Template for 1855 NY Census p1

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Census of the Inhabitants in the ________ Election District of the Town of __________________________ in the County of ______________

                                Taken by me on the __________ day of June, 1855 __________________, Marshall

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Dw #	Built of	Value	Fam. #	Names in Household                 a/o June 1	Age	Sex	Color	Relationship to Head	Born where	M?	W?	Yrs here	Occupation	Voters Ntv	Voters Natr	Alien	Colored -not taxed	Not r/wr	Own land	D/D/ B/I/I

1. Dwelling # in order of visitation; 2.Of what material built; 3. Value; 4. Family # in order of visitation; 5. Name of every person whose usual place of abode on June 1 was in this family. 6. Age; 7. Sex; 8. Color 9. Relation to head of family. 10. County of NY, other state or foreign country in which born; 11. Married; 12. Widowed; 13. Years resident in this city/town; 14. Profession/trade/occupation; Voters: 15. Native, 16. Naturalized; 17. Aliens; 18. Colored -not taxed 19. Persons over 21 who can’t read/write; 20. Owners of land; 21. Deaf, dumb, blind, insane, idiotic.