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The Census of 1900

Schedule No. 1 ? Population.

State __________, County ________________.
Township or other division of county [Insert name of township, town, precinct, district, or other civil division, as the case may be] ______.

Name of institution, _____________________.
Name of incorporated city, town, or village within the above-named division, ___________.

Ward of city, ___________________________.

Enumerated by me on the __ day of June, 1900, ____________________________, Enumerator.

In cities: street; house number.

1. Number of dwelling-houses in the order of visitation.

2. Number of family, in order of visitation.

3. Name of each person whose place of abode on June 1, 1900, was in this family. Enter surname first, then the given name and middle initial, if any. Include every person living on June 1, 1900. Omit children born since
June 1, 1900.

4. Relationship of this person to the head of the family.

Personal description:

5. Color or race.

6. Sex.

7. Date of birth: month, year.

8. Age at last birthday.

9. Whether single, married, widowed, or divorced.

10. Number of years married.

11. Mother of how many children.

12. Number of these children living.


Place of birth of each person and parents of each person enumerated. If born in the United States, give the State or Territory; if of foreign birth, give the Country only.

13. Place of birth of this person.

14. Place of birth of father of this person.

15. Place of birth of mother of this person.


16. Year of immigration to the United States.

17. Number of years in the United States.

18. Naturalization.

Occupation, Trade or Profession: Of each person ten years of age and over:

19. Occupation.

20. Months not employed.


21. Attended school (in months).

22. Can read.

23. Can write.

24. Can speak English.

Ownership of Home:

25. Owned or rented.

26. Owned free or mortgaged.

27. Farm or house.

28. Number of farm schedule.