| Schedule 1. Free Inhabitants
in _________, in the County of ________, State of _________, enumerated
by me, on the _____ day of ___________, 1880.
_____________________, Enumerator.
Enumeration district No. ___________. |
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| In cities:
Name of street; house number |
| 1. |
Dwelling houses numbered in order
of visitation. |
| 2. |
Families numbered in order of visitation. |
| 3. |
The name of every person whose place
of abode on the 1st day of June, 1880, was in this family. |
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| Personal description: |
| 4. |
Color White, W; black, B; Mulatto,
Mu; Chinese, C; Indian, I. |
| 5. |
Sex Males (M), females (F) |
| 6. |
Age at last birthday prior to June
1, 1880. If under 1 year, give months in fractions, thus, 3/12. |
| 7. |
If born within the census year,
give the month. |
| 8. |
Relationship of each person to the
head of this family whether wife, son, daughter, servant, boarder, or
other. |
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| Civil condition: |
| 9. |
Single. |
| 10. |
Married. |
| 11. |
Widowed; divorced. |
| 12. |
Married during census year. |
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| Occupation: |
| 13. |
Profession, occupation, or
trade of each person, male or female. |
| 14. |
Number of months this person has
been unemployed during the census year. |
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| Health: |
| 15. |
Is the person (on the day of the
enumerators visit) sick or temporarily disabled, so as to be unable to
attend to ordinary business or duties? Is so, what is the sickness or disability? |
| 16. |
Blind. |
| 17. |
Deaf and dumb. |
| 18. |
Idiotic. |
| 19. |
Insane. |
| 20. |
Maimed, crippled, bedridden, or
otherwise disabled. |
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| Education: |
| 21. |
Attended school within the census
year. |
| 22. |
Can not read. |
| 23. |
Can not write. |
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| Nativity: |
| 24. |
Place of birth of this person, naming
State or Territory of United States, or the country, if of foreign birth. |
| 25. |
Place of birth of the father of
this person, naming State or Territory of United States, or the country,
if of foreign birth |
| 26. |
Place of birth of the mother of
this person, naming State or Territory of United States, or the country,
if of foreign birth |
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| Note A. |
The census year begins June 1, 1879, and ends
May 31, 1880. |
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| Note B. |
All persons will be included in the enumeration
who were living on the 1st day of June. No others will. Children
born since June 1, 1880 will be omitted. Members of families who have died
since June 1, 1880, will be included. |
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| Note C. |
Questions Nos. 13, 14, 22, and 23 are not to
be asked in respect to persons under 10 years of age. |
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| Note D. |
In making entries in columns 9, 10, 11, 12,
16 to 23 an affirmative mark only will be used thus / , except in the
case of divorced persons, column 11, when the letter "D" is to be used. |
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| Note E. |
Question No. 12 will only be asked in cases
where an affirmative answer has been given either to question 10 or to
question 11. |
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| Note F. |
Question No. 14 will only be asked in cases
when a gainful occupation has been reported in column 13. |
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| Note G. |
In column 17 an abbreviation in the name of
the month may be used, as in Jan., Apr., Dec. |