| House Number (in cities or towns) |
Number of dwelling house in order of visitation |
Number of family in order of visitation |
of each person whose place of abode on April 1, 1930, was in this family.
Enter surname first, Then the given name and middle initial, if any.
Include every person Living on April 1, 1930. Omit children born since April 1, 1930. |
Relationship of this person to the head of the family. |
Home owned or rented |
Does the family live on a farm |
Sex |
Color or race |
Age at last birthday |
Marital condition |
Place of birth of each person enumerated and his or her parents. If born in the United States, give the State or Territory. If of foreign birth, give country in which birthplace is now situated. (see instructions) Distinguish Canada-French from Canada-English, and Irish Free State from Northern Ireland. |