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Line No. on Page |
Name of street |
House Number |
Dwelling houses numbered in order of visitation. |
Families numbered in order of visitation. |
The Name of each person whose place of abode on the 1st day of June
1880, was in this family. |
Color - White, W: Black, B: Mulatto, Mu: Chinese, C: Indian, I. |
Sex - Male, M: Female, F: |
Age at last birthday prior to June 1, 1880. If under 1 year, give months
in fractions, thus: 8/12 |
If born within the Census year, give the month. |
Relationship of each person to the head of this family - whether wife,
son, daughter, servant, boarder, or other. |
Single |
Married |
Widowed, Divorced |
Married during Census year |
Profession, Occupation or Trade of each person male or female. |
Numbers of months this person has been employed during the Census year. |
Is the person (on the day of the enumerators visit) sick, temporarily
disabled, so as to be unable to attend to ordinary business or duties?
If so, what is the sickness or disability? |
Blind |
Deaf & Dumb |
Idiotic |
Insane |
Maimed, crippled,bedridden, or otherwise disabled |
Attended school within the census year. |
Cannot Read |
Cannot write |
Place of birth of this person naming State or territory of the United
States, or the country if of foreign birth. |
Place of birth of the Father of this person naming State or territory of
the United States, or the country if of foreign birth. |
Place of birth of the Mother of this person naming State of territory of
the United States, or the country it of foreign birth. |
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