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1900 U.S. census extraction form

Copy one household exactly as written, spelling and all. Ages count from census day, June 1, 1900. Column groups follow our 1900 census guide.

State
County
Town, township or ward
Page, sheet or line numbers
Enumerator, date of visit
Where viewed (archive, film, website)
#Name and relationship to the head of the familyColor or race, sexMonth and year of birthAge at last birthdayMarital status and number of years marriedMother of how many children, and number of these livingPlace of birth of the person, father, and motherYear of immigration, years in the U.S., naturalizationOccupation, months not employed, can read, can write, can speak EnglishHome owned or rented, free or mortgaged, farm or house
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Notes

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