Number of dwelling house in order of visitation
Number of family in order of visitation
of each person whose place of abode on April 15, 1910, was in this
family. Enter surname
first, then the given name and middle initial, if any.
Include every person living on April 15, 1910. Omit
children born after April 15, 1910
Relationship of this person to the head of the family.
Color or race
at last birthday
Whether single, married, widowed, or divorced
Place of birth of each person and parents of each person
enumerated. If born in the United States, give the state or
territory. If of foreign birth, give the country.