Template for 1875 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	S	Occupation	Works elsewhere	Voters Ntv	Voters Natr	Alien	Own land	Not r/wr	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. Single; 14. Profession/trade/occupation; 15. Usual place of employment other than this town; 16. Voters: Native, 17. Voters: Naturalized; 18. Aliens; 19. Owner of land; 20. Persons over 21 who can’t read/write; 21. Deaf, dumb, blind, insane, idiotic.