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, 1915
                 
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
Lina Hepburn Milo Hepburn 4 7 1906 Male Full Year Metaline Falls, Wa Lizzie Hepburn
(Lina Hepburn) Lina Hepburn 5 19 1909 Female Full Year Metaline Falls, Wa Lizzie Hepburn
W. F. Hendershott Dorothy Hendershott 6 19 1905 Female 165 1/2 days Metaline Falls, Wa F. W. Hendershott
Joe Miller Velma Miller 7 7 1905 Female 171 days Metaline Falls, Wa Joe Miller
(Joe Miller) Helen Miller 1 25 1903 Female 171 days Metaline Falls, Wa Joe Miller
(Joe Miller) Douglas Miller 3 7 1908 Male Full Year Metaline Falls, Wa (oe Miller
Stewart Love Harold Love 3 24 1908 Male 129 days Metaline Falls, Wa Stewart Love
Alfred Pearson. Bernard Pearson 5 4 1902 Male 114 days Metaline Falls, Wa Alfard Pearson
H. R. Hausman Anna Lou Hausman 9 23 1905 Female 117 days Metaline Falls, Wa H. R. Hausman
C. E. Oswald Helen Oswald 5 2 1907 Female Full Year Metaline Falls, Wa C. E. Oswald
J. W. Goss Ethel Clare Goss 4 11 1905 Female 142 days Metaline Falls, Wa J. W. Goss
L. P. Larsen Giovanna Larsen 5 7 1908 Female 55 days Metaline Falls, Wa L. P. Larsen
Mrs. Geo Samms Juanita Samms 10 11 1904 Female 147 days Metaline Falls, Wa Mrs. Geo Samms
Halgar Larsen Esther Larsen 12 6 1909 Female 20 days Metaline Falls, Wa x (Halger Larsen)
Halgar Larsen Sven Larsen 5 27 1902 Male 171 days Metaline Falls, Wa x (Halger Larsen)
Halgar Larsen Walla Larsen 3 2 1898 Female 168 days Metaline Falls, Wa x (Halger Larsen)
J. V. Sullivan Herbert Ringquist 7 6 1902 Male 145 1/2 Metaline Falls, Wa J. V. Sullivan
  Jennie Lendstrom 11 24 1901 Female 168 1/2 Metaline Falls, Wa Mrs. Chris?? ???????
Mrs. Rex Rodney William Warren 11 1 1908 Male 131 1/2 Metaline Falls, Wa Mrs. Rex Rodney
(Mrs. Rex Rodney) Ethel Warren 8 16 1904 Female 114 days Metaline Falls, Wa Mrs. Rex Rodney
Geo Telliho Mary Telliho ? ? ? Female 156 1/2 Metaline Falls, Wa Geo Telliho works out of town and am
unable to get his signature
Mrs Geo Samms Lucile Robinson 12 9 1899 Female 113 1/2 Metaline Falls, Wa Mrs. Geo Samms
(Mrs Geo Samms) George Samms 6 3 1907 Female 143 days Metaline Falls, Wa Mrs. Geo Samms
(Mrs Geo Samms) Glen Samms 7 6 1897 Female 50 days Metaline Falls, Wa Mrs. Geo Samms
E. V. Ingels Beverly Ingels 7 10 1907 Female 137 days Metaline Falls, Wa E. V. Ingels
H. E. Douglass Lois Irene Douglass 3 3 1901 Female Full Year Metaline Falls, Wa H. E. Douglass
(H. E. Douglass) Louise Belle Douglass 1 17 1903 Female Full Year Metaline Falls, Wa H. E. Douglass
(H. E. Douglass) Emily Adeline Douglass 8 11 1904 Female Full Year Metaline Falls, Wa H. E. Douglass
(H. E. Douglass) Carlton Mould French 7 13 1904 Male Full Year Metaline Falls, Wa H. E. Douglass
H. E. Neelands William Theodor Neelands 4 17 1909 Male 106 days Metaline Falls, Wa H. E. Neelands
J. E. Love Burnice Love 7 12 1901 Female 167 1/2 days Metaline Falls, Wa J. E. Love
(J. E. Love) Ralph Love 7 9 1904 Male 162 days Metaline Falls, Wa J. E. Love
(J. E. Love) Sarah Love 3 6 1907 Female Full Year Metaline Falls, Wa J. E. Love
(J. E. Love) Mary Love 10 15 1909 Female Full Year Metaline Falls, Wa J. E. Love
(J. E. Love) William B. Love 12 20 1898 Male 53 days Metaline Falls, Wa J. E. Love
B. F. Gardiner Gertrude Gardiner 5 1 1902 Female 114 days Metaline Falls, Wa B. F. Gardiner
C. A. Gregory Elmer Gregory 3 26 1906 Male Full Year Metaline Falls, Wa C. A. Gregory
(C. A. Gregory) Helen Z. Gregory 5 27 1903 Female Full Year Metaline Falls, Wa C. A. Gregory
Wm. Kirstene Serle Kirstene 4 25 1898 Male 52 days Metaline Falls, Wa W. Kirsten
(Wm. Kirstene) Leonor Kirstene 11 3 1900 Female 92 1/2 days Metaline Falls, Wa W. Kirsten
(Wm. Kirstene) Lancy Kirstene 12 4 1901 Male 101 days Metaline Falls, Wa W. Kirsten
(Wm. Kirstene) William Kirstine 11 4 1908 Male 19 days Metaline Falls, Wa W. Kirsten
Geo. G. Perkins Ed Perkins 2 18 1896 Male 54 days Metaline Falls, Wa G. G. Perkins
(Geo. G. Perkins) Hubert Perkins 12 28 1903 Male 100 days Metaline Falls, Wa G. G. Perkins
(Geo. G. Perkins) George Perkins 2 22 1907 Male 135 days Metaline Falls, Wa G. G. Perkins
Ray Herring Herbert Herring 6 23 1903 Male 112 1/2 days Metaline Falls, Wa R. A. Herring
Ray Herring Carl Herring 10 20 1908 Male 14 days Metaline Falls, Wa R. A. Herring
H. H. Ritter Manon Ritter 9 27 1900 Male 166 1/2 days Metaline Falls, Wa Harry Ritter
H. H. Ritter Lloys Ritter 2 17 1904 Male 114 days Metaline Falls, Wa Harry Ritter
Theo Terzieff Dorothy Terzieff 4 7 1907 Female Full Year Metaline Falls, Wa Theo Terzieff
(Theo Terzieff) Vera Terzieff 3 20 1910 Female None Metaline Falls, Wa Theo Terzieff
(Theo Terzieff) Angelo Evanoff 9 14 1908 Male Full Year Metaline Falls, Wa Theo Terzieff
  Harold Lambright 2 6 1898 Male Full Year Metaline Falls, Wa E. Lambright
  Mary McCool 3 4 1896 Female 128 Days Metaline Falls, Wa Mrs. A. McCool
  Ada McCool Past School Age Female X Metaline Falls, Wa Mrs. A. McCool
Margaret Young Dorothy Keane       Female 57 Days Metaline Falls, Wa Unable to obtain signature as guardian
has moved to Great Falls.
(Margaret Young) Chas Keane       Male 57 Days Metaline Falls, Wa
Frans Rosin Louis Rosin Boy about 8 years old
Can't make understand
Male Full Year Metaline Falls, Wa Father can't write
A. W. Dressel Hugh Dressel 9 8 1907 Male Full Year Metaline Falls, Wa A. W. Dressel
Mrs. G. C. Brooks John Eilar 8 19 1906 Male 80 Days Metaline Falls, Wa Mrs. E. C. Brooks
Mrs. E. R. Kirkland Everett Harland 2 13 1897 Male 68 Days Metaline Falls, Wa Mrs. E. R. Kirkland
   METALINE FALLS SCHOOL              
   Total Students in Class of 1915:  61           View Original Document N/A
   Metaline Falls School Teacher for 1915:  To Be Determined Salary per month:  TBD    
   Metaline Falls School Board Directors for 1915:  TBD            
   Metaline Falls School Board Clerk for 1915:  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