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Street Avenue, Road, etc. (most left blank) |
House number (most were left blank) |
Number of dwelling houses in order of visitation |
Number of family in order of visitation |
Name of each person whose place of abode on April 15, 1910
was this residence |
Relation to the head of household |
Sex |
Color or Race |
Age |
Single Married, Widowed or Divorced |
Number of years married |
Mother of how many children # born |
Mother of how many children # living |
Place of birth of this person |
Place of birth of the father of this person |
Place of birth of the mother of this person |
Year of immigration into the United States |
Whether naturalized or alien |
Language spoken |
Trade or profession |
General nature of industry, business or establishment |
whether or not employed |
Whether able to read |
Whether able to write |
Whether attended school |
Ownership of home: owned or rented |
Ownership of home: owned free or mortgaged |
Ownership of home: farm or house |
Number of farm |
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