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Form 19B
CENSUS BLANK
CENSUS OF CHILDREN between the Ages of Four/Five and Twenty-one Years, Residing in School District No. 10
Pend Oreille County, Washington, on the First Day of May, 1912
 
NAMES OF PARENTS OR GUARDIANS
(As entered by
School Board Clerk)
NAMES OF CHILDREN DATE OF BIRTH SEX No. of Weeks Child Has Attended School During School Year POSTOFFICE ADDRESS SIGNATURE OF PARENT OF GUARDIAN
Month Day Year I certify, upon honor, that the foregoing information is correct
BEG. OF PAGE ONE                
Carl Peterson Helen Peterson Oct 8 1900 Female 28 Locke  
Mary (Peterson) Gordon Peteson Apr 1 1902 Male 28 Locke  
  Floyd Peterson Sep 30 1903 Male 28 Locke  
  Lucile Peterson Aug 12 1905 Female 28 Locke Carl Peterson
C. A. Broten Ellen J. Broten Jan 26 1902 Female 28 Locke  
Mrs. C. A. (Broten) Earl Broten Dec 19 1904 Male 28 Locke  
  Iola Broten Apr 26 1907 Female None Locke Mrs. C. A. Broten
H. O. Wing                
Minnie Wing John Wing Sep 2 1903 Male 28 Locke  
J. T. Batey                
Mrs. J. T. Batey Chester Batey Nov 9 1893 Male None Locke J. T. Batey
  Gora Batey Sep 4 1895 Female 2 Locke  
John McIver Arthur Graham Nov 26 1897 Male 12 Locke  
Mrs. J. McIver Mrs. John McIver May 27 1894 Female None Locke John McIver
Ferdinand Oswald Willie Oswald Aug 19 1905 Male None Locke Mrs. Oswald
Annie (Oswald)                
J. H. Erdman                
Sarah (Erdman) Gilbert N. Erdman Feb 8 1901 Male None Locke J. H. Erdman
END OF PAGE ONE 14 Students = 8B + 6G              
                 
BEG. OF PAGE TWO                
C. N. Newburn James D. Newburn Sep 5 1897 Male 28 Locke C. N. Newburn
Ada Newburn Maud J. Newburn Jun 24 1899 Female 28 Locke  
John E. Larl Arthur W. Newburn Aug 12 1903 Male 28 Locke  
Mary Larl Annie Larl May 19 1896 Female 36 Locke Mary Larl
  Etta Larl Oct 7 1897 Female 36 Locke  
  Helen Larl Dec 30 1899 Female 36 Locke  
  Elizabeth Larl Mar 7 1905 Female None Locke  
P. H. Sullivan Patrick Sullivan Feb 17 1892 Male None Locke P. H. Sullivan
Alice Sullivan Alice sullivan Dec 1 1893 Female 36 Locke Alice Sullivan
  Agnes Sullivan Jun 16 1895 Female 36 Locke  
  Charley Sullivan Sep 26 1897 Male 36 Locke  
  Willie Sullivan Nov 7 1899 Male 36 Locke  
  Jarvis Sullivan Oct 14 1901 Male 36 Locke  
  Grace Sullivan Dec 2 1903 Female 36 Locke  
  James Sullivan Aug 7 1905 Male None Locke  
Thos. Metcalfe Florence Metcalfe May 1 1900 Female 36 Locke  
Maud Metcalfe Gladys Metcalfe Nov 28 1901 Female 36 Locke  
  Carol Metcalfe Oct 16 1903 Female 36 Locke Maude L. Metcalfe
  Bernadine Metcalfe Oct 15 1905 Female 36 Locke  
W.T. Burdette Frances M. Burdette May 25 1900 Female 36 Locke Lillian B. Burdett
Lillian Burdette                
END OF PAGE TWO 20 Students = 7B + 13G              
                 
BEG. OF PAGE THREE                
A. F. Sadler Ella Sadler May 11 1897 Female 36 Locke  
Mollie Sadler Gladys Sadler Jun 16 1905 Female 36 Locke A. F. Sadler
A. D. Williams Delila Williams Apr 21 1896 Female 36 Locke  
Mable Williams Thelma Williams Aug 1 1900 Female 36 Locke  
  James Williams May 10 1903 Male 36 Locke  
  Stewart Williams Sep 22 1906 Male None Locke Mabel I. Williams
W. C. Cusick Ida M. Cusick Jul 25 1893 Female 36 Locke  
Lydia Cusick Katherine Cusick Aug 10 1895 Female 36 Locke W. C. Cusick
  Clayton Cusick Apr 21 1898 Male 36 Locke  
W. I. & Ida Fouritain Major Fouritain May 16 1897 Male 36 Locke W. I. Fouritain
Nathaniel Gardiner Dewey Gardiner Mar 5 1898 Male 36 Locke  
Emily Gardiner James Gardiner Dec 26 1899 Male 36 Locke Emily J. Gardiner
W.W. & Cassel Abraham LLoyd Abraham Jan 25 1897 Male 28 Locke Cassel S. Abraham
D. E. Marsh Lottie Marsh Apr 21 1891 Female Went to school in Spokane, WA Locke  
Nancy Marsh Freddie Marsh Dec 10 1893 Male Went to school in Spokane, WA Locke  
  Fay Marsh Aug 29 1900 Male Went to school in Spokane, WA Locke D. E. Marsh
END OF PAGE THREE 16 Students = 9B + 7G              
                 
BEG. OF PAGE FOUR                
A. S. Bradley Jr.                
Laura (Bradley) Stewart S. Bradley Jan 29 1907 Male None Locke A. S. bradley Jr.
A. M. Berg Kitty M. Berg Sep 15 1895 Female Went to school in Spokane, WA Locke  
  Ralph O. Berg Jun 27 1897 Male Went to school in Spokane, Wa Locke  
  Andrew F. Berg Feb 23 1902 Male Went to school in Spokane, Wa Locke  
  Olaf M. Berg Aug 5 1900 Male Went to school in Spokane, Wa Locke Mrs. Anna Matson
END OF PAGE FOUR 5 Students = 4B + 1G              
LOCKE SCHOOL              
Total Students in Class of 1912: 55 (28 boys, 27 girls)           View Original Document N/A
Locke School Teacher for 1912:  To Be Determined Salary per month:  TBD    
Locke School Board Directors for 1912:  TBD            
Locke School Board Clerk for 1912:  TBD              
                 
Information in () are assumed interpretations          
                 
Original Document Courtesy -       Transcription of Orginal Document by -
State of Washington, Eastern Regional Archives - Cheney, WA   Tiger Historical Center Board Director John Nordstrand
                 
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