Census 1845 form
Name of village or place with specification of farms, houses, etc. ____
Number of families in each farm and every house ____
The names of every person in every farm, every house, and every family ____
The age of every person, the current year included ____
Married, unmarried, widower or widow ____
That is the name of the town and in the countryside, and name of the parish and county
Title, office, business, handicraft, occupation, position in the family or what they live by ____
Of these were the sanity taken away, were foolish or mad.
____ Number
____ Duration of illness
____ Duration of illness