| 1. Line Number |
11. Gender |
21. Able to speak English |
| 3. House in order of visitation |
12. Race or color |
22. Occupation |
| 4. Number of family in order of visitation |
14. Marital Status |
23. Industry or business |
| 5. Name |
15. Age at time of 1st Marriage |
24. Code |
| 6. Relationship of Head-of-household |
16. Attended school since Sept. 1, 1929 |
25. Employer (E) Worker (W) or O (Own account) |
| 7. Owns home, rents, or mortgaged |
17. Able ot read and write |
26. Worked yesterday |
| 8. Value of home if owned, rental monthly if rented |
18. Person place of birth |
30. Verteran of US Military or Naval Forces mobilized for any war or expedition |
| 9. Radio set |
19. Fathers's place of birth |
32. What war or expedition |
| 10. Lives on a farm
| 20. Mother's place of birth |
33. Remarks |