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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. 4
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
C. A. & Ethel A.Perry Laura M.Perry Oct 28 1900 Female 35 Ione, Wash C. A. Perry
Noah Ferguson Marie Ferguson Apr 8 1896 Female None Ione, Wash Noah Ferguson
Mrs. F. N. Golden Hattie Johnson Apr 13 1898 Female 18 Ione, Wash Hattie E. Golden
(Mrs. F. N. Golden) Fred Golden Apr 18 1904 Male 30 Ione, Wash (Hattie E. Golden)
(Mrs. F. N. Golden) Floyd Golden Oct 11 1905 Male 36 Ione, Wash (Hattie E. Golden)
(Mrs. F. N. Golden) Florence Golden Dec 7 1907 Female 28 Ione, Wash (Hattie E. Golden)
(Mrs. F. N. Golden) Nellie Mullennox Jul 27 1905 Female 32 Ione, Wash ( Hattie E. Golden)
(Mrs. F. N. Golden) FlovenerMullennox Apr 26 1907 Female 36 Ione, Wash (Hattie E. Golden )
Mrs. E. O. Steilman Edna Steilman Mar 27 1895 Female None Ione, Wash (K. A. Steilman)
(Mrs. E. O. Steilman) Lana Steilman Sep 26 1909 Female None Ione, Wash K. A. Steilman
Mrs. D. C. Bennett John Belden Nov 4 1897 Male 18 Ione, Wash Nellie Bennett
Mrs. Maude Beardsley Louise Olive Beardsley Jul 17 1909 Female None Ione, Wash Maude Beardsley
D. Webster Evaline F. Webster May 26 1904 Female 36 Ione, Wash Frannie Webster
  Mary M. Webster Nov 8 1907 Female 35 Ione, Wash Frannie Webster
  Dan Webster Sep 17 1896 Male None Ione, Wash (Frannie Webster)
P. J. Ver Stoppen Ervin Ver Stoppen May 24 1902 Male 32 Ione, Wash P. J. Ver Stoppen
  Elvina Ver Stoppen Dec 11 1904 Female 29 Ione, Wash  
  Pearl Ver Stoppen Dec 1 1908 Female None Ione, Wash  
   LINCOLN SCHOOL (Huckleberry Mountain)              
   Total Students in Class of 1915:  18           View Original Document N/A
   Lincoln School Teacher for 1915:  To Be Determined Salary per month:  TBD    
   Lincoln School Board Directors for 1915:  TBD            
   Lincoln 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
                 

 

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