 Toran
BUSINESS vente mae TOTAL item | RECEIVED BY | RECEIVED in sy
ren wo 7 ]6 no 7 J6 no, 7 =]
ml a © iw FM No 23) 1 rm PM. wo 237 zoo]
a —| - . — —
tw — 1370 Th THOT 1270-71
| Purine s~ INTEREST AND DIVIDENDS
Gunved Me 1. Tulereet received from boude, suvings accounts, mortguxes, ans, ete) & Sooo een | $.J%.70..2.01...]
Busi feasion engaged i _ Jet crerated | ee eee ees T280-711 1280-717 1280-711
1, Business oF prot in... _ RxXRKKE Zz.
Yes 02 ve oe x * 2 Divideuds recived from stucks and cooperatives... ae _ fPIC TOC
No O6 No OB: ° AREER XR ETE 1297-71 1297-714
2. Did family actually particfpate in oF operate the business? RECEIPTS RASED ON MILITARY SERVICE
. 3 Mustermp-out puy, bonuses, war ineurance refunds. a Soon 8.
3. Number of weeka worked in SY?... 1 Velerava” peastons aud compensations (retirement, alevivor, aud servwe.
ese cunnevied disnbitity pay, educational benefits, and otter allownnces
4. Net income for SY before personal mcome taxes.. - to veterans)... . . _
cee 5. Dependency allotmeute from person
5. Fedora invome tax paid in SY. Mens from feuily members’ pay).
6 State/loral income taxes paid in SY i 6 Quarters and subsistence allowances to family members in Armed Forees, .
ins T2057 7
Soclal security far F M, pald in SY Se OTHER INCOME ITM V293-T14 1205 7a

7 7 Social Security bewetits (old-age snd wurvivors insurance benefits!
8. Value of goods and services withdrasn from the business in SY... S. Other public peasious and retirement pay, including Railroad Retirewout,

and Federal, State and local Civil Service Retiramutit, ete

8. Salary paid to P.M, in SY (before F.M.'s tazes)_

8 Uneiuploy:

. ent insurance vencfite -
10, Other money wuhdrawa {rom the business in SY

1W. Workmen's compensation - _ - cote et.
ily money ddd to the business in SY... ee feo . . Ot
11. Family money added to the b 11 Prate pensions ana : ; en Ta Tit Tei
sn boainona in SY rivate pensions and retirement pay from private employers, thor SLO
y THOS 71 ae TH 1296-77 T295-7i1
"Toaster (br vay to seton V Jtom 5. Alps, er i clue 0). 1 alos, eater 1 eludes (8). 2 " ' *

Periodte paymoute rveciv

id from privale insuranee annuties and trust
funds... .

1296-712 1296-712
13. Cath reosived as public social assistance and private relict.

8... DGD.

| OF NE INCORPORATED
SUPPLEMENTAL WORKSHEET FOR COMPUTATION OF NIT CHANGE IN INVERTMENT IN UNI 14. Gitte of eas from other persone nits family .

T209-F15

7) ete

; » © 15. Reguinr contributions (or support (alum
e1 - —

16. Paymeuts received from disability ineame insurance.
ASSETS:
1, Property, Innd, buildings, equipment, ete.

. 17. All other income not reported elsewhere Specify in Fwotnote
xaxxxxax% pai Specify i OME ooo oncereafen |. no
(0) Purchase snd improvements (ut cost) in SY. = ~ eaxx OT ten 1 :
KxXRRRIREEE omaL (t through 17) eects nay es -
(©) Sale and depreciation fo BY... oan an ox 19 Other mouey reerived: Inheritunces, bequests, lump sim settlements | RITE Si TI SUIT e1it-7i1
xxxuxxzanx |e aSRaKE from casuaity insurance, cle (less alworney's fees, taxes. and other
2. Inventories of merebandise:

ns) (Specify souree

‘expenses required to oblain auch money reve

in feotnote.)..
nal (@) Oo Innuary 1, SY... (vot

FUL

soon) RETR KURT

(b) On Devember 32, SY... Norns. ...

val xxxaxxxxxx|axaexxetrn
3, Accounts receivable:

(a) On January 1, SY
(b) On December 33, 8Y.

KxxKxxxann

xxxercrre

4. Casb reserve aud U.S. bonds or other securities: x

(a) On January 1, BY.

KEKE

I (0) On Meceraber 31, SY. ose -
LIABILITIES: xaxaxaxx|xxxxxxrxct
1, Moregages, business debra, aeconnts payable ur othur habifilies: KK

KXKXKHNEKE

(®) On January 1, 8¥..
(b) On December 31, SY...

6. Torvat (1 through 8)...

NET CHANGE IN INVESTMENT (U(0) aninus U(b))

(63)



P. TRAVEL AND
PH. Automobile

‘TRANSPORTATION
Expenses in SY

A. CAR OWNERSHIP
1, How many care did family own during SY7...
(If mane, ekip to Seetivn P-L.)

B, DESCRIPTION OF CARS OWNED IN SY
(Enter the following for each ear, one car to a columa )
2 Make of car(s) owned un Becamber 31, S¥-.-.-...e sues

A. Make of earls) sold, traded or otherwise disposed of 14 3¥

4. Model year.

5. Serves. seve

6. Number of cylinders cee a

7 Transmission. Automatic or hand shift. (Cheek)

8. Your wequirod.......

0. Condition when sequired (Cheek)...

JO. Nomber of months owned i SY ...-cecccceescceesen

G, USE OF CAR(S) IN BY
Ti, How wuany mils was vach car dren an $%
(a) Total

(v) Por driving to wad from work...

12, Was car used for business purpon (other than deiviag tu wud frm work)? 7/2.

1a TC sos, entor
) Number of miles driven for business in SY

(b) Percent of purchase caste chargeable to business use ia SY.

(c) Perennt of operauing costs chargeable to husinest use in SY

Automatic L) 1
Hand = 2

sof)
New O14

Veed 2

Can No. 4

0034-706

Automatic Q 1
Hand = 2
a
New Ot
Used O 2

IER VRNKK IN NY

TOTAL HXPENGP
iney

Unx No. %_1_]

Can No. 23!

2300

D. CAR(S) PURCHASED IN SY

(Enter the following wn the colurnn for each car purchased 1 SY.)
14, Total purcluse price (eluding all charges made, und bofore trade-in allowanec). |
15, Atlowanee for cur trade-m

Malr-712

Ballz

Etre ry

16, Net outlay (14 xunus 15)

17. If toval purehase price included any of tne following, check the box and eater the
mount, sf known:
(s) Registration fev.

(b) Insurance...

(@) Fivaneing charges. -
18. If no cnr was urnded in, what discount oF reduction was given from

19, Cnah payment made at Lime of purchase...

20, If financed, how many time payments were to be made 2%
ia) Mouthiy.....

(b) Other (Speedy)...

CB4l -Al los.

0341-717

a)

ire EXYENGS IN SY. TOTAL BAPENGE

ny | ty
Gan No. 23.1 Caw No. 23 [TJ 2300
oadi-7as

031-723

0341-723

E. CAR(S) ON WHICH TIME PAYMENTS WERE MADE IN SY
21, Number of regular payments made in SY QFE.

ARK R KKK KE

22, Auiwunt of cuch regular payment...

23. Amount of other payments mads in SY (except cash own payment)

24 Torau (21X22+29)..... _ - -
227-112 ATT are
F. CAR(S) SOLD EN SY b ad ene
25. Sale prec . oo etc - 8. | 8. wf R. MIRTOSL |

Blt — 1H
Bat? 116

26, Ralance owed to family on December SL, SY

IZ-TIS
G. CAR OPERATING EXPENSES
27 Gasoline.

28. Motor olf.

29, Antifrecte.

90, Lubrication... aoe

31. Washing; air Btter, vil flor

D4i2-726 DAIz=T26

82, New tires und Labes: . 5 s BWR

3. Used and recapped tires; other tire expenses.

24, Batteries a

35. Spark plugs.

36. Other equipment and supplies (not iuetuded whon car wna purchased).

37. Combined expenses (when respondent it unable to Itemtze above). Includes items

I? 738 Beas
H. EXPENDITURES FOR REPAIRS AND PARTS NOT COVERED BY INSURANCE
36, Tune-ups, electrical aud mulur repairs

88 Clutch sud trsusmussion work

40. Bruke wdjustments, repairs and service.

Front. end alignment; atcering adjustment; wheel balancing.

42, Body work and frame repairs, including pamting unt! glass replacement...

43, Combined expenses (wheu respondent it unable to itemize above). Includes items

(45)

161


Famer Mewsex No. 21{_1 Scaxoous No. -.
K V. CLUTHING PURCHASED FOR CHILDREN UNDER 2 YEARS OLD ON DECEMBER 31 SY

On this page aru hated clothing items for children under 2 on Decembur 31, SY. Prepare a separate list for cach family weiuber inehiding eseh itera

ought for this family member during the SY. Space w provided following Section L for reporting xuts frum outside the family.
MORE THAN ONE ITEM BOUGHT.—If s aceond item was purchased, which was at « diferent pr

taforiustion on the soeond purchase Enter the number of thy sluiu in front of the X, and write the

wonkd he entered aller iter 27 like this: ""S X Swester.") ‘The information in the columns would then be evrmploted.

fram ie fire, use » blank (X) hue to record the
m ou the lune. (For ekample, a second sweater

rs vrnen vox | BBuRE | ToT RETENSH | ry
L . ‘3351 ‘ uO y
2 . a . ° 2
& - ° 3
ee _ 0 ‘
5, Bwentern, meques, jake 7 ° 5
6. Ten rhirts, polo abirts, ete... .. .. —n 0 8
7. Caps, hooda, bonnets: 4 v T
B. Dresews...0 3352 v 8
v. Rompers... 7 jo 9
10, Suita. 0 10
11. Playsuits, aunsuits, overalts.. a. 0 W
12. Spa seveenensennseseie teteteonenns ee eee f 884 FOO 2
18, Undorshinw, ens es nn _ * 3
14. Cotton underpants, training pants... | 0 “4
15, Rubberized pants, ete.. .. oO 16
16. Diapers. - - se _ - O18 16
JT Diapers (dixposable)._. .. —_ . — | o16 t 7
IR, Stoeping AMMEN oe es fost in
12. tobe, wrappers . - cn ° »
BU. Ruceiwing blankets. a oO 2
1, Stecktags, SKE eo veces wee | ats | 0 a
22, Beoties, shoes. | ss0 | 0 2
23. Hite - 1} sas | 0 Pa
24. Mistens, muffs. o a
25. Layetter, ee o 26
26. Jewelry . j O40 j xxx | exxaxxx 26
27. Other clothing (Speetly)....... ooo |exex|xzrxaerze n
2
2
2
t
2
. 2
28, Lin i Sees be we yh apn uate we os

a 3ao_|oog | xxrx' cxrexten i.

itemise expenditures).

30. Torus. (1 brough 28)... eecmcas] aun lenee| even | eecrees

(aay

160

L. MATERIALS FOR CLOTHING AND CLOTHING SERVICES

|

1 | SSE, | mage. ree
j ormes ese | NSH | Sofa gute YARD | TOTAL EXVENGK | ren
— m» w
zs00 |
CLOTHING MATERIALS YARD GOODS ——
1. 100% wool—1: wool blends—2 (Enter code iz column ¢)... 330) or 1
2. Cotton and cotton blends, Regular 1; wash and wear—2? P (Fier |
code ip columa c). o2 2
3. Rayon and acetate... a o3a9 aX 3
4. Nylon, oriva, dscron . 049 xxx 4
6 Other man-made fibers -. eens 058 EK J =: 5
6. thor yard goods (Specify),
-. 059 RK fo. = oe | 6
|
x
x
7. Combined expense (Use only ‘when respondent in unabie t i pare ;
items neparately)... o
8. Toran (1 through 7)... -. xx | Ly
- 7 | TOTAL,
ram eXEERSE vem ERPEASE
nay
o is wo
2300 CLOTHING UPKEEP—Continued __ 20
‘4361-714 $862-724,

NOTIONS
9. Yarn...

12. Pins, nereles, buttons, zippers, snaps, Lape, ete...

13. Osher clothing materials (Specify)

14. Clothes hangers and hngs, shoe bags, ete...

16. hoe polish, Inces, ete

16. Combined expense (Uey ouly wliea respondent i unable $0

report items separately).

CLOTHING UPKEEP

DRY CLEANING AND PRESSING
17. Men's clothing.

18, Clothing for boys 2 hrough 16 years

19. Womeu's clothing

20. Clotting for girls 2 theough 15 years...
21. Clothing for children under 2 years.

22. Total fasnily expense for leaning and pressing (Use only
whon respondent is unable to report items separately) -

SHOR REPAIRS, SHINES AND CLEANING

§.23G1-4il] 23, Shoe reparrs:
{a) Men's and boys’

(8) Women’s and girts’.

24, Shoe shines and cleaning.
26. Total family expense for ane
only when respondent unable to report stews exper

rately)

cone Bana TH

OTHER CLOTHING SERVICES
26. Hat cleaning, hloeking, and repui

27. Dressmaker or tailor at home or outside.

5, and repai

= 99]) 28. Alterations, wea

29. Upkeep and storage of furs.

). Watch and jewelry repair.

|. Dyeing, hosiery, glove repair, otc...

. Olker clothing services, insluding eluting rentals (Specify)

33, Total family expense for other clothing serviecs (Use only -39
‘when respondent is unable to report toms separately)

1 (9 through 33)...

Nores:

151



J. FOOD AND ALCOHOLIC BEVERACES IN HOME CITY, AND CLEANING

SUPPLIES, PAPER AND PERSONAL CARE SUPPLIES, AND TOBACCO

ivem Toran uv sy| PTEM ire TOTAL IN ay | ITEM
_ a a) oO oo i ee » No.
1. Dud you prepare meals at home during SY? (J Yes [J No If no, skip questions 6 through 9a) ] CLEANING SUPPLIES. FAPER SUPPLIES. FET FOOD, TOBACCO, ALCOHOLIC BEVERAGES, AND PERSONAL CARE OFFIOK Uae
2 W yes, did at leart } feunily meinber regularly est at least 10 mala per woek at home, ur in the fora vf lunes earned from home? a . 2300
a No oo
4. Did way fausily unember receive meals af pay (ur et 90 cust) om the jou? _O Yee O No. BM. Ko. 9. (a) Noes the amount spevt in grocery stores | (b) How murh did you spend for these items in SY? °
1 Po (Ltem 6) include any of the following non- 9261-714
4, If yes, who were they? Family member(s) No, cece EST food tems? -
Row man menh per week? | Mow amagh were the meaty | cry od) BOUGHT IN GROCERY FTOREA BOUGHT IN OTHER STORES
Number of wecks in SY ! OFFICE USE yes | xo Unvay Exrense svat Rxvavna
taro 13 food th another family? O) Yea (1 N | Tyr sy a
5, Did your farmily share its food expenses with another family? [) Yee [] No. a0, weet Moots rae wer eh Earnoe
FI SEK CEM a See TDC, $1717 © ( (o H
FOOD BOUGHT TO BE EATEN AT HOME OR FOR LUNCHES CARRIED FROM HOME D week “ 10. Laundry suppl ° « =
ua Rents, bleach, 10
6. On the average how much do you usually spend at the grocery store $ a sees per month Sart-5 T-o 11. Claaning eupplits (oleanora, pe
. Cetnce O- s. er ishes, scouring peds, apray:
7. What other expenditures for food did vou minke that are not eluded in the amount spent in grocery stores? 38 OF spongen, waxes, ote.) HL
12. Household paper supplies (nap:
kins, tinue, towels, wax paper
TWOLUDED . UAL EXPENSE PER a paper Lee
viens Pree | new EES kia foil, paper cups wad plates,
SNE] sounce Sr Foncuase _ es oe) n
ry
(a) Milk... aoe oe oe 15. Pet f 1%
er dairy produ M4. Tobsovo: oy
(0) Other dairy produets.-... poof (a) Cigarettes. a (a)
Bed = Cthe-)
(0) Ene. | ~ () Cigar... ()
{@) Bread anid other bakery producta.. 7 a - - | (¢) Tobacco, pipe end chew-
ing, eau! eeseen a cc)
(e) Meats, pontiry, and fish. | (4) Pipes, lighters, smokers’
supplies. @
(©) Freeh fruite wad vegetables... . . = ©
S
(g) Other food tems (Specify) 15. Alcobolic bever Berver
at home or carried from
.. | | _ 15
( Ne, malt beverages... 6...) ob RRL AL] Cay
(b) Liquora (whiskey, io,
| Tuma, te.) _ . . =02)
(Toran. a °
(Toran - arx{ax}xccax|xxaer|s Jrxrex exe
8. The total of 6 plus Tu per Did you in SY spend morn ur Jess than this usual sunuunt st vortats Chines of 7
the wear? pe 16. Personal caro supplies: | Sear7te |
Untarvwwve: Enter amount more or less per week, per mouth, of ottiwr perivd.) (@) Toilet sompe.. =. 7 32621.-UL)
7 : Z ®
OCTOBER TAROUUH DECKMDER | JULY THHOUUU SEPTEMDER || APRIL THROUGH FONE || JANUARY TIKROUNIC MAW (b) Dental needs (tooth-
——— tail 5 ot Fe _ brurbes, wothpaste,
| More Wk |_| | store | powder, mouth washes,
| Mo, Tron | ote) 0)
ic Fite | | tom | 6
ot — (c) Raxors and blades. . ©
About the same... About the same. . (d) Shavers, clectric; shaver
repair. : @
Don't koow.....- Don't know. | _| Don's know... (o) Shaving pi
| Se Asewal ATI ‘oilletriee.. ©
£ 5 I Fy - su .
() Cleansing tseues...... conefessonseeeal.| (0
3621-725
(@) Pace powder. rxaxx | xaake |. wexuxe xxux ()
(h) Face ead akin oreama... xxxax[xerer xexxx[xxxxx (0)
() Shampoos, rinses, sprays
‘and other hair. and
scalp preparations... - a - cS)
os (j) Home permanent kits
and lies. a rex |. | TREE ax i
- _ . . (&) alr brushes, combe, * ®
clippers, nets, hairpins
aod olber bair care
EXE KK XK ax Ee de)

(18)

134

(19)

135



X. COMBINED EXPENDITURES
(For Washington Office Use Only)

CARD IDENTIFICATION = = =
PROPERTY. MagH, TaD
No. 21 NUMBER CAR Sone NUMBER PRICE TOTAL
DEP i, 3 (Excluah BxPEND!
Tem NUMMER, OR 0 ae. BODORT ‘an Yoetodieg tan?
_ oy ® Seton | tam «
ie Ci 0]
xaxxafexece
xxxxz|xxxxx
xsxxax|xxrxxx
xexura|arcax
xxxaa[xxyxe

()

‘4 A — Family Composition and Work Status
Housing Pattern

‘al B-C Rented Dwelling

‘al D  — Dwelling and Other Real Fxlate Owned in SY

E-F Dwelling and Other Property: Owner Expenses for Repairs, Replacements and Improversenta tn SY
- Receipts From Roomers and Boarders, and From Rental Properties

G-H _{Telepbone, Fuel, Light, Refrigeration, Water
-H — Miscellaneous Housebold Expenses

4 1 —Housefurnishings and Equipment

‘al J —Food and Alcoholic Beverages in Home City, and Cleaning Supplies, Paper and Pervonal Core Supplies, and
Tobacco

a K = — Clothing

4 L —Materialy for Clothing and Clothing Services

‘4 M = — Medical Care

N-o [Personal Care Services In Barber Shops, Beauty Parlors, ete.
“s Recreatlon, Reading and Education in Home City

d P = — Travel and Transportation

q

a S — Family Earnings

R ‘Expenditures and Reimbursements for Family Members ‘Temporarily Out of (he Home City at Any Time in SY
Other Family Expenses and Reimbursements

d T > = —Money Income From Other Sourcee

4 U  — Personal Taxes, Personal Insurance, Occupational Expenses, Gif(s and Contributions Not Deducted From Wages
and Salaries

‘al Vv — Changes in Family Assets and Liabilities Not Reported Elsewhere

Long-Term Information
Combined Expenditures (For Washington Office Use Only)

176



I. HOUSEFURNISHINGS AND EQUIPMENT
1. HOUSEFURNISHINGS AND EQUIPMENT—Continued

} Read thraugh the fotinwing st asking the respondent to give the quantity of eae aun bought in SY, the price paid, and the total expendiuire 1 more = es -
than one of any item was bought atu different price uve Ulank IX} lowe W list cueh purchase anpurately For example, © second purchase of pillow easee
| woul by entered after Lem 69 hike this’ "A#X pillow enses "The information (ur the other coluinus aiuuld (neu by oumipleved ves ormice vee {E0BR| Botdee | ARIE ED | Tora exvexoe | rp
TAXPS. ‘Throwghowt the Hot include sales and execu tants in TOTAL EXPENSE (ool, 0, bul not in BRICK PAID (col, 6) ts : oy is ‘o 1s it ‘o
SPEC CODE: When a code is printed next to ai stain, enuer ihe appropriate code in the spentfention esluma (¢) FLOOB COVERINGS - Continued }_a
- _ —= . 1 = 14. Other floor and stair coveriugs (¥ pecify). - . 3273! O98 | ax | axaxe | exxxenn |§
{ ew i crncecee | aree,| xusmex TOTAL Expense | j 16
Sie) Souder | scadiae cao 15, Tug pads (Specify kiud)
a wo ras @ i o 15
FURNITURE. ]
1. Living room, Su Hy upholstered chairs—z, tables—3, !
SOLAS 4, ONES. (LISL BeLOW) cree ee can mam | ot - 3. Sescessee 1
cece ee or} TELEVISION, RADIO, MUSICAL INSTRUMENTS
| (Excluding awateur radio hohbyiets’ expeuses)
- ee or | 16, Television: Portable or table iudel—I ; conaole—
| combination (e.g radioTV or redio-phonu-
2 Bihie woin” Sunes”, dette set ;or | can. ports ee mm 16
Teg (Lint base, ents Se oe | 2 17. Radio” Portabic oF table mouei— i eonsnis.
i | oulwr—5 7 | combination (e.g. radio-phonograph)—3.. 7
setts crn enceaceenee a o2 oneal 18, Phonographe—t; tape recorders: 2... 3 48
| oF : 7 39, Plane 1; organ—z. . -6 19
o2 a , j
4 20. Television repayr aud parts, inclnding antenna... - ols 0
| | 21, Radio, phouugraph, ete. repalr and parts. o28 a
03 | 3
| | | 22. Hi-Fi components, kits, and parts (other cuipanents) 048 2
03
| 23, Phonograph records—I;; recordiug tapes und reels 2 essen 05 - 2B
H os seve
; 24, Violin, elarinet, eve _ - OTs fxx | xxrex | xexxend u
oss lex 4 ope lex | xxecx fxvxxzes 28
__. _ ; asa lve _ Ook (xx exexx | xeeanax 26
i foro
7 oe see ree faa |i — a foro
5. Other furniture, excepe kilelwa, wlush wnnee be ineluded tn de
above yruupe (Lise below) o1)O°
fcc ore lex |. _ 5 Kove scomeenneemeenes LENT O 0
ee _ ata lx«) SSWARE, S{LVERWARE, ETC. (NOT FOR COOK-
a 279 1ex} : _ nn gre | org [xx |axeee | evenxex |. 27
a ‘ 28. Dishes (avis): China, cartheaware—{; plastio—z; oulier—B.... .. 02 caf cee | xxxrexs 28
1 ~ ——— ~ ~ — 28, Dishes (separate pieces): Cups and anu vs xxxrxe [uy axe 9
1 cssssesee . = P| 30. Serving piceen owe, pices ete.) C xx 2
other—4. - o4 xexxx [xxx x
| FLOOR COVETINGS 31. Knives, fork, spoons, ete. Starling allver xx wrx 20
steel—3; otber ae 96 xxx
Soft surface: Wool or wool blends—t; man-made fibers—2; avtton—2; | r REL ERS EEES a
otter x. xxxxx | rxxxxxa |.
‘ i
6. Walleto-wall (sy. yt). 1 ser en fee 3273 | OF 6 xaxxx | xxxnRKd
j inter the above
7, Roow-sise rug. | goft surface _ oF |. | 7 KITCHEN EQUIPMENT
as. code in col. (c) on i 8
| scatter tu [code ie col. ( [essen |. an 32, Reftigeratur: Eleotrie—1; gas—2; orber—3. gm | ot a2
|
/ 9 Stara and hat. . oa | ® .
| Ilard auriace, Linuloum—1; pinttie 2; aspholt 2; other. . 39. Home frooser... is »
| 10. Wall-to-wall (aq. yd) os - 3. Dishwasher. 19 u
TL. Rnomaatte Mig __..| Enver the sbove | ou n
i hard mance | $5. Cooking stove: Eleetrio—1 ; gue-—2; other—3, -2 35
code in oul. (0
12, Sostler me. . a 7 we
; 2, Sontter rug. for fuems 10-13 Je 88. Garbage disposal unit... 28 36
13. Tile (eoupoeitiou) . . Los xuxexxn ;
7 37, Motplate: Electrie—1; gas—z; othor @. sive | ot 37
Nor ~ S8_Electric toaster. - o1s |ax 38
12) -
(13)
128
129



G. TELEPHONE, FUEL, LIGHT, REFRIGERATION, WATER

Home telephone expense:
(a) Basic ebarge..

(o) Extrn message unit
(0) Tang elintonee oes

(4) Other telephone churges (installation, extensions, culur phones, et6.)...

(@) Combined bome telephone billy (if unable to report weparstely)...

Other telepuone expense.
(a) Local culls from ovin velephoues..

| Mo cnet tn wi pon

3, Telegcams pad cablegrams...

“TOTAL EXPENSE
gy

| Check purposes for whieh family buugit gas and
\ clectrietty in the housing unit. arcupied an
i Desomber 31, SY

|_20°_| cota] fat, | most
| | Le
i * Ons Delivered (o maine 3262 | o}/o o|a
(>) Delivered hy wank tmack . _ | o2| a i aq\la
(0) Delivered in containers... .. cose as} ofo|o
5. Bloeteicity- nee _ 7 | oo} oo, 3/0
6, Combined gus and vlectricity, U unable lo report separately,

Coal (Specify type): Antheneite 1 Coke O
Bituioinvus O Other O.

Wood, eswdunt, pressed wood logs...

Kerosene, range oil or fuel off No. 1...

Fuel oll No 2, 2, 200, 300.

Ouher fuel Bpesily). —-

12 Water: Flat rte [) Metered OL.

13, Bewage ehneges or septic tank cleaning,

14, Garbage pod trash collection........

18, Combined charges: Auy combination uf ituine 12, 18 wud 14 if paid aa a siugle charge.

16. Water vofleniag services...

17. Tee.

18, Food freseer or locker rent aud oltarges.

19, Other related expenses (Specify).

2, Toras (1 through 10)...

H. MISCELLANEOUS HOUSEHOLD EXPENSES

ime j TOTAL Exprser iran
— - fw) 1) || _ .
2300 ]
3262-714
1. Cleoning sent out (rugs, draperies, ete ; not clothing) ...| $244 -...OF |! 12, Stamps and other postace...

Laundry sent out (slothing, howtsehoid linens)

Disper service

4 Launderettes, coin-operated washing mschinos

5. Wages to (including tips, uniforms) and Social Security

payments for 16 Fresh lowers and plants for the house

(a) Household help...

(b) Gardeners and gras cutters......

landseaping)

(e) Baby sitvers.

(4) Other (Specify). 18, J.awn mowers.

Day nurseries. chold were center sorvice....

3265 725

| 8.3265.

. Reuplolstenng and (urniture ceparr

Equipment repalr and service charger...

(not reported un

Moving, expense.

10. Otber freight anu express charges

- Storage charges (except furs and apparel)

| TOTAL expRNa®
ey

3. Stationery, writing supplies, greeting eards.......

Special holiday decorations (Christinas troes and
lights, party droorntions, ete )....

Other indoor househuld items (matches, candles, ete 9.)

17. Flower and lows sel, fonilizers, sprivs, ere. (not

19. Other hand and power tools, gnrden hone, rakes,
spades, carte, sprayers, nie. (oxeluding occupational
louly and those used primarily for hobbios)

=p} 2 Paine brushes, uss, sandpaper und other materinta
ion K)

21. Other outdoor honsehold items (Specify)...

3277-714

271.

ce Ie

126

(11)

127



OO EE EEO

STANDARD QUESTIONS—II M. MEDICAL CARE
Clothing, Clothing Materials and Services -Seetiona K and L M-I. Health Insurance
7 ates ~ : ~ === Sa - — oo =
it . ITEM
~ ee ia —_ . i o
}— 2300,
1. UC the fails reserved say clothing items, siothvng materials vr wervices as PAY oF GIFT from ngeneies or perauint wut in the family, Spiers —
how murh were they worth? or

4. Did any family werober have any health iosurance that covers all or part of the costs fur medial eare? (If No, | O35/-
skup to Bectioa M-IT) Yeo) Nooo

2 (a) Was any of thik insurance single oF Lisaited purpose euveruge, auch as polio or school accident policies’ ... Ye Dt Nooo

_— SEM
OS51 —
3. (n) Wan any FM. a member of « plau thal provides care in a health center? cco - Ye OQ!

(a) Far avon aunt buve 10 yearn Old abd OV€E scestecnee ween cose

(b) For boys 2 through 15 seare old. - ooececrececeenteneees

(-) For women and girls 16 years old and uver.... oe

(U) I Yen, orhat waa the fatauly expense wi SY for thin wpe of eovermge?ncoe cn. --

(d) For garia 2 theangh 15 years old..c. cece

oe ee

OS8S1~715

[ist pater |
Ta

(hy If Yes, what was the (amily expense io SY for this plaa?...

| fe) Fur children under 2 years old...

(1) For total ferwtly if uot reported separauriy above... cose cescssesveaneeneseeeeeee

Describe each general health insurance policy (not included in items 2 or 3) esparately in column (b) below and on

2 Te the family pun fur any clothing stems, materials or arrvicea which were GIVES additional pages, if more than two policies.

(a) For men and boys 16 yeuns old! und over - even eneeneeeee

Deseription of enverage’ (Check)

(h) For bows 2 through 15 sears old. cence ceeeeeenee ceeeeeeee cet
(a) Hospitahasstion

.fo:!o0}]oa1] Go
o1]oue}a: | ae

o:}oe}]a: |] ae
(4) Major medical (may bo ou wp of Lospital, surgical and medical care~usvelly has & deduraible font) o1|}o0}]a1]n0

o:lne|nstloo
OSBI-T34 O61 -B3e

(0) For women and girls 18 years old and uver

(b) Surgical services. ....
() Por girle 2 through 15 veara old...

(0) Other physician services.

(e) For childleen under 2 years old

(0) For total tamily if avt reported separately above...

(e) Dental care.

(g) Total question 2.

5 Does policy also cover:
(4) Disability income Gonraene of sperified amounts of weekly/monthly iuevine in Ute event of illness or
weeiden <AL

3. M the fuauly SULD any clothing items or materials, bow inuol did it receive?

Oo. oo Oo. oo

4 How much did the family OWE on charge accounts, instutiuent and other debts 10 storey for clothing items, materials or services: go1}]oo}] ot oo
(w) On Jeouary 1, BY .... we 7
(0) Life insurance. - O1}oo}ar|{oo
(b) Ow December at, SY. —
(d) Other (Specify) -... mo oo inn Ho]
| 5. If 4(n) ws larger usan 4(b), enter difference. = - SINT 3512-817,
6_IL4(h ie targer than 4(a), euter differenor 6. Through which F.M. was policy obtained... . 230) eM. No. LG | eM. no oT)
7. What prewiuma were patd by the family, including deductions from pay? _
- i - = (a) Monthly (weekly, ete.) amount. - %

(b) Total for SY. ...
If employer also contnibuted Ww premiums, check the box sad enter the amouut, if kuowiL
(4) Monthly (weekly, ete.) amoun

=

Os. C5/e704 Os.

ToTaL IN BY

() Total for SY.

o
F.M. No. F.M. No. F.M. No. FLM. Neo. ELM. No.
©. Which F.M.'s were covered by any hralth Insurance in SYt....| 23 all can bad 2300.

1, If any FM, received hospitalisation or medloal enre in BY, 0351 0361 0351 0351 0351 0351
rhieb was paid by health insurance (either directly to the 736 736, 136 136 136 736
hospital, ete., or reunbursed to the family), check services
received by F.M. acd enter amount, if kaown, for:

(0) Hospital care..

(b) Burgical services...

(c) Other physician services.

(4) Otber medical care (ambulance, drugs, ete.) ...

(e) Dental care,

(f) Total paid by health insurance

(a) Excem of payment over cont of medival care.

162

163



J. HOUSEFURNISHINGS AND EQUIPMENT—Continued

STANDARD QUESTIONS—1

— To Housing Itemy--Sections © Through |
vr | OFVICR USE |e povear Fishideas | 7Uitudioran | SoM ee 7 =
® . wo fw o if o_ EM | toragin ay
1 / ; —_. - . tH . | 5
MISCELLANEOUS ITEMS—Continved 2500 _
a200-Tas
87. Bleetrie fight bulbs .. z xf exxcz | xxancax | 87 | 1 tne fail receteed ane housing tems as PAY of GIFT trom agentes o fom pesos ave in uh fazay, how much were dhay worth? as
(a) Rent otter than rent received as paw reported in Section C... a we reeesecnnee] $ ORM A
88, Klectrio fone . 83
(b) Repairs or improveraeuls to owned Feal selate
Hand luggere—1; trunks—2, lockers—3, a9 ‘
89. RK (©) Fuel, light, refrigeration, water or phone swrvice.. .
.. Py cnn | 00
90, Lamps. (a) Miscellancous houschoid items or gervives . -
replace equipment (sliuvela, poker, sereen, et6.)oe-neane xx] xxxxe) eexrerx _ st
91. Fireplace equipment (shiuvels, ps (©) Housefurcushinge wd equipment... eee en ..
92. Clocks, pictures, vases, figurines, brle-a-brac, ete, cn | xaxee | cxrxarn | 92
| . 2 IF ate family pond fr any howung steuts which were GIVEN to persons not isthe family, Bow mn
03. Soissors, scales, thermos bottles, luneh kits, ete... ; ax) xxrxe  xexanns!. eee me (wo) Rene’: : - - ween
04, Blinds, window shades, rods, elu... . _ cel xceex|xxaanes ” (b) Repairs or suprovements to prupurty of others. voce -
95. Rental of furnishings and equipment (typewriters, cewing . P
Tachines, ete,).. feeeeeeenectennnneee Rr) xxKAK KKK KER 85 c) Fuel, light, refrigeration, water or phone serview... .
| 96. Insurance ov furduhings, equipment, and apparel.. xv |asuxx | ererexx 6 (4) Miscellancoits household wins or services... a
97. Other stews (Kposity).... a2 secede 97 {e) Houselurnishings and equipment... - ses
| 299 | Kk eseoseed {0 Totad question 2....... ooo a” ceceenceeenee
} zoe | +
j 2 ire 2, 1g faauly SOLD any bousing items, how much WW receive?
| (6) Fuels vee = one fee
i (>) Mixeeancous houschuld items...
1 °
| | (©) Houscfurnishings and equipment... - -
j r
| I (2) Total question 3...
t ‘
H 4 How much did family OWE to companies, stores, ugenelea, ete.
I ‘on Installment and viher debts form | RENT RAND S| Rie Bee: neg aun || euie- TOTAL
_. . co _ - | | netic sau |
Mune
OB. Torta (V through 97) evenness se — 28 198 Ite. i we wo ay
eh 2207 2207 BT 2208
99. [TEM INVENTORY ON YEAR ACQUIRED : TH 754 764 784
For each of the following items owned by the frimily enter the last two digits of the year if wns acquired. If che fasnily owas more than one of an ater, unter (®) Un Jan. 1, onal tH -4s|
Ung date for the item most recently obtamed, Keer KR
s00-O2T-722 (&) On Dee. 31, SY. _ yvxurxxs
TEM Kae 5. Uf Ala) i larger thaw 4(b), enter difference

3) 2AM ~ Off
ZR eo El

3
3
Fs

8_IEA(by fs larger Uvsn (4). enter diference...

(2) Living room eutte (au) Rofragerutor

() Chair, fully upholstered. (0) Home freezer...

(a) Television ser. (8) Drying machi

automaue...

(b) Piano, orga: () Combination waster dryer

| (c) Radio-phonograph set... (0) Cooking 8tO¥C.. ces ons

| (a) Radio. oe (p) Dishwasher. -. -

| (©) Phonograph . (@) Vacuum cleaner

| (0 TV combination set... (©) Washing machine —-
]

|

(i) Dining room suite

(i)

{u) Garbage dixposnt

(09 Sewing machine...

| (wy Airconditioner (demountaLie)

| ~) Air-condivoner (central, i

stalled)

o aq)

132 133



Q. EXPENDITURES AND REIMBURSEMENTS FOR FAMILY MEMBERS TEMPORARILY OUT OF THE HOME CITY at
ANY TIME IN SY

INTERVIEWER: If any of these expenses arr occupational expenses, chock tbe eubeoluma preceding the amount of expense for applicable items. Show yn
olumn (c) an the appropriate Innes the auounil paid by on employer na reimbursement to a family member.

"em | DESCRIPTION OF TRAVEL ! TOTAL, MibES
1, Family member sumber .. 2300-0442 10)1

we

2, Purpose of absence (enter code). Pleasure or vacation—I; college or
of

ether schoul—Z} business—3
home eity)—4; other—9.

ork (place of emplorment
JAB

3. Number of days away froin howe during SY ~ (2

4A. If used ow wor, approximate number of mites traveled (expenses aryl
bursement included in section P-1), Soncee tiles
KXPENSES FOR TRAVEL, FOOD, LODGING, ETC.. EXPENDITURES RELMROREE.
WHILE OUT OF THE CITY IN S¥ 2
7 sie aaa
| ar 7OT

| 8th

7. Bus, intorcity...

*

Shared or rented esr

2

Steamship

10. Other interetty transport.

11, Local transportation in wnother city). ~'T.. wt | | 87
saa #210
1 72

Lodging, food and drink out of the city:
12. Hoteh, motel, roams, cottages, ete.

Bayo ll

12. Room and hoard combined...

14, Meals in rustauraiits, board, ete,
15, Provisions (expenses not included in Seetion J

16. Snnaks, ice eream, soft drinks, ete.....

17. Beer, liquor, and wane...

Recreation:
18. Movies, theater and other admissions.

19. Fishing, hunting and otber sports......

20. Other recreation expenses.

Sehool expenses:
21. Tuition and few...

22, Books and supplles...
23, Fraternities, scrocities (excluding room und board) ~ 13.

24. Other schooi expenes.

Combined and other expenses:
25, All-expenso tours,

20. Combined expenses (Specify stems iuslusied)

27, Other expenses away {rout rome (Specify)...

fone
| 33

(48)

28. Tora (iems 5 through 27)..

reel

R. OTHER FAMILY EXPENSES

woe TOTAL EXPENWE IN RY
i 0

eee es

ee

. Interest (not principal paynrents) that came due in SY on loans from personal loan companies, baaks, individuals, ete. (Du

. Charges for chucks and other bank service charges...

. Legal expenses (not

not include mortgage mberest un home oF farm, or on business loans.)

Safe deposit box rent

Loss (other than biainess loss) such as money Just ur stolen (not covered by insuranee)

Money allowances given vo children hving ut home if you don’ know how {twas spent

Funerals, cemetery lots (purclase andl upkeep), monuments, ete.

BBS1-722

Other expenses (Repor

(Specify)...

Tovat (1 through 8).

Notes:

(49)

165



Scugpuue No. .....

i 7
g ¢
i 8 3
Ba 2 a a
5 < aS = Zz
Om
Z S <
Re al a
Pa R woe
Z< o
53 = So
3 O38 B Zo
= ze 2 c
« 3 Za = [es]
88 5 an : >
5 c 2 Sx & <
pg & BO ©
rs) 85 4 Ry a Mm
bes | BS be ~ = Db
3 gz i SE a] ie = 5
al gee v as
F £35 oe ra =)
4 £32 24 EE 2 Or
Leal B22 ale] ze = OR
Bgs £22] 4 |s gs 3 a
af <ala| 0 [= £ fa v4 z
50 8 lé{ - <a =) —_
3? =e S 48
|. aes oO i:
Za e <i od
dl ze SCO
5) 6 | 29 > Zz
i . maa eo
a oO eo gz 4
a
! 3 <
Bt FS Z
Zc 6
2 i+
al}
ER
i al é
|b \a
3 a] -
7 PA as
e
ii ala] 2 |
Fy 3 aia
Hard EPS
a
vtero-imr Cumommamnaneren
— Piped) =ES
apenas
T—SIMTA “‘Peay ATG) Jo omy (YONALONQO kg) ‘RT
a “T3840 POW 000'STS
**°608"F1S-090'0I¢
aon '866'68-009'LS
* 6B L8-000'98|
"866'99-000'S|
AB ¥} ee amv0N) <Ipay) parouRES,
*660"F8-000'h$
:{Aywo Jun Jo BOquIAD Jo ¥8v) “EL
sross ++ SUpIOMp JO ON|sA Joy Jo JOeY “TT
+ ---aymugy 9 (82) perma 40 (0) paaao omog “OT
peag Aprursy Jo aoprednsag “8
WN) Prey Sturdy Jo xog “g
sosetes espana AIiwu) jo a8e onwaneosddy “1 ©
©
++ Ag U] eyoOm ge OF EL pacojduie BLaquiom <yurwy jo oquNN “9 c
*

“Ag 0 s10W 20 vxReM gy PoLofdare woquIeW APNE; Jo ZoqUIMN

cr ne veeeeeessesees fyyuney ano up sxequiou! yo zquinN “%

ON AD oN ND

:uorwy Lav —rwsujoy “e
_ Josiatadas 07 Wodayt Nola 1 1-F _ siuwuuojuy | Je - ++ -eyeta ot uy 22enup ox,
oruL 98a —Is1A [nyssadINGUN puOD9g “%
Pt statads on Hrodorg __ wuganzoyuy | > ves puny @)
doosaedus or uodoy | _stveuuopy | stuasard ag 01 porsedxs siuedioag | C]+ --syavm stow 10 z 40) p9eOIg (9)
HA puoass 21!/p24>8 suvarsoyuy | :yuowaud 9q 0 pmoadxs urdna0g | [J-- secccses pondnaag (2)
SALON aU, YssvooMSUM ISAId L

ASNOJSAUNON YAHLO ONY SLINA ITIONUANT



Snag

K-I. CLOTHING PURCHASED FOR WOMEN AND GIRLS 16 YEARS AND OVER IN SY—Co!
Fasiry Mnunre No 21 [? Scmevour No. cote - —— panna Do SY¥—Continued
K-l. CLOTHING PURCHASED FOX WOMEN AND GIRLS 16 YEARS AND OVER IN SY a = 2 - .
(On these pages are listed elothiog items for womeu and gurls 10 ur over, Prepare a uepsrite list for each {amily member including each itam bought for TEM j OFFIC Use UBSE |BUUGEF) RRICRTAID | TOTAL ENRENSE | tree
the fumiy tieaber during SY, by herself of other tarlly members Space is provided following Section L for recording gifts from outaide the (amily. im i o ie * rr D N
FIBER SPECIFICATION —When Bber apeciGcation is asked for, eater the appropriate code from the bottom of the page in the bber code eulumn (c). T ;
MORE THAN ONE ITEM BOUGHT. item was purchased, which war of a iferent Aber, or at a diferent price from che first use » blank UNDERWEAR AND NIGHTWEAR |
line (X line) to record une information on the pecond purchase. Enter the nuimber of the item in front of the X and wnte the kind ol iter on the leader line. 26. Slips, petticonts.. wast | oto | rex
(For example, & xecond sweater would by eulwred afler iteiu 10 like this, “8 X Sweater.) 268
——— a T 7 27, Garter belts. . oni | xes ow
| pmion vary ele
ime orrcn uss | EBSE [bt] Gtawtinglen | TEadiagean | Ro 28, Gudies, corsets . 022
. ” ~ ie ray ot © w 28
] 7 20, Braseicres (code fiber)...
GOATS, BUTTS, JACKETS, BTC. | « ? os 29
1. Meavy winter costa with fu gost | ort | xxx Bo | 1 40. Pantin, hriefn van 0
2. Heavy winter cots without fur... a o12 |xrx -j 2 at
3, Lightweight cots, Loppers co. - 020 3 cae
a
4, Pur coat and farkets... - a osn 4 3. ost
. a
5, Fur scarfs, stoles, mutts - 032 5 29. Pojames, os2 aa
. Bamneunte, cain code fide
6. Rameunte, rain capes ( ° ve 6 J. Robes, houreronts, negligees. oss “
7. Jackets (code Biber) os 1
els (code Sber 45. Othor nightwear (Specify). - usa 35
8. Swenvers (code Sher). ce 06 8
2
8, Suits (code Biber)... . . 07 °
2
10, Other (Spesify) . ooo |xax| xa 10
a eesecnteeeeeen . 2
x. + 2
.. _ 2
HOSIERY
a 36. Stockings. - aaas. | 031 36
.. 2 37, Anklets, sone (including kace-high socks). oar 37
|
DRESSES, SKIRTS, BLOUSES, ETC. |
1, Streot droseve (code fibor). aag2 | ot i a eee u 38, Slipper socks... O98 (xxx). 38
12, Mousedresees (eve fiber. o2 12 39. Other (Specify) oad | xen | xxx | xaxcead 39
13, Dresses for formal or semitormat wont... 028 2
14, Skiers, fumpers, culotes.. | oze 2
15, Blouses, shirts (ends, fer) | os 2
|
16, Aprone, siuosks, brunch costs, dusters. a jose 2
AT. Slacks (code fiber) . los . . oe wv FOOTWEAR
| 40. Shoes, strect, dress, evening. 3238 0
18. Duogaroes, blue jesas. - 049 18
41, Shuex, casual (code upper Ger). 4
19, Shoria, pedal pushers (code fiber)... O8 9
42. Specln) sport shoes (golt, bowling, riding boot) ..
20. Playsulta... . | os9 2” i Fiding boots) 2
43, Houses
21. Bathing | oo | xxx a ‘pers 4s
44. Rubbers, galosbes, boota
£2, Other vlotbluy used for eport purtioipation, o79 fxxr|xea | xxxxace 2 salovbee, “4
33. Uniforms (military, of for volunteer work i
‘alde, Girl Scout, oto, a oss [xxx | exe | xxccaar |. | a8 45, Other (Specify)... . ‘s
24, Bpecial work clothing (uniform for waltress, nurse, ete, oso | xxx | xxx | xaxanex nm
25, Matched separates/eets. ope fase} aaa | xxxanax x
x 2
Xx... a =
Xn. - 2 1.
2) Princip & Leather,
x eee a) 3. Principally rayou and/or asutato, 7. Other fibers and blenda, including silk.
FinER CODE. 4. Principally man-ade Gbers ulher than rayun and acetate.
L Principally woot 5. Plastic.
2, Principally ootte &. Leather.
3. Principally rayon and/or acotate 7 Other here and blends, including sill
4. Prineipally ‘nan-aade fibers othor then reyon and acetate
e%
(3)
wer o-te-4
138
139



|

J. FOOD AND ALCOIIOLIC BEVERAGES IN HOME CITY, AND CLEANING

S|

SUPPLIES, PAPER AND PERSONAL CARE SUPPLIES, AND TOBACCO—Contiqued

; - —
[Torani sy | Te rrem TOTAL in ay | (TEM
oo . - b
- FFICE USE
CLEANING SUPFLIES. PAPEN SUPPLIES o a
SUPPLIES—Continued 2300 THOT
_ — — Gocouy In ofurn eronbe Soaes 28. HE hunily RECRIVED any food through: public or private assistance, how much was tt worth?...
| i ” 29 Tf the family RECEIVED from pertons outside the family pits listed below, sbont. how mueh were they worth? ULO=7A8
ves | No Usval Bxrunve .
| | Bear irae (*) Food. - - 20(a)
} ¢ © weer Month %b) Condy - - cote ()
{oe (a fe E _ oy
~ - : - a , ze eee TT (6) Cigurestes, elgars, tobaccu, suukers’ nupplies.. - (e)
15, Personal sare auppiieg Coe en a Soe ‘0 (a) Alcoholic beverages. - oe - cece (8e1-54) cay
(mm; Ourer coameties, toiletries | a
‘and personal care ties (c) Personal care stews. - . - J ECR 28T (ey
on pees sbegger: (®) Mousebutd supplior - - . deze —
lugues, Uatlt rate. yp: 4212-7
stick, rouge. lotions, my 30. If family GAVE gifts to persons outade the family of the items below, ow much was apent? 36
7
ote.
) (a) Food... _ SR 30(0)
(n) Taras eax iuxfxexee aeaxed Sola exexe |8
17, Other non-food teins: (Speei'y) | | | () Candy... - 0)
Hehe uv (c) Cigarettes, cigars, tobneco, smokers’ supplies... (©)
cesses a (d) Aleobolwe beverages. . (a
: | | i (e) Terconal care treme, a ©)
!
| ! (Household supplies . - 0
18, Toran MOH 412+ 19-+ H :
14(o) + 18(4) 416(n) 417). |e x xe | eee | evens |S. = — (®) Total question 30... ce - ®
19. Did you make any larze or puik purchases of food SY, such as 1 $110-722 yeeres
are not reported above? Yea e2O-cal 2 FOOD RAISED FOR FAMILY USE
20. If Yes, spocity twius Leught and ainounb sper Y 4
21. Did you purchase any prepared foods or beverages 1n SY (no 31. Did the family raise any food for lta own use? Yor J] No CL IM yes, ack stems 42-38
for paris, weddings we wuber veeasions” F] Vex C) No -03| 2» 3
22. Ver, how much did you spend? overseen - 22. How much would this food! have cost a bouxiit in w store?.. wf OBL ed ay
3, How much did the family spend for suppl (send, plants. ford, bahy chicks, fertilizers. eb.) excluding expres reported fn
: 3 Haz. - orcseocen _ a | § A224 a3
a, 1 At-Howy Poon Exrewmrronns in SY (lor editor) - _
Faun Eerrxmronce © 3121-704 u

¥OOD BOUGHT AND CONSUMED AWAY FROM HOME IN HOME CITY BY FAMILY MEMBERS LIVING AT HOME.

24, Board (unlece reported in Srewon >...

26 Menla in cafeterias, restaurants and otbr eating places outside the lwine
(a) Ab work:

sR Ol ag

Fanndy nwwunber N al J} al
Titi | oigi-tiy | stzi-7a
Total expenses... 3. als... 3 - 25(8)
(b) At reboot. :
Family member No al T) | al)
Bratt | siaieri | aaa
“Tota expense &. s. |. cece ()
(©) Other mean away from home: Excludes O steohole beverages. . ©
(d) Aenhatte beverages In bars, cocktail lounges, restaurants sud taverns (not included above} [s.382to/!] (a
) Torat... a | 8.31% OF
aI-731
26, Betwoen-meals foous (candy, coffee, ice cream, mmacks. sult drinks, ct.) 6
ru Toran (items 24, 25(c) and 26)... cis

(ay

136

35M yes, how

Did the family soll any howe produced food Lo others?

did the fanuly receiver.

Yes No U

1 veryouulont indlented io tes 1 and 15 that he purchased Lobueee, oF aleoholic beverages to Lu rerved at horas or earried froma
to questions below.

LAST PURCHASE

46. When did any member of the faraily last buy the (tems listed bulow, ond how much

did! the family spend for them?
(a) Coffee (except instant)

() Cigarettes.

(©) Beer or ak

(@) Whiskey, gin, brandy, of other liquor

(e) Wiuw.....

Interviewer: Enver date question 36 was completed

[1422 203) 35

home, record answers

}
DATE |

wanimggay ovmice | agsgan
ogi 801
_ 088-801 |
362-01 ro)
02 ; @
a L (ew)

137



1. HOUSEFURNISHINGS AND EQUIPMENT— Continued I, HOUSEFURNISHINGS AND EQUIPMENT—Continued
— - - = ——= : .
in ro. | wun q
ire | orrice use | S66%| USUSEF )  fecotain | Taare | NEM i eobe | utlutr ferent | "Bodine wes | "REM
w t by fo en @ o o. —— | @ © @
210 — HOUSEHOLD TEXTILES -Continued
I KITCHEN EQUIPMENT—Continued a 64. Shower curtains. Plastiom!, uther—2....... .. 8
\ 29. Othar electric equipment (frying pan, deap-fryer, rotisserie, coffee - | os
makers, mirers, waffic frons, wis.) (List below) i 65. Bath mate—1; bath vote—2.. |
U6. Other readyamade of custom-made houschold textiles (List 6
a 2276 30 Below) anno
| 6s
| oe x
67. Mutens! for curtains, draperies, slipcovers, trimmi et
| (List below): ms Hane cle w
| yaa, ose fax] xxcrx | xrexxex
| a _ 94s, 280 |xx|xxxzrx|rexaxcs
| 3276 4 68, Charges paid far making or sewing household ventulee oo |r xx [xx
| 0», Matera for Bandwork uted in hose (pot for fs) such as w]e XREEE 8
| crochet thread, yarn for needlepoint, vt ose |x RAK KEES
| Kitenen: Crockery and glasaware—1; kiteben knives, forks, Sud ll ekeineienl| 60
spoona—2; beaters, “patie ‘and others—3 4
42. Kitohen. Cl fools -2; tables 3; eabineis—1; other —
| (pecity) - 3272 2 eee
| CLEANING EQUIPMENT /
43. Vacuum olesner: Upright type
vanuslor type—3; electric broom-—4; other 6. 3274 43
44 Waxory, electric .. V0] 3274 4a NURSERY EQUIPMENT AND FURNISHINGS:
45. Brooms—1; carpet waxera (noneler-
Tie), mopr, danlars, pails, BeBe wu xx | xx] sz 4 70, Bheets: Plnio—6; Stted— - .. sen | ot 0
LAUNDRY EQUIPMENT 71, Pillows. . o26 7
46. Washing machine, Automatic—i; nonsutomatie—2| C] 1] 0} sas | - 4 46 u
47. Automatic clothes dryer> Flectrie—1; gas—2; 72. Blankets. Wool—8; other—-7.. og 2
peaal . ‘Jorloe <5 one w 73. Puds, rubber sbecti
. Pads, rubber sheeting ore [xx | axere | xe
48. Washer-dryor combinations | G1} a0 ~56 [xx cose 48 * RRERE 78
14, Maptreawes oma | 036 | xx on Snes "a
49. Ironing machine. : uilao | -s0 |«x : 49 ~
16, Cribs 6; beda 7... o4 Jace nnane!
Electric iron... - xx|xx] as | oso | xx oo ce] 50 | 7
51, Other laundry equipment (busrds, Luby, baskets, 76. Bassinettes—6; basker— . a on 1
clothoshines, ete - vex lex | gee | ogo |x | xxxxn | cxnnann 51 f 6
77, Chests. - 037 jax
o 7
78 Chairs, baby tonders, Wwilet sents, play pens, bathinetter 050 [xx fxxxxe | xxxaare 18
a
79. Carriages—6 ; strollars—T. — 277 | O17
i -
| a , i 7
| 80. Botties, nipples, storilizers, bottle warmers.., ..) 3278 069 x EREREIE ro)
5 i
81. Other equipment (List) 029 xr
seer orige - 81
ee vaneee. 7 oe 229 xx
| HOUSEHOLD TEXTILES
| 5B. Bheets: Percale— am | 01 - | 32 220 |xx
| 53. Pillow cases. . . oe 8a
54, Pillows. 028 bad
55, Comforters and quilts ; ore 55
56, Blankets: Wool—1; cotton ~2; elretrie— os w
$7, Bedspread~8; couch covers—9. . O88 ov MISCELLANEOUS ITEMS
58, Curtains, Dacron—1; cotton—2; Gberglass—3; other—4... o4 . 38 2. Meatere: Eleotrio—1; gan sams | -4
i 59 Ready-made ot custom-made draperics: Fiberylass—t; eluvily je ; 82
‘vollon—2; chielly man-made fbere—3..... os |. - @ 83. Delumidifiorn.. go] aw | -79 88
60, Woven table linens, Tablecloths—1; napkins ~2; place mats—3; .
nota 4... 7 _ 06 w &4, Air condit{oners (demountable type) -/Q1joo -89 aw
61. Plastic tablecloths, place mata . on . 065 61 85. Scwing machines, - -99 "
62, Slipcovers, ready-made or custom-macle. o 068 lax] xxxxx | aaaxxaxe | 68 86. Typewritery... . 377} 48 86
68. ‘Towels, Bath—1; kitchen—2; other- . o7_ | - id
ay sat 88-1 (a5
130 1



. ’ 7 HO: ITY—Conti
O. RECREATION, READING, AND EDUCATION IN ME CITY—Continued STANDARD QUESTIONS—DIL

item TOTAL EXPENGE Medical and Pervonal Care, Recreation, Reading, and Education—Sectiony M, N, O
a a wie tot oe = - a
RECREATION—Continued 2200 . a TOTAL IN sy
Other Recreation: ST ms
wruments aad upplios) |. Hf the family received any of the youd und services listed below as PAY or (ET from agencies or persons not in the (amily, bow much | 6610-816 |

28. Other recreation expense (excluding TV, radi, mu
was it worth?

(a) Medien! care froin company doctors, clinics or hoxpitals.......

(Speeify. a — --
2m Suvroran (1. thrmgh 28) eosteneee - (b) Medival cure in veterans or public hospitala ur paid for hy Medicare, welfary agencies, or persons.
{) Pemonal caro services.
READING—
(@) Memberships, toys and recreation eqipment..

30. Newspapers...

{e) Books, magazines and other resding materials,

31, Magazines (subseriptions and single copies)... - - cee =
sis (| ;
Books Bought (not Scheot or Technical) : BT2e ot (© Tuition, school books and supplies and other educatiunal expense .
= eon se

32, Poeket editions and other paper backs......

2. It th

amily psid for soy gonds aad services listed below which wore GIVEN* to pereonn not in the family, Row roueh did it spend?
(a) Medical eare services, upplinnees or other items...

3. Comic books.

(>) Personal care vervieos . ....

34, Iard-bound book!

(©) Memberships, loys and recreation equipureut, -

Other Reading Expense:
35. Took rentals, brary (ves and fines...

)

(W) Books and magazines.

ion, school books and aupplies .

(eo) T

36, Other reading exposes (Sper

— come . ~ (9 Total question 2...

3781-712

EDUCATION WHILE LIVING AT HOME— 3. If the family SOLD any ilems listed below, how much did it renelve?
Tuition and Fees: t (a) Medical appliances aud other iteme
38. Cotlege and profe: 3730 >

87. SuproTat (30 throngh 36)

(©) Toys and recreation equipment

39, Ovher sehool fevels,,
“ (©) Books sud magasines...

STS-TL
37a0- 8 (@) Schou! Looks and supplies...

School and Technical Books, Supplies and Equipment:
40. Colloge and professional .. .

~ oR (©) Total question 3.

41, Other school levels. =
wT How mush did Ue fn nnonea | READIN
"aa | EARNS

i"

for:

7
y OWE. on installments aud ollier debian MEDICAL | FERSONAL
ly on installments aud other debt EDI TERgees

Other Educational Exp
£2, College and professional (Specify).

43, Other sehoo! levels (Specify
(#) On Janusry 1, 8¥.

44, Musie lessons, dancnug lessune, wte.
() On December 31, SY...

45. Suwrora (88 throngh 44)

5. I{ 4(a) is larger thao 4(b), enter difference.

48. __Torat Recnestiow, Reaping «xv E:

If 4(b) in larger than 4(n), enter uilferenee...
a - oe Space below way be wed 0 emniee eatendltares for QUYTS roparted in rons to Gontlon Z

Norges: _.



U. FEKSUNAL TAXES, PERSONAL INSURANCE, OCCUPATIONAL EXPENSES, GIFTS, AND CONTRIBUTIONS NOT

DEDUCTED FROM WAGES AND SALARIES

od EXPENSE ire ERE |
Thay act |
ny ‘ ow ay |
2300
1702 716
PERSONAL TAXES DUE IN SY cd
1 Federal income tax for BY, not reported in Section 8 17% 15 Other personal inwrance (Specuy) a”

2, State and local income tax for S¥ not reported in Section $ _

3, Poll taxes.

A. Yersonal property tax

5 Other taxes, 0.8 , howd taxes (Spuodty)

$n

16. ‘Toran (10 varougti 15)... _
a2ii-vi7

GIFTS AND CONTRIBUTIONS
37, Cash contributions for support of persous not in family

@ Terran (i through 5). -

(Including alisnony paymonta)

Gifts of cash, bonds, or stocks to persons not in the family _

PERSONAL TAXES FOR OTHER THAN SY
7. Yersousl taxes due in other than SY and pad uw SY...

REFUNDS
8. Income tax refunds received in SY...

Be18-711
Zerg -g|| 1% Community Chest, Red Cross, ete. (not deducted from
3.%* pay) con ee
TH0I-7D
20 Church and other religious organizations
siTer

9. Othor refunds received in SY
(a) Auto insurance.

(W) Other insursace,

(o) Property taxes

(a) Other (Specity).

TH0s-714

21. Educational and medical organisations.

Politieal and cooperative groups.
AM other gilte and enntributio
(Speuity)

24 Toran (17 through 23)

OCCUPATIONAL EXPENSE NOT REPORTED ELSE-

fe) Total item 9.

WHERE
25. Union dues and aswessment3...occc- cocci eeee

PERSONAL INSURANCE
10. Life. endowment insurance, annnity premiame paid, and
insurunce dividends applied lo presume,

(a) Velorons,

(b) Other...
11. Combined insurance: Life and (Specify) |

32. Mutual ad insurance... see

13. Personal liability insurance (exeluding eumprehenseve)

14. Disability ineome ineurance (not reported in Section M)..

4101-718
26, Business and professional asrociation dues... coc...
27, Toole, eupptios and equipment...

§ Ler C2] 28. Olver eoupationnl expenses (Spevily) - os

“3

a

Norns .

(Page 55 was blank)

(64)

170

V. CHANGES IN FAMILY ASSETS AND

ASSETS
1. Cash in asvings accounts, including credit
postal ravings, ea...

2. Cash in cheoking wevouuts and cash on hand...

4. Mouwy owed Wy fainily members bv individuals (not family weimbers). ..

4. Settlement on surrender of inrurance polletoa during SY (lw OF AMMUIRY)..c.ccccsoesceseseoe essen

vestiuont w business (edwor's transfer from Seation 8-11)... .cseeseeeeeeeenee

The Bureau of Labor Slativties will hold this infarmation in the atrivtont

ovav ox ganvany 1. |
ey

2300-212-414

o

TUTAL ON DECEMBER ay
¥

2300- O211-828

on a

xxxxxuxerre

rexexvexxax

5. Net obange

OnF-821 7

‘0211-821

8. Other aaacta exeluding storks and bonds (Specily)

7, ULB. Savings Bonds purchased tn SY and held at wud of SY.
8. U.S. Suvinge Bonds hiwid at beyinming of SY and sold during ¥
reporued in T 3) aie

/ (piruhsse priew eniy; intareat

9. Othor bonds purchseed iu SY aud held at end of SY....... .
10, Uther Lunds held at thu beginning of SY nad sold during SY

11, Mutual fund shares purehased in BY aud held at end of SY

42, Mutual fund shares held at beginning of SY an sald during SY...

18, Other stocks purchased in BY and held at end of SY.

14, Other ttocka held at beginning of SY and sold during SY. oe

15 Terra (columns (4) and (e)—iterue 3 through 14).

10, U.S. Savings Bonds purchased in 8Y and sold dunng SY (purchase price only; inverext reported
in TI

sold duriig S¥ oF retired by eompany

17. Other bonds purchesed in SY 2

18. Mutual fund shares purciuswed i SY sud sold daring SY... a

10. Utter stocks purebased in SY and sold during SY...

®. —_Torat (colurana (d) and (e)—items 16 through 19)

LIABLLITIES.

Movey owed by family memners (exeliding mortgages, inulalluwut dubls, and charge accounts re
portwd elsewhere):

21. To baoka a

22, To amall loan cowpuuies..
23, To orwdit univus,
24, Tu Iusuraoce compantes..

25, To mock brokers,

26. ‘fo individuals (not family members).

27, Othor liabilities (Specily?.

Af 8... Th

0202 RAE
‘Total onreiase rece

XKXAKK KEK

23

&.
chimera fe deaueted)

Xaxeexxxrax

kx xereree ee

xX REKKKA KK
Total parcuase price
(Broker foo tckusea)

‘. 733

xxxarxrenrnx

RN KEERKAATE

XUN KKK KEES

(0195-814
‘Tots purchaw pres

0126-918
‘Toul purchase price

Bead

Tosi sie
Seaustedy

Wet rexived
(Brower feos

aAKkeexxxcxx

OR21-RIT

28. Toran (columna (d) and (0)-—-itame 21 through 27).

0222-817

(86)

471



D-L. Property Owned, Bought or Sold in SY

D. DWELLING AND OTHER

rem

wit oerapted At and of BY

Property 80.28 [TTT

Deretuaw vergpard gets aod
ONasornsted is 3¥

rope xo. 28 [TT]

Vacntton nose, exo, ottae,
ONS

1D Ramted bo ctbers _

1D omer iepeetty)

_— taj a
OT preeeir no, 6L2 [| Freme Ne 23/8]
fo ) u te) ay
PROPERTY OWNED AT ANY TIME IN SY 2N1B-71T 2118-717
. Year bought ... . 19... xxxxxxxagda
. How mony muaths in SY did you occupy this dwelling”........ montha were eurxrs

Property lax which became duc and payable in SY Gf unkuowu, eater
check 20 box

. (a) Was this amount paid by Dee 21, SYT....

(b) If no, what was unpatd balance’.

Ilow much waa patd tn SY on property taxes due in yours before SY.

Property insurance premium patd in SY+ (If unknown, cnuer chook in
box and specify sn futuole whether brick or frame and amonnt of
ingurance coverage.)

(0) Oo real property oniy..

(L) Comprehensive (homeowners) policy.....

8, Special assoeaments paid in BY (Specify)... ...

9. Ground reat,

30. Other expennen (Bpeally) ane 2

14, (0 If any part of the dwelling was used for your own business or rented
to others, what percent uf thw expos is chargeable to ths use?

. How much wna pid in SY for taxes which became due alter Dec. 31, SYT.|

aa 16

oszI-713

CO } own business
O3RK !
12 rented to othere
a

0922-713
2 1 own business

0 2 rented to others

Nee

xxxxXGxaxr

ye |exeredere
(h) If for own busine, wae this percent of the expense deducted os 6 Z
business expense In Aguring net insoma? (If no, expiuininfootnowe.)..|__ Yer Q 1 No 0 Ye Ot Noe |<xxexvex
PROPERTY BOUGHT IN SURVEY YEAR PUTS py BUT-T25, 2113-735
12, Waa property purchased new or was it previously occupied” New G1 Used O2|xxcuxxaxxcxx[axtuxxxersz

1¥, Porehase price or land and consiruction costa...

14. Cash down payment (If tnde-in, enter check (n box)
15. Seluiement charges (includes mortgage placement/Sndors fee, title search.

title guarantee, payment of escrow, roeording fens, and tax ekampe)....
16, Other charges paid at time of settlement (Bpecity)

esesene a om
PROPORTY SOLD OR TRADED-IN DURING 3Y eT ee an
NN ezra  o

17, When was property sold? (enter month 3-12)... . xxxxrexcrry eens ORR TOR

18, Sale price (if wraded-in, cheek box) cool Cexerxcx exe | 038.2182 os She Sl

RES 2 OB) 5 BR IF

19, Beller’s settlement conte -

20. Commision paid to realtor or agent.

MKMEKKERKUG

21. Bubtoral (inams 6, 6, 8 13)
22 Rubrotal (lume 4b, 1R)....

23. Subsoual (ivems 8, 75, Tb, 9 10. 16, 18, 19, 20) S.

@

122

REAL ESTATE OWNED IN SY

D-IL. Mortgage Information

vem

w

Dwelling oocuniog atsnd et av |
Propeny wif

‘Other road
Property No.
ce

(GeMoxtsge ome
rrovecty No, 23 [T}

@

Ts there more tau one mortgage on this property?
plete colume d)... -

(A yes, com.

When was the current morigage obtained?

by yout...

When obtained or assumed, how many yeare was it to mun?

When obtained or aasiimed, what was the ainouul uf (he mortgage’...

What was the rave of iptercst?.......
What type of mortgage was it?

Conventioual (aot Government-guatanteed) :
(a) Institution (bank, bldg. & lonn, o0.)...
(b) Former owner.

(©) Other individual.
Government-gunrantoe
(@) FHA muitary..

(@) FHA non-milltary....
(0. Veverana Administration (VA)...

Were payments mede: Moothlyt....

Other? (Sper
9. Did payments include taxoa?..
10. Did payments include property insurance’.

11, How much was the lotal mortgage payment made in SY?...

12, How much of this wae prussipal? (Uf upknown, check in box.). ..

12. How much of this was (nuerest?

14. Premium for mortgage inwurance (hfe).
check in box } 7

15. U moriguge wax reflusnurd in SY, what refigancing charges were
pad?....

(Mf unknown, check in box.)
(It included in ivera ti,

15. What was the balance owed on thr prinmpal of the mortgage on
Jan. 1, SY?

17. What was the balance owed on the principal of tbe mortgage on
Des. 31, SY?.. a

Was this a new mortgage, or ano nircsdly uu Lhe property aad assumed

“f v8

New OQ Asumed C2

years

Ni

Ye Ot
Lie
kor 19.

0220-716

2
few OL Asai

NeOo

ol 2

yeara

on sie

RARER KK AK

194i
ke
umed C] 2
tS

New Ot Al

0220-726

7
Q
e

0220-726
Go

ooopo0 000

Ye O1
Yes G2

-lpoljoaca oo

No Go |i
No Gv

4

“OT

fo

Ye or

mt
Os...

No [10
No Qo

o1

pojsac coo 3}

Yea
Ye O1

3RRt

7o3

wine

Yor

2201-714

3 ORR ORR — [ZR

RAR

IR. 1f (14) ia nrger than (17), enter difference Jie
19. Hf (17) Se Larger than (16), enter difference................... — ie
20. If any interest dus in SY was not paid by Desembar 31, SY. how: | ® eased 22n3-| (8
21. IC any Jwerat dus iu years before SY wae paid io SY. bow much | a a yg yy -/ BBL 13-18) eee “|
PROPERTY SOLD OR TRADED-IN IN SURVEY YEAR BRZS -O7T 170-114 oy
22. Whe pean ras had 1 7a MO ces] PERE SES EER | Soh 3.7 OF

how much was owed ty you at Ue Lime of sale? EERE ER [ALL GIR
25, Payments reeeived on interest fn BY... a Ee (0.03.
26. Sudtotal (ivems 18, 21, 23)... i ~ $. ~
27, Subtotal (ivems 19, 20, oe 8. ‘
28, Subtotal (items 13, 14, 15, 22) & f cae senna 8. =

AWhan? O60 +E wm

123


Fauny Mewser 3

21 FT

Scatnvur No,

K-IIL. CLOTHING PURCHASED FOR GIRLS 2 THROUGH 15 YEARS IN SY

On these pages are listed clutt
Ue family member during the SY, by herself or otuur family members.

FIRER SPECIFICATION.—W1)

(XD Hine Co record the informasiun on the second purchase.

ny, items for girls 2 through 15 yeare in SY

wns of a different fiber, or ats different price trom Ue first, nar ® blank
Enter the number of Ue item in front of the X and write the kind of stem on Uie leder Noe,

(For exumple, a second sweater would bp entered after ster 11 like this. "0 X Sweater”)
= = = 7
pyrice pice raip | TOTAL exernae ITEM
iTeM | OFFICE use (Heladigg wo) (esoanr ts) Ko.
_ wo cy eS “0,

COATS, SUITS, JACKETS, ETC.
1

Heavy winter coats.. secs BML | O11 | xx Bove
2 Coat sets (number of pieces = .. | 012 wax
3. Lightwerght comts, tuppers . .. - . O29 , xxx a
4. Snowsuits, sks sila ost | xxx — .
5. Leggings, ski pants josa | xex . .
8, Hainroata, rain eapes (code iber).. - o4 oe .
7 Jackets, heavy (code fiber). a Os he. =
8. Jackets, lightwoight (code fiber) _. | 06 . _—
9. Sweaters (code fiber) _ -. eee O07 = = | ..
10. Suits (code fiber) .. 08
IL. Other (Specify). | | ooo |xex x
os seen -. | 2
a 2

DRESSES, SKIRTS, RLOUSES, ETC,
32. School and similar dresses... cece sux | ots fers |. cose
13. Party dresses (code filer) see 02 2. ee |e -
14. Panafores, stuck. a cesses cssteeae o29 | can — |
15, Skirts and Jumpers (code fiber) 2.0.0... a og _—-
16, Blouses (code fer)... . joa . :
17 Tee shirts, polo shirt... seeeeee — 040 wx |. _ econ
18, Slacks... - - - ost
19. Overalls, dungarees, blue jeans. — a os?
20. Shorta... - -. | 053
21, Muy snits, aun aviv sesensecesnseseeieee | vet
22 Special play clothes (cowgirl, Indian, ete.) ~ O82
28 Batbing suits, = we - | o79
24. Gym suite, leotards and other danemg conlumes, ete... oB)
25, Uniforms (sehnol, Girl Seout, Campfire, 610.) 0. _ veg
FIBER CODE:

1. Principally wool 6

& Frmebally rayon anor acetate z

4. Principally man-made fibers other than rayon and acest,

(8)
144

Prepare a separate list for eanh family member cluding each item bought. for
Spacw as provided following Section L for recording gifts from vuleide the family.

fiber specification 1s aukedl for, cuter the appropriaty vode from the bottom of the page in the Aber code colwiutt (e).
MORE THAN ONE ITEM BOUGIUT.—If « cecond item was purchased, w

x)

K-IIL CLOTHING PURCHASED FOR GIRLS 2 THROUGH 15 YEARS IN SY-—Contioned

. nea |e PRICE PAID | TOTAL HxPEN: M
is: CObe FRovser)  aSeoiar' ah ‘iedudiag war | Tht
a ner te © ay
— ~ 7 !
DRESSES. SKIKTS. BLOUSES, FTC. Continued |
25, Matched separates/erts, - au2 000 | ex
x . a |.
x . . 12 |
x. 12 lenne.

UNDERWEAR AND NIGHTWEAR
27. Slips, pottivosts...

Bud ota | xx

OR Garter belts ooo — lo i
29. Brassieres - org sak
BW. Panties, bres oo see . ola fax
31, Understarts. . j ors | ex
22. Other underwosr, eg, umon suits, snugaics, ete (Speeuy) O16 | xe
43 Nighigowns, pajamas = ee o51 | xax 33
34. Bathrobes, nowsecomts... - osz | car]. { u
25, Other nightwear (Spee). oe o53 | xxx janx 35
concen seven | 2 on ee |
x _ | 2
x - . - | 2 .
AT. Anklets, sok, knee-high 80K oo bo32 | xan le woe a
28 Slipper soeiea.. seteet decease _ o33 | aaa 38
39 Other (Specify). os4 |xaxr|ere 20
Xess oe cesses a
x cesses 2
x _ 2
x eevee cece - a 2
FOOTWEAR
40, Surect and dress shoes... cee seen enneeee aus | ore 40
41 Shoes, casual (code upper Gber) . Jou nu
42 Special sport shoes (golf, riding boots, vte.).. ore 4a
43, Houseshppers, ballet slipper... a 028 43
44. Rubters, galveltes, buots - 039 |x “4
45. Other (Spoeity) - - - | (oe9 | xx 45
2
2
a
Xo ese —_ eesnenn TE 2
re Srineipally wool 5. Piast.
42. Pranepallyeayou andlor aveate F Other hter and blends, including silk
4. Principally. mav-nindy fibers other than ravon and acetate.
(2)
145



K-IV. CLOTHING PURCHASED FOR BOYS 2 THROUGH 15 YEARS IN SY—Continued K-IV. CLOTHING PURCHASED FOR BOYS 2 THROUGH 15 YEARS IN S¥—Continued
~ — =T —— aie Sa - : "
| ornce vse | SSE PASMETH) GRICE TD Tedudiar ian | "NEM | trem onnice Us wet
— — —_ ws ee | a rs 0. w ~» w
‘ ~ ~ ~ — “7 1
PLAY CLOTIVES—Continaed
28. Gym suits, baseball srt. football wits and othwr eluthing for sporss BD hee auher vpper (includ ssw | ot an
‘pactteipation fs nee - R23 ur 23 —— . |
=! 40
24, Uniforms (achuut, band, seouts, ete) | ee om 40 Shoes, canvas sess ee se pet
| ial sport <hoex (gol mask |, riding hoot. Vee 4d
25. Other (peel) casas see on . . _ - AL Special sport «hoes (Ralf, basketball, ruling boots ete woe o
Xx i 42, Houseshppers...... - 029 | eee lf. a a
x { 43. Rubbers, gatusties, boors: —_ o39 xKN lane json = AS
| ~ 14. Otter (aperts) ve cesses ce . pov Jaca farax[aervace “
x - en . | i x cere cette 2
SUIRTS x J 2 .. -. =
| 36. Dress shirts. . : ae | - vs _ ; : — ;
27 Sport shirts, woven (rode fiber) . | n . z an
28. Sport starts, knw (rode fiber)... cet | . an GLOVES, ACCESSORIES 43
29. Other (Speeity7.. . o cecteeee ceseee | vexaay 20 45. Hats, caps and helmets... -_ nazz org [esx [reac] rKaAKK AK od
{ - 4 eae 46
x . . la 46. Gloves. . a” . bo29 |x
Xow. i 47. Accessories (ties. belts suspenders, wallets. ear in o3y | sax iaxex| xxr a7
. . 2 |
z 48, Watches and jewelry... ee eee - o4i9 Kew lure | xox 48
X. ee la A9. Other (Specify)... .. Lo. age wen |[xxex | ren AQ
UNDERWEAR AND NIGHTWEAR | Xen . 2 . .
30 Undersnamts. oy cececneee tose . 3324) ond | xxx . a me) Koc o 2 ~
31 Understisrus | vig | xc at 2
32, Von suits. . |ora | vex : 7 x ; : Ps oe on ee
|
33 Pajamas - - - | obi | xxx - | 39 50 Lump sui expendiwures (to be ual only when respondent 1 | wo
H, Hothrohes - : 052 luxe | ~ a table Un temize expenditures) ssw love xen xxx
i KATE KuUNerrt! A ot
35. Other (Spey)... . ; boss Jane |ueax rraeees | as BL. Toma (ough 30) . mace iene | xan iaxxe g
Kee | 2 1. Principally wuvl § Plane
2. Prinerpaity cotton ther:
ee ae | 2 : 3. Principally rayon andior neetate 7. Other filrers aud blends, wweluding silk,
~ pally itian-made fibers ovher than rayon awd wentate
| : Nores: . . .
| Hosiery
| 36. Socks. a soe | 3325 | ogi [xe 6
37, Slipper soeks..... .. .. | us2 rux 37
38. Other (Speer a. .. | 03s XEX aS
12 .
oe ----| 2 a
. 2
i)
5 Paar
Leather
pally tayon and/or acetate cr fibers
4. Principally man-made fivers ather than rayon and acetate. 7. Other fiber
Novas:
(32) (33)
148 149



B. HOUSING PATTERN

ITEM
it

_ C. RENTED DWELLING
If the fuinily ocoupiod n rented dwelling all or part of SY, complete this wuctiva,

| | UVING ARRANGEMEN’
4

res TOTAL EXBENSE IN 8Y
Where did the famnly live on December 31, 3? —— “ —
“This housivg unit?) LJ 1, Total rent pald 10 SY (Use work spare below If rate or unit reated changed in SY) 2300
Other bousing unit? LI = ‘essai Toetvdes bound “| SeuI-716
P y move an n Tie Row | Expo a 5
4, (a) Did the family move m SYT... No Oo ve waa psu wo | RENT Reed as
(b) If yes, where from? PAN

3. (a) Tennte of famlly on December 31, S¥* Owner.....
Renter
(b) Tenure of family during all of SY: Owner all year
Reater all yoar
‘Owner part year, renter part year

ers

OTHER OWNED REAL ESTATE

Check Each Typ» Owned ui S¥
Vacation home. pete
Residential property (not occupied by family in SY}
Commercial property (not used in famity busin
Unimproved land
Structure under construction
Other (Speelty) - sees
VALUR OF HOUSING UNIT OCCUPIED DECEMBER 21, SY
10. If rented, enter December SY rent to nearest doline, LI rent fern, enter rental vale

2, Repairs, redecoruting, or improvement on rented dwelling paid (or by {amily

3. Speuial fees, bonuses, commissions, ete., paid to obtain dwelliag.

4. T{family sublet its rented dwelling, how much did it receive?

5. Total (14243 mipus 4)...

1214-728
0321 ~0/ | O Lown business

0% | D2 rented to others
11, [Cowued, enter Deveuber SY estimated market value in dollars,

DESCRIPTION OF HOUSING OCCUPIED ON DECEMBER 31, SY 6. If rent paid during SY covered premises used for business or rented to others, what perceut uf the rent was chargonble to this use?...] [) . -%
12. Type of housng. il
(0) How. Oo. If family received say rent nx PA 121 724
(b) Apartment, dat, Oo? i
7. For winoh family member? -M. No. 23[T_}
(©) Room(s) eereern os or wine ly member P.M. No. 23[]_}
(a) Traiter, other. os &. How much as It worth? ..

z

13. Number of rooms oceupted (exeluding bathroom)...

FACILITIES AVAILADLE.
14 Bathroom {acilities

r
LIC the family occupled » reated dwelling ox December 31, SY, Indicate by

. | cheeks tho equipment and services which were included in Lhe Devembor, S¥
(a) Number of complete bathrooms: Privute........ ils 300
/ 1
ts om bathronm tact Bhated co... 7 FACILITIES INCLUDED IN THE RENT err
5. Other private bathroom facilities:
(a) Wash bowl... BP oO 7 a) ¥. Furmshiogs: Noue oOo.
tb) Ylust toilet... o1 oo Part. oz
(s) Tub or shower. o1r!ino
16. Installed cook stove....... gu oe Pull = s =
AT, Refrigerator.............. oo: oo _
18, Washing machine. oOo: Co Installed cook stove... a /&lo1}] oo
18. Air canditianing gu go M1. Rafrigermtor..... obiloo
20, Water:
(2) Nove... - - a: . Laundry equipment. aqiloo
(b) Gold only. Oo:
(¢) Hot and cold. - - eee as . Air conditioning. Ot oo
‘21. Heating equipment: = none ene a
(a) Nope.....s0-s. seen G1
(b) Central, inatalled. - oz Cold only. ....... o2
(©) Other, installed o3 Hot and cold.. O38
(a) Ouher, not inotalled...... a4 Yea]__Ne
22, Uarage:
1 o
(a) None. ae ee oe ~ aot o o
(b) L-Car.. a2 On oo
ga .
— : - a a« ur,;oo
Services avallable in apartments or rovuis (Nv. (2 (b) oF () checked above) Ye No Blootrteity oe oiloo
23. Elevator. BO
24. Central awitchboar: oo . Hoa... _— orfoo
25, Maid service ao Ta apartments or roo: 31
26._Ovher- (Specify) ge Central switobboard... oiloo
= 2). Maid services. go. go
©)
120 j

121



a!

STANDARD QUESTIONS—IV
Sections P, Q, R

Transportation and Miscellaneous Expenses.

rem
oF

1, If the family rereived any of the guuds sud eorvices listed below as PAY or GIFT (rom agencies oF persons not mn thy [sutily, how much

waa It wortdt
(a) Automobile... a .

(b) Auto operating expenses (fuel, parts, repairs, ote,

(©) Boat, cycle and other transport equipment and operating expenses

(A) Local traneportation. nn

(eo) Travel out of home cits

(Lodging, food and recreation out of hoine city...

(y) Legal expenses, funeral costs, and gifts not reported claewhere

2, If the family paid for any of the goods and services listed below which were GIVEN* to persons not in the family, how much did it

nd
(a) Autamobil

(b) Auto operating expenses...

(6) Boat, eyele and other tranapart cqvipment and operat

(d) Loca Urensportation,

(e) Travel out of home city.

(0) Lodging, (vod und revreation out of bore ¢i

(q) Legal expenses, funeral conta, and gifts nut reporled elsewhere...

(h) Tova question 2.

3. If famlly SOLD any transportation equipment other than automobile, how much wus revived?

. Usual umber of hours per week.

oe

Boat eyeie and
port

4, How much did the family OWE ou instulluent Aviooperating [Steeresoarer | tyacet out ot | Ladgiog and
find other debts forse m| Autnemrennn | ABE SEREINE [om anatemant | TESS estate
soe

© @ fe) o i im
2206 2207 2207 207 2207
914 zd Uys 944

(a) On January 1, SY... . 5 Oba

(6) Op December 31, 5Y

. Uf Aa) as larger than 4(b), enter difference.

(60)

166

Oceupation (kind of work).

Business or industry.
Class of work (private — —-1)
(government—2).

Number of weeks worked in SY.....

2S.
Total wages and salaries before deductions Gnclude over-
lime pay, lips, commissions, ete). Check if bared on W=2..

. Deduetfons from waxes and éniaries:

(@) Federal income tax

(b) Btate/loral inenme tax...

(e) Social security.

() Ratirusd and other government retirement. o.oo.
(c) Non-gavernment retirement...
(Union dues and sssesementa.
(x) Contributions to Red Cross, Community Che
(b) Group life insurance.

(i) Subtotal ((0) + (d) +(e) +e) + (0)...

@) US. Savings Bond:

(&) Group health insurance, hospital, surgical, and
mesiical plans.

@) Other deductions: (Specify)

(mn) Total deductions ((a\ through (h) plus (j) through (0).

&. Take bome pay (6 raious 7(sa)),

Notes

8. FAMILY EARNINGS
S-1. Wage and Satary Earnings in SY

yu No. 24 7 |-12u1

zon no. 80]t | sobre. 801

rom wo 24) 7 azar
Oe | wxe7O1



_ nee eee es

A. FAMILY COMPOSITION AND WORK STATUS

Ka AT TIME OF INTERVIEW AND DURINO SY FAMILY SUEMUF HS SOMETIME IN GY RUT NOT

j TaMiLy wes ene

Pawaue MOR CHAMAUTEMIETICS i Acorn | RES, | TEM
ulin | we
nero) | i i
— ww | iw | | oe |e | mw | om | pe | | we | im |
1 a — —
1, Fawily member auebei n uC | nt | ft] wf je J 9 a OT i 9 7 | OD 0 1
2, Relationship to hend (code) OO11-O01 | O011-OO1 *GOII-—901 | O01 F-005 | O11 001 { OO11-001 | OAIt-oM1 | OOTI-VOI_|~OI1-001_|_OO11-00K |
- In-taw ... 6 ae
Bevther or sist
Nevar married child Mother of father,
Other child. Othorwine rotated.
Crandebild.. Unrelated... @ 2
3. Relationship to other members... _ 3
4. Son: Mule=1; Formule? a | 4
5. Age on SY birthday... | 5
6. Marital status at end of S¥:
Married.
Never married. :
Divorced. « .
7, Eduestion—bigheat gradu completed au) 7
fou Bovest Cr S
FOS
1 # (0) (CLASS of ORI. TNO. LOCC aPETICND _ alt | ee om
$F Auostes. ca. SAND we soo| o | © |e |e |e |e ;
NUMBER OF WEPKS IN SY P.M. WAS
8. In famly—Total 8
(a) wt home. ()
(b) Lomporarily uway (busines trip, hospitalized, vacation, etc.) .| (v)
9 Now living mt home (In eiltary service, reading abroad, insitutionsliced,
sto.) (Specity)... a a _ 000 I ®
FOR P.M.'« 14 YEARS OF AGF OR OLDER, ENTER NUMBER OF |
WEBKS IN SY: |
20. Working fr py. 209 i ~ ”
¢ L CARNEeRS) UF CLUTIME EARN COL. b=!
Not WORKING FOR PAY BECAUSE ' : ,
11, Looking for work or on layot from a jub. =oe} | ogee fp i. Dee on
I Tem 1-14
12, Ill or disabled and unable to work. 2
13. On unpaid absence from work (strike, vacation, ets.) | is
14, Keeping house (wornen only) u
15. Going to schoo! (persons under 30).. 15
16. Helping in family business or working on fumily farm....... e
17. Other (Specify) 17
18. Race of bead (code by observation)... 18

White (11 Nowro f) 2 Other (Specify)

Noes:

Nowes: ..

118 19



LIABILITIES NOT REPORTED ELSEWHERE

confidence. Jt will never be used for taxation or regulatory purpose.

W. LONG-TERM INFORMATION

Certain information for periods other thau the SY In neoded to provide eesentinl data for research und analysie purposes,

IF ITEM IN COL, 0) ME LAROER | IY ITEM IN COL, lo uanaER — Ss * oe }
THAN IN COL i Ui Htc oti Sate These quettious relate vo family Income, excluding “Other money revived" an listed fo 7-19 (e., imberitances, ivsuraner settlaments, etc,),
BEAFERENCE ane Goldy | TveeniNCe an alts PoLUMe | | “ee - _ a - i

te iw - == - = =
> Waantworow Orricy Use
2500 2121-714 2300-211 1-71 | 1. (a) How Ald your family income a (SY) cnrpnre with family imeome 1 se. (8¥ minva 1)?
s. 21AL~ I § RII i | Was it a1 aa Os ot Os De ut =
‘ | 7 7 1200-718
Much Somewhat About the Somerhat Much Don't Not.
ome 2 higher higher zane lower lower Know — applieably oe
(More than 25%) (8 to 25%) (5 0 25%) (More thaw 25%) . eo
8
(b) Tt higher oF lower, why?
= Axxurxxxuxxexr| 4 const -
Thipredavar Teseme ta invertorar -
Brie ee 2. (a) How did your {amily income in cess (S¥ muaus 1) compare with {ta Income in... .. (SY munus 27
Was it
5 Or ae 3 wd os os 7
Much Sumewlat — About the Somewhat Much Don't Not
Ligher higher same tower lower know — applieable
6 (More than 25%) (5 0 25%) (5 w 25%) (More than 25%) |.
(b) HM Ligher oF tower, why? oe a
8 BUSH 7 _ . a
KER KKK KEK AKK | & (a) What du you expest your _ (SY plus 1) family iuconse will be in comparison with
Whi tt be"
51 ce Gs a4 Os
9 Much Sonwwhut About the Somewhat Much
higher higher same lower lower
10 (More than 25%) (5 to 25%) (to 25%) (More than 25%)
n (O) If Uigher or lower, why?

a AE. 13
xuxxxxxxxxxvexs | a

ERAN KXME RRA KKK |

= 18
1252-713 V251-713,

Fexaaxxcrxaxex fxxexexxaxexexx| 16

REI 2 SL,

BRD.

(58)

(St) i

172



CLOTHING PURCHASED FOR WOMEN AND GIRLS 16

YEARS AND OVER IN SY -Continued

vem
ye

OFFICK VAR

PRICE PAID
(Rectal 135)

o

TOTAL EXPENKE
(inetoaine tt)

HATS, GLOVES. ACCESSORIES
46. Hats. . wees

AT Gloves...

48. Handbags, puree

49. Umbrellas... - ae
50. Accessories Guawakorehiet, “carts, bella, collars, dickeys, Mowers,
dress whielda, ete p.

51. dowel

and watches (including costume jewelry)...

52, Other (Speerty)

53, Lump sum expenditures (to be used only when rexpondent we unable |

1 Wemize expeuditures)...

$4 _ Toran (1 through 53).

FIBER CODE:
L, Principally woul
2) Principally cotton.
A. Prineipally eayon and/or acetate.
4. Principally man-made fibers other than rayon wid acetate.

Norns

ies:
Ne
©

46

(24)

140

this family member ducig the SY, by himself or other fa

ex No. 21L__)

Seunoyie No.

K-Il CLOTHING PURCHASED FOR MEN AND BOYS 16 YEARS AND OVER IN SY

On these paces are listed clothiag teu for raen snd bo;
1y members

BRR SPECIFICATION. —Wh
NORE THAN ON

Wor over u SY

Space 1s provided (allowing Section L for recurdling gifts from outsde the famuly.

in Aber aperifieation is asked (ur, enter the appropriate code from Ue buttom of the page in the fer eode coluian (c}.
ferent fiber or at a diferent price from the Bret; usw x

Prepare a separate tist for wach fsuily meraber meluding each item bought for

ITEM BOUGIIT.—If a second itere wan purchased, whieh was of a

Ting (e record the asformavon on the second purchare. inter the nuinter of tue alem in front of the X, and write the kind of item ou che line.
ple. 4 coeond aweater would be entered after sera 7 lke this: zou in thw cohimane would then be completed
fe completed
\
“1 f n EN
1 orrrce vor | TUNE REUSREL EaMGheeth | TASdingate | "Nos
| _ \ ow mers ‘a ‘0 we
GOATS, JACKETS, ETC
Overosis, heavy o- fee ssi | ore 1
2, Topeonte, lightweight sosceeeee soeenee ¢ neem baz | 2
3. Jackets, heavy (code ber)... case - on 3
4. dockets, Tightweight (code Bber) = ot |. 4
5 Sweaters (code fiber se. ens co .| pes 8
6, Mainconts (code liber) cececceettcceeenente oo | 6
7. Other (Speetty) a “999 7
- 2 a re ore |
SUITS AND TROUSERS | !
R. Zp suite, winter weight (code Gber)...... cece | BMD | ol - 8
9 ope suits, with extra trousers, winter weight (code fibwe) J oz — a ’
10. Spe. suits, wrnter weight (code fiber)... a jos 10
11, %pe. mulls, yeur-rond weight (code Bber).. o4
12, 2-pe. euits, with extra wrousers, year-rouund weight (code fiber). J os 12
13, J-pe. sulle, year-round weight (code fiber) cececeteennceee oe a _ ee aa
14. Suils, tropieal weight (code fiber)... - OT fee - Ty
15, Sport coats, separate jackets (eude Sher) - jos - 15
V6, Trousers, wlncks {eude fiber) = nn oy a co 18
17. Vents . ce coven 098 | axe A 7
18, Outer (Specify) 0 18
x 2
x 2
WORK AND PLAY
19. Work trouncrs we wiz | ort | xxx 19
20. Overatia, coveralls - o12 | aan 20
21. Dungarees.. a - ors |xxex 2
22, Shorts (walking, Rermuds, ete.).. oro | xxx ”
23. Kathing trunks, basketball, fonthall, baseball suits aud other rloth-
tt used! for partieipacion im aporia ; 029 | xan 28
24, Uniforms (military, ecoutmaster, school, ete.) .-..-. os. | xxx) xxx | xrexere
25. Bpocial work elathing (policeman, Greman, peatman untlorms; pro- |
vective clothing; axbeatos gloves) oa2 | xxx | rex | xexrxxns
28 Other (Speedy) o4o fax | xxx xaxaeee
2
Xe Lz
FIBER CODE:
1. Priocipally wool, 5. Mastic.
2. Principally covton. 8. Leather,
3. Principally rayon and/or acetate 7, Cther Abern and blend

4) Prinoipally roan-made fibens other than rayon aud acctate

(28)

144



K-IIl. CLOTHING PURCHASED FOR GIRLS 2 THROUGH 16 YEARS IN SY—Continued
= Fawr Mewes No. 21L_... Seneone No.
ime | orrice use | TIMEM |numueR| Puce rap | TOTAL EXPENSE | K-IV. CLOTHING PURCHASED FOR BOYS 2 THROUGH 15 YEARS IN SY
» i » so) (a wo ‘fy | On these pages are listed cloching Items for boys 2 through 15 sears in SY. Prepare a separate list for eseh farnily member inchiding each Item bought (or
AND ACCESSORIES | : A this family member during SY, by himself o other family members. Space is provided following Seotion L for recording gufts from outside the family.
ceseeess 3347 | ULe | xa jn. S.. 46 FIBER SPECIFICATION -- Whon fiber aperifieation ia asked for, enter the appropriate code from the boro of the page ta the fiber code column (c).
ozo | exe ” MORE THAN ONE ITEM BOOGHT.—I 5 swoud stow wus purchased, which wae of « different liber uF at x dilferunt prive from Uke first, use a blank (X)
- a ae line to record the (nformation on the second purchase Enter the number of the (tern in front of the X.and write the kind of item on the Une. (For example,
- . 039 |arx e 2 second sweater would be entered after item 0 like this; “5 X Sweater.) The information in the columns would thea be completed
40. Accesories (handkerehiofs, searfs, rihhons, nar muffs, umbrellas, ete,), 049 | xxx | xxx | xaxeree 49
{ orrice vse | Cope [houont| (Buuduems) |" Uaeiudionean) | Nom
50, Jewelry and watches (including costume jewelry boso |xxx! xxx | xxxxaxx 7) i to to ‘a e ‘ nh
oh. .. Fovu Jaxx) xe) xaxeaxx au COATS, JACKETS, ETC. | :
2 1, Overconts gear | ond . . 1
2 a 2, Coat sets (number of pieces ...... oie 2
x 2 : nn 3. Jackets, heavy (code Biber). 02 3
x le 4. Jackets, lightweight (code Sher) o3 | 4
52, Lauop sum expenditures (tu be used uly when respondent is i } natert | 5
to itemise expenditures) Laseo_| ogo exe exxe x 82 5. Sweaters (code Aber) ofl
‘ i 6, Maincoats (code Gber).... os |. 6
¥3,__Torav (1 rough $2) aovy RX] ao | wa | ees | aaxanen 53
7. Snowsuits, ekt auits.. oot 7
5. Plastic |
€. Leather. 8. Ski pants, leggings... 062 8
3. Principally rayon and/or acetate T. Other fibers and blende, ineluding silk, |
4. Principally man-made Sbers other than ravor and acetate, 9. Other (Specify) {099 | xxx |axsx| xxxrrex 2
Nores: 2... i) -
. cosets [2
- - 2
- ce _ SUITS AND TROUSERS
10. Wool suits. 3372 0190 10
i] 7 ~ 11. Cotton and other suits (code 6ber Dog "
cerns 12, Sport coats. - - nonce !osy 2
7 “ . 7 13. Trousers, slacks, dress type (code fiber)........ on 13
~ 14. Trousers, slacks, other (ourdurey, twill, ete ) 049 4
~ - ~ 16, Vora obo | rrr 1s
cee O99 | xxx luxxx| xaxxxxx 16
— sesseecesseee 22a. | O11 v7
| O12 18
| ots 19
| O21 | xxa | 20
} 21. Special play clothing (cowbuy suits, Ladian muita, ete.) . O22 | xxa 3
i 22. Bathing trunks. = ~ o29 |rxe Ez
H FIBER CODE:
sesscsnne -- 1. Principally wool. 5. Plastic.
2. Principally cotton. 6. Leather .
coven co 3. Principally rayon and/or acetate, T. Other fibers and blends, including slik
4! Principally cono-tosde fibers other than rayon and seotate.
90)
(30) ep
146 147