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, 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
H. W. Lindlow Ronald R. Lindlow Jun 23 1896 Male 24  Ione, Wash H. W. Lindlow
W. H. Heritage Ruby A. Heritage Feb 4 1902 Female 0 Ione, Wash W. H. Heritage
Daniel Webster Dan Webster Sep 17 1896 Male 32 Ione, Wash Mrs. Daniel Webster
(Daniel Webster) Eva Webster Jul 5 1908 Female 30 Ione, Wash (Mrs. Daniel Webster)
H. E. Golden Napoleon Johnson May 31 1894 Male 0 Ione, Wash (Mrs. Hattie E. Golden)
(H. E. Golden) Marie Johnson Apr 12 1896 Female 0 Ione, Wash (Mrs. Hattie E. Golden)
(H. E. Golden) Hattie Johnson Apr 13 1898 Female 32 Ione, Wash (Mrs. Hattie E. Golden)
(H. E. Golden) Fred Golden Apr 18 1904 Male 32 Ione, Wash (Mrs. Hattie E. Golden)
(H. E. Golden) Floyd Golden Oct 11 1905 Male 20 Ione, Wash (Mrs. Hattie E. Golden)
(H. E. Golden) Nellie Mullennax Jul 29 1905 Female 13 Ione, Wash (Mrs. Hattie E. Golden)
(H. E. Golden) Florence Mullennax Apr 26 1907 Female 0 Ione, Wash Mrs. Hattie E. Golden
Mrs. B. F. Gardiner Gertrude Gardiner May 1 1902 Female 32 Ione, Wash Mrs. B. F. Gardiner
(Mrs. B. F. Gardiner) Lawrence Gardiner Apr 24 1904 Male 8 Ione. Wash (Mrs. B. F. Gardiner)
Amos Barckley George Barckley Aug 25 1894 Male 0 Ione, Wash (Amos Barkley)
(Amos Barckley) Harry Barckley Jan 6 1896 Male 0 Ione, Wash (Amos Barkley)
(Amos Barckley) Ernest Barckley Mar 25 1903 Male 30 Ione, Wash (Amos Barkley)
(Amos Barckley) Nellie Barckley Sep 18 1906 Female 0 Ione, Wash Amos Barkley
Mrs. Wm Hugo Ralph Kaye Jul 25 1900 Male 32 Ione, Wash (Mrs. W. M. Hugo)
(Mrs. Wm Hugo) Howard Kaye Jun 17 1902 Male 32 Ione, Wash Mrs. W. M. Hugo
C. A. Perry Maude Perry Jul 3 1898 Female 0 Ione, Wash Mrs. C. A. Perry
(C. A. Perry) Laura Perry Oct 28 1900 Female 32 Ione, Wash (Mrs. C. A. Perry )
   LINCOLN SCHOOL (Huckleberry Mountain)              
   Total Students in Class of 1912:  21           View Original Document N/A
   Lincoln School Teacher for 1912:  To Be Determined Salary per month:  TBD    
   Lincoln School Board Directors for 1912:  TBD            
   Lincoln 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