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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. 11
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
BEGINNING OF PAGE ONE                
George Conner, Edith Conner Gasper T. Connor Jan 14 1906 Male 8 Ruby, WA Geo Bommer
Aledorde E. Caron, May Caron James Caron May 15 1901 Male 18 Ruby, WA  
  Maud Caron Apr 18 1902 Female 16 Ruby, WA  
  Tomas (Thomas) Caron Oct 15 1904 Male 16 Ruby, WA Adlor Corran X (his mark)
  Voilet (Violet) Caron Jan 30 1906 Female   Ruby, WA  
Emil Johnson Lucile Johnson Aug 27 1891 Female   Ruby, WA Emil Johnson
  Anna Stevens Oct 30 1895 Female   Ruby, WA  
Eugenia Johnson Minnie Johnson Oct 14 1892 Female   Ruby, WA Eugenia Johnson
  Marjorie McIntire Jul 1 1899 Female 24 Blueslide, WA R. McEntire
Roxy Ann McEntyre Merita McIntire Oct 22 1896 Female   Blueslide, WA  
  Madline McIntire May 12 1900 Female 24 Blueslide, WA  
  Madge McIntire Dec 17 1903 Female 18 Blueslide, WA  
  Maxine McIntire Feb 22 1906 Female   Blueslide, WA  
Emma Devore Ethel Devore Mar 29 1903 Female 24 Blueslide, WA Emma Devore
  Mildred Denvore Feb 25 1907 Female   Blueslide, WA  
Jessie Arnold Gladys Arnold Feb 23 1898 Female 24 Blueslide, WA  
  Paul R. Arnold Apr 1 1900 Male 24 Blueslide, WA  
  Ward E. Arnold Sep 4 1902 Male 24 Blueslide, WA Jessie Arnold
  Ruby Arnold Nov 22 1905 Female 24 Blueslide, WA  
  Fredrick Arnold Apr 15 1907 Male   Blueslide, WA  
A. F. Fisher Asahel Fisher Jul 7 1902 Male 21 Blueslide, WA  
  Grace Fisher May 16 1904 Female 21 Blueslide, WA A. F. Fisher
  Lawrence Fisher Oct 31 1906 Male 8 Blueslide, WA  
James Shaffner Marjorie Shafner Jun 25 1902 Female 14 Blueslide, WA  
Frank Starry Jack Starry Dec 28 1895 Male   Blueslide, WA Frank Starry
END OF PAGE ONE 25 Students = 9B + 16G              
                 
BEGINNING OF PAGE TWO                
Enos G. Gale Guy G. Gale Sep 22 1892 Male   Blueslide, WA Enos G. Gale
Callie Johnson Susan Johnson Sep 5 1895 Female   Blueslide, WA Callie Johnson
END OF PAGE TWO 2 Students = 1B + 1G              
                 
   BLUESLIDE SCHOOL              
   Total Students in Class of 1912: 27 (10 boys, 17 girls)           View Original Document N/A
   Blueslide School Teacher for 1912:  To Be Determined Salary per month:  TBD    
   Blueslide School Board Directors for 1912:  TBD            
   Blueslide 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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