| 1. Sheet
#
2. Page # 3. Line # 4. Street Name* 5. House #* 6. Dwelling # 7. Family # 8. Last Name 9. First Name 10. Color, W-white, B-black, I-indian 11. Sex |
12.
Age
13. Month if Born within year 14. Relationship 15. Single 16. Married 17. Widowed, Divorced 18. Married during year* 19. Profession or Trade 20. # of months unemployed* 21. Sickness/Disability 22. Blind* |
23. Deaf or Dumb
24. Idiotic 25. Insane* 26. Maimed, crippled or otherwise deformed 27. Attended school within year 28. Cannot read 29. Cannot write 30. Place of birth, US or foreign country 31. Place of birth, Father 32. Place of birth, Mother 33. Transcribers Remarks |
*Column was omitted because it was blank on these pages