The Census of 1930
Schedule No. 1 Population.
State __________, Incorporated place [Insert proper name and also name of class, as city, village, town, or borough] ________________. County __________, Ward of city __________;
Block No. ________.
Township or other division of county [Insert proper name and, also, name of class, town-ship, town, precinct, district, etc.] __________. Unincorporated place [Enter name of any unincorporated place having approximately 500 inhabitants or more]
__________________. Institution [Insert name of institution, and indicate the lines on which the entries are made] _________________________________.
Enumeration Date ________________________
Place of Abode:
Place of Birth:
Place of birth of each person enumerated and of his or her parents. If born in the United States, give the State or Territory. If of foreign birth, give country in which birthplace is now situated. Distinguish Canada-French from Canada-English, and Irish Free State from Northern Ireland.
Mother Tongue (or native language) of Foreign Born:
Occupation and Industry:
Whether actually at work yesterday (or the last regular working day):
Whether a veteran of U.S. military or naval forces: