| Schedule 1. Free Inhabitants
in _________, in the County of ________, State of _________, enumerated
by me, on the _____ day of ___________, 1870.
___________________, Ass’t. Marshal.
Post-office: _______________________.
[Inquiries number 7, 16, and 17 are not to be asked
in respect to infants. Inquiries number 11, 12, 15, 16, 17, 19, and 20
are to be answered (if at all) merely by an affirmative mark, as /.] |
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| 1. |
Dwelling houses and number in order of visitation. |
| 2. |
Families numbered in the order of visitation. |
| 3. |
The name of every person whose place of abode
on the 1st day of June, 1870, was in this family. |
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| Description: |
| 4. |
Age at last birthday. If under 1 year, give
months in fractions, thus, 3/12. |
| 5. |
Sex – Males (M), females (F). |
| 6. |
Color – White (W), black (B), mulatto (M), Chinese
(C), Indian (I). |
| 7. |
Profession, occupation, or trade of each
person, male or female. |
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| Value of real estate
owned: |
| 8. |
Value of real estate. |
| 9. |
Value of personal estate. |
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| 10. |
Place of birth, naming the state or territory
of the United States, or the country, if of foreign birth. |
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| Parentage: |
| 11. |
Father of foreign birth. |
| 12. |
Mother of foreign birth. |
| 13. |
If born within the year, state month (Jan.,
Feb., etc.). |
| 14. |
If married within the year, state month (Jan.,
Feb., etc.). |
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| Education: |
| 15. |
Attended school within the year. |
| 16. |
Can not read. |
| 17. |
Can not write. |
| 18. |
Whether deaf and dumb, blind, insane, or idiotic. |
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| Constitutional relations: |
| 19. |
Male citizens of United States of 21 years of
age and upwards. |
| 20. |
Male citizens of United States of 21 years of
age and upwards, whose right to vote is denied or abridged on other grounds
than rebellion or other crime. |