| Schedule No. 1
–
Population and Social Statistics.
Supervisor’s district No.;
Enumeration district No.
Name of city, town, township, precinct, district,
beat, or other minor civil division; County; State.
Street and No.; Ward; Name of institution.
Enumerated by me on the __ day of June, 1890. |
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| A. |
Number of dwelling houses in the
order of visitation. |
| B. |
Number of families in this dwelling
house. |
| C. |
Number of persons in this dwelling
house. |
| D. |
Number of family in the order
of visitation. |
| E. |
Number of persons in this family. |
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| 1. |
Christian name in full and initial
of middle name. Surname. |
| 2. |
Whether a soldier, sailor, or
marine during the civil war (United States or Confederate), or widow of
such person. |
| 3. |
Relationship to head of family. |
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| 4. |
Whether white, black, mulatto,
quadroon, octoroon, Chinese, Japanese, or Indian. |
| 5. |
Sex. |
| 6. |
Age at nearest birthday. If under
1 year, give age in months. |
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| 7. |
Whether single, married, widowed,
or divorced. |
| 8. |
Whether married during the census year (June
1, 1889, to May 31, 1890). |
| 9. |
Mother of how many children, and number of these
children living. |
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| 10. |
Place of birth. |
| 11. |
Place of birth of father. |
| 12. |
Place of birth of mother. |
| 13. |
Number of years in the United States. |
| 14. |
Whether naturalized. |
| 15. |
Whether naturalization papers have been taken
out. |
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| 16. |
Profession, trade, or occupation. |
| 17. |
Months unemployed during the census year (June
1, 1889, to May 31, 1890). |
| 18. |
Attendance at school (in months) during the
census year (June 1, 1889, to May 31, 1890). |
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| 19. |
Able to read. |
| 20. |
Able to write. |
| 21. |
Able to speak English. If not, the language
or dialect spoken. |
| 22. |
Whether suffering from acute or chronic disease,
with name of disease and length of time afflicted. |
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| 23. |
Whether defective in mind, sight, hearing, or
speech, or whether crippled, maimed, or deformed, with name of defect. |
| 24. |
Whether a prisoner, convict, homeless child,
or pauper. |
| 25. |
Supplemental schedule and page. |
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| 26. |
Is the home you live in hired, or is it owned
by the head or by a member of the family? |
| 27. |
If owned by head or member of family, is the
home free from mortgage encumbrance? |
| 28. |
If the head of family is a farmer, is the farm
which he cultivates hired, or is it owned by him or by a member of his
family? |
| 29. |
If owned by head or member of family, is the
farm free from mortgage or encumbrance? |
| 30. |
If the home or farm is owned by head or member
of family and mortgaged, give the post-office address of owner. |
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To Enumerators. – The inquiries numbers 26 to 30, inclusive, must
be made concerning each family and each farm visited.
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