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The Census of 1880

Schedule 1: Free Inhabitants in ____, in the County of ____, State of ____, enumerated by me, on the ____day of ____, 1880.

____, Enumerator.


____ Enumeration district Number

In cities:


____ Name of street
____ House number


01. ____ Dwelling houses numbered in order of visitation
02. ____ Families numbered in order of visitation


03. The name of every person whose place of abode on the 1st day of June, 1880, was in this family

_ _ Males
_ _ Females


Personal description


04. Color:

[] W White
[] B Black
[] Mu Mulatto
[] C Chinese
[] I Indian



05. Sex :

[] M Males
[] F Females



06. Age:

If under 1 year, give months in fractions, thus, 3/12.

____ Age at last birthday prior to June 1, 1880.

07. ____ If born within the census year, give the month



08. Relationship of each person to the head of this family:

[] Wife
[] Son
[] Daughter
[] Servant
[] Boarder
[] Other


Civil condition


09. [] Single.
10. [] Married.
11. [] Widowed; Divorced
12. [] Married during census year

Occupation


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

14. ____ Number of months this person has been unemployed during the census year

Health

15. Is the person (on the day of the enumerator's visit) sick or temporarily disabled, so as to be unable to attend to ordinary business or duties?

[] Yes
[] No

Is so, what is the sickness or disability?

16. [] Blind
17. [] Deaf and dumb
18. [] Idiotic
19. [] Insane
20. [] Maimed, crippled, bedridden, or otherwise disabled

Education

21. [] Attended school within the census year
22. [] Can not read
23. [] Can not write

Nativity


24. Birthplace:

____ Place of birth of this person
____ State or Territory of United States,
____ Country, if of foreign birth



25. Father's birth place

____ Place of birth of the father of this person
____ State or Territory of United States
____ Country, if of foreign birth



26. Mother's birth place

____ Place of birth of the mother of this person
____ State or Territory of United States
____ Country, if of foreign birth


Notes

Note A: The census year begins June 1, 1879, and ends May 31, 1880