The Census of 1910
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Schedule No. 1 ? Population.
State __________, County ________________.
Supervisor?s District No. _____; Enumeration District No. ______.
Township or other division of county [Insert proper name and, also, name of class, as township, town, precinct, district, hundred, beat, etc..]_________.
Name of incorporated place ________________.
Ward of city _________________.
Name of institution, _____________________.
Enumerated by me on the __ day of June, 1910, ____________________________, Enumerator.
Street, avenue, road, etc.
House number (in cities and towns).
Mother of how many children:.
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.
If an employee:
Ownership of home: