Form 19B
CENSUS BLANK
CENSUS OF CHILDREN between the Ages of Five and Twenty-one Years, Residing in School District No. 2
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
O. C. Wangeman Loyd Wangeman Oct 12 1899 Male 36 Metaline Falls, Wa O. C. Wangeman
(O. C. Wangeman) Max Wangeman Jan 21 1897 Male None Metaline Falls, Wa O.C. Wangeman
Mrs. W. J. Love Ione Love May 11 1900 Female 36 Metaline Falls, Wa Mrs. W. J. Love
Mrs. Theo Ives Leland Ives May 2 1900 Male 36 Metaline Falls, Wa Mrs. Thos Ives
J. W. Goss Ethel Goss April 10 1905 Female 30 Metaline Falls, Wa J. W. Goss
A. V. McCool Mary McCool Feb 27 1896 Female 36 Metaline Falls, Wa Alex McCool
A. V. McCool Eda McCool June 29 1894 Female 33 Metaline Falls, Wa Alex McCool
Mrs. Frank Griffin Clare Griffin Nov 6 1901 Male 36 Metaline Falls, Wa Mrs. Frank Griffen
(Mrs. Frank Griffin) Eva Griffin Sep 8 190? Female 36 Metaline Falls, Wa Mrs. Frank Griffen
(Mrs. Frank Griffin) Ardath Griffin Jun 25 1905 Female None Metaline Falls, Wa Mrs. Frank Griffen
Mrs. Alfred Pearson. Bernard Pearson May 4 1902 Male 36 Metaline Falls, Wa Mrs. Alfred Pearson
C. A. Gregory H. Z. Gregory May 27 1903 Female 32 Metaline Falls, Wa C. A. Gregory
(C. A. Gregory) Almer Gregory March 26 1906 Male None Metaline Falls, Wa C. A. Gregory
F. W. Hendershott Dorthy E. Hendershott Jun 19 1905 Female 36 Metaline Falls, Wa F. W. Hendershott
Hugh Dixon Helen Cox       Female 32 Metaline Falls, Wa Hugh Dixon
(Hugh Dixon) Eddie Cox       Male 32 Metaline Falls, Wa (Hugh Dixon)
Wm Kirsten Lenor Kirsten Nov 3 1900 Female None Metaline Falls, Wa Wm Kirsten
Wm Kirsten Searas Kirsten April 25 1898 Male None Metaline Falls, Wa (Wm Kirsten)
Wm Kirsten Lancy Kirsten Dec 4 1901 Male 4 Metaline Falls, Wa (Wm Kirsten)
R. A. Herring Herbert Herring Sep 22 1904 Male None Metaline Falls, Wa R. A. Herring
(R. A. Herring) Jane Lendstrum Nov 24 1907 Female 32 Metaline Falls, Wa E. K. Lindstrum
Mrs. E. R. Kirkland Evert Harland Feb 13 1898 Male 20 Metaline Falls, Wa Mrs. E. R. Kirkland
E. D. Miller Peter Miller Aug   1904 Male 16 Metaline Falls, Wa E. S. Miller
Harry Ritter Mannon Ritter Sep 27 1902 Male 32 Metaline Falls, Wa Harry Ritter
(Harry Ritter) Loy Ritter Feb 17 1904 male 32 Metaline Falls, Wa (Harry Ritter)
G. A. Harbert Edna Harbert Jan 9 1906 Female None Metaline Falls, Wa G. A. Harbert
J. J. Shaw Lucille Shaw Apr 24 1906 Female 32 Metaline Falls, Wa J. J. Shaw
Holyer Larsen Walla Larsen Mar 2 1898 Female 32 Metaline Falls, Wa Holyer Larsen
(Holyer Larsen) Sven Larsen May 27 1902 Male 32 Metaline Falls, Wa Holyer Larsen
O. Bylick Bannie Bylick Jan 2 1900 Male 32 Metaline Falls, Wa O. Bylick
Mrs. H. R. Hausman Annalu Hausman Dec 23 1905 Female None Metaline Falls, Wa Mrs. Hausman
W. J. French Wilbur French Mar 12 1899 Male 32 Metaline Falls, Wa W. J. French
(W. J. French) Zella French Nov 16 1903 Female 32 Metaline Falls, Wa (W. J. French)
(W. J. French) Ray French Sep 28 1906 Male 32 Metaline Falls, Wa (W. J. French)
F. L. Terrell Fred Terrell Sep 5 1905 Male 18 Metaline Falls, Wa F. L. Terrell
Joe Miller Helen Miller Jan 25 1903 Female 32 Metaline Falls, Wa Joe Miller
(Joe Miller) Velma Miller Jul 7 1905 Female 32 Metaline Falls, Wa (Joe Miller)
(Joe Miller) Joe Miller Mar 7 1907 Male None Metaline Falls, Wa (Joe Miller)
   METALINE FALLS SCHOOL              
   Total Students in Class of 1912:  38           View Original Document N/A
   Metaline Falls School Teacher for 1912:  To Be Determined Salary per month:  TBD    
   Metaline Falls School Board Directors for 1912:  TBD            
   Metaline Falls 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