Form 19B
CENSUS BLANK
CENSUS OF CHILDREN between the Ages of Five and Twenty-one Years, Residing in School District No. 7
Pend Oreille County, Washington, on the First Day of May, 1916
                 
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
J. L. Lasswell Chester W. Lasswell Nov 29 1900 Male 30    Tiger, Wash Mrs. J. L. Lasswell
J. L. Lasswell Marion Lasswell July 5 190? Female 12    Tiger, Wash Mrs. J. L. Lasswell
Joseph Pfister John J. Pfister Nov 5 1906 Male 36    Tiger, Wash Mrs. J. A. Pfister
Joseph Pfister Florence M. Pfister Jan 1 1909 Female 33    Tiger, Wash Mrs. J. A. Pfister
O. C. Isom Grace Isom Feb 15 1899 Female 31    Tiger, Wash O. C. Isom
O. C. Isom Max Dana Isom July 9 1901 Male 35    Tiger, Wash O. C. Isom
Chas. C. Fridley Lois M. Fridley Dec 6 1904 Female 24    Tiger, Wash E. A. Kiser (Grandfather)
Chas. C. Fridley Howard J. Fridley Oct 22 1906 Male 24    Tiger, Wash E. A. Kiser (Grandfather)
Chas. C. Fridley Wayne Fridley Mar 28 1909 Male 23    Tiger, Wash E. A. Kiser (Grandfather)
 J. C. Hartman Bertha J. Hartman Apr 27 1899 Female None Tiger, Wash Mrs. J. C. Hartman
 J. C. Hartman Gilbert Hartman Apr 27 1899 Male None Tiger, Wash Mrs. J. C. Hartman
 J. C. Hartman Theodore F. Hartman Oct 23 1902 Male 36    Tiger, Wash Mrs. J. C. Hartman
 J. C. Hartman Chris V. Hartman Mar 15 1906 Male 36    Tiger, Wash Mrs. J. C. Hartman
 J. C. Hartman Ruth Hartman Apr 30 1908 Female 36    Tiger, Wash Mrs. J. C. Hartman
A. E. Bard Daisy M. Bard Apr 3 1899 Female 15    Tiger, Wash Mrs. E. A. Bard
M. B. Smith Florence Smith Oct 21 1904 Female 35    Tiger, Wash Mrs. M. B. Smith
M. B. Smith Thelma Smith July 6 1908 Female 35    Tiger, Wash Mrs. M. B. Smith
J. B. McQuown Darrel McQuown Apr 17 1898 Male None Tiger, Wash J. B. McQuown
   FOREST HOME SCHOOL              
   Total Students in Class of 1916:  18           View Original Document N/A
   Forest Home School Teacher for 1916:  Mabel Kruckman Salary per month:  $80      
   Forest Home School Board Directors for 1916:  Jos. A. Pfister, James E. Porter      
   Forest Home School Board Clerk for 1916:  Jos. A Pfister            
                 
   Information in () are possible alternative interpretations          
                 
   Original Document Courtesy -       Transcription of Orginal Document by -
   State of Washington, Eastern Regional Archives - Cheney, WA   Tiger Historical Center Board Director John Nordstrand