| Template for 1865 NY Census p1     |
Please print landscape using smallest font |
Census of the Inhabitants Living in the _____________________of _________________ in the County of ______________, N.Y., on the first day of June, 1865.
                This Enumeration was made by me, on the ______day of June, 1865. ____________________, Enumerator
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. Of how many children the parent; 12. Number of times married; 13. Now Married; 12. Now Widowed; 15. Now single; 16. Profession/trade/occupation.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Dw #
Built of
Value
Fam. #
Names in Household incl.            
absent in army/navyAge
Sex
Color
Relationship to Head      
Born where            
# ch
# mar
M now
W now
S now
Occupation            
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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LAST UPDATED: Thursday, 04-Sep-2008 18:58:08 MDT
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