1910 U.S. census extraction form
Copy one household exactly as written, spelling and all. Ages count from census day, April 15, 1910. Column groups follow our 1910 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 family | Sex, color or race, age | Marital status | Number of years of present marriage | Number of children born, and number now living | Place of birth and mother tongue of the person, father, and mother | Year of immigration, naturalized or alien, speaks English | Occupation, industry, employer or employee, out of work on April 15, weeks out of work in 1909 | Can read, can write, attended school since September 1, 1909 | Home owned or rented, free or mortgaged, farm or house | Survivor of the Union or Confederate Army or Navy | Blind; deaf and dumb |
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Notes
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