Line
Number
|
Name of
Street
|
House
Number
|
Dwelling
houses
numbered
in order
of visitation.
|
Familes numbered,
in the order of visitation.
|
The Name of each person,
whose place of abode on
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 less than 1 year,
give months in fractions,
thus: 9/12.
|
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 D.
|
Married during census year/.
|
Profession, Occupation
or Trade of each person,
male or female.
|
Number of months this person
has been unemployed during the census year.
|
Is this person (on the
day of the Emunerator's visit) sick or temporarily disabled, so as to be
unable to attend to ordinary business or duties?If so, what is the sickness
or disability?
|
Blind /.
|
Deaf and dumb /.
|
Idoitic /.
|
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 or Territory of the United States or the Country,
if of foreign birth.
|
Line
Number
|
