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Census of Canada 1891
Enumeration Form


Province: ____________


District No: __________


S. District: ___________

Schedule No.1. Nominal return of the living


Enumerated by me on the ____ day of __________, 1891.


Page: ____




Enumerator: _______________

Numbered in the order of visitation:

1. Vessels and shanties: __________




2. Houses in construction: _________




3. Houses uninhabited: ___________




4. Houses inhabited: _____________




5. Families: ____________________


6. Names: ___________________________


7. Sex: _______


8. Age: _______


9. Married or widowed: _______________


10. Relation to head of family: __________


11. Country of province of birth: _________


12. French canadians: _________________


13. Place of birth of father: _____________


14. Place of birth of mother: ____________


15. Religion: _______________________


16. Profession, occupation or trade: _______________________________


17. Employers: _____________________


18. Wage earner: ___________________


19. Unemployed during week preceding [the] Census: ______________________


20. Employer to state average number of hands employed during year: ______


21. Instruction:

21. Read: ____
22. Write: ____



23. Infirmities

Deaf and dumb: _________
Blind: _________________
Unsound of mind: ________