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Abstraction Form for Census Recordings

State:_______________________________ Year:____________

Head of family: _____________________ Soundex: __________

Volume: ___________ Enumeration District: ____________________

Sheet ________________ Line:________________

Race: _________ Date:___________ Age: __________________

Birthplace:_____________  Citizenship:_______________________

County:  __________________________________________________

Township:  ________________________   Other:  ________________

Address: ____________________ City:______________________

Other members of family:
 

Name Relationship Birth Month Birth Year Age Birthplace Citizenship
             
             
             
             
             
             
             
             
             
             

Notes:

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