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The Census of 1870

Schedule 1
Free inhabitants in _________, in the county of ________, state of _________, enumerated by me, on the _____ day of ___________, 1870.

___________________, Assistant Marshal

Post-office: _______________________

[Inquiries number 7, 16, and 17 are not to be asked in respect to infants. Inquiries number 11, 12, 15, 16, 17, 19, and 20 are to be answered (if at all) merely by an affirmative mark, as /.]

1. ____ Dwelling houses and number in order of visitation.

2. ____ Families numbered in the order of visitation.

3. ____ The name of every person whose place of abode on the 1st day of June, 1870, was in this family.

Description:

4. ____ Age at last birthday. If younger than 1 year, give months in fractions, thus, 3/12.

5. Sex:

_ _ Males
_ _ Females

6. Color:

[] White (W)
[] Black (B)
[] Mulatto (M)
[] Chinese (C)
[] Indian (I)

7. ____ Profession, occupation, or trade of each person, male or female.

Value of real estate owned:

8. ____ Value of real estate

9. ____ Value of personal estate

10. ____ Place of birth, naming the state or territory of the United States, or the country, if of foreign birth

Parentage:
11. ____ Father of foreign birth.

12. ____ Mother of foreign birth.

13. ____ If born within the year, state month (Jan., Feb., etc.)

14. ____ If married within the year, state month (Jan., Feb., etc.)

Education:

15. ____ Attended school within the year

16. ____ Cannot read
17. ____ Cannot write

18. ____ Whether deaf and dumb, blind, insane, or idiotic

Constitutional relations:

19. ____ Male citizens of the United States age 21 years or older.

20. ____ Male citizens of the United States age 21 years or older, whose right to vote is denied or abridged on other grounds than rebellion or other crime