| 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