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, 1917
                 
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 24    Tiger, Wash Mrs. J. L. Lasswell
J. L. Lasswell Agusta Lasswell May 29 1902 Female 34    Tiger, Wash Mrs. J. L. Lasswell
J. L. Lasswell Martha W. Lasswell Feb 22 1908 Female 34    Tiger, Wash Mrs. J. L. Lasswell
J. L. Lasswell Marion Lasswell July 5 1909 Female 30    Tiger, Wash Mrs. J. L. Lasswell
J. L. Lasswell Gertrude Lasswell Feb 28 1912 Female - Tiger, Wash Mrs. J. L. Lasswell
Chas. W. Dull Ward Dull Oct 14 1911 Male - Tiger, Wash Mrs. C. W. Dull
Geo. Dull Edwin Dull Sep 10 1906 Male 18    Tiger, Wash Geo. Dull
Robert Alexander Robert Alexander Jan 19 189? Male 32    Tiger, Wash Robert Alexander
 J. C. Hartman Bertha J. Hartman Apr 27 1899 Female - Tiger, Wash Mrs. J. C. Hartman
 J. C. Hartman Gilbert ?.  Hartman Apr 27 1899 Male 30    Tiger, Wash Mrs. J. C. Hartman
 J. C. Hartman Theodore F. Hartman Oct 23 1902 Male 34    Tiger, Wash Mrs. J. C. Hartman
 J. C. Hartman Chris V. Hartman Mar 15 1906 Male 35    Tiger, Wash Mrs. J. C. Hartman
 J. C. Hartman Ruth Hartman Apr 30 1908 Female 36    Tiger, Wash Mrs. J. C. Hartman
Otto Kennedy Chris J. Kennedy Mar 27 1911 Male - Tiger, Wash Mrs. O. Kennedy
A. E. Bard Daisy M. Bard Apr 3 1899 Female - Tiger, Wash Mrs. E. A. Bard
M. B. Smith Florence Smith Oct 21 1904 Female 22    Tiger, Wash Mrs. M. B. Smith
M. B. Smith Thelma Smith July 6 1908 Female 22    Tiger, Wash Mrs. M. B. Smith
Mrs. Leon Bowns Margaret R. Bowns Sep 4 1901 Female 36    Tiger, Wash Mrs. Leon Bowns
Mrs. Leon Bowns Arvilla V. Bowns Apr 12 1907 Female 36    Tiger, Wash Mrs. Leon Bowns
O. C. Isom Grace K. Isom Feb 15 1899 Female 32    Tiger, Wash O. C. Isom
O. C. Isom Max Dana Isom July 9 1901 Male 35    Tiger, Wash O. C. Isom
O. C. Isom Genevieve J. Isom Sep 10 1911 Female - Tiger, Wash O. C. Isom
   FOREST HOME SCHOOL              
   Total Students in Class of 1917:  22           View Original Document N/A
   Forest Home School Teacher for 1917:  H. P. Willard Salary per month:  $80      
   Forest Home School Board Directors for 1917:  O. C. Isom, Jas E. Porter        
   Forest Home School Board Clerk for 1917:  O. C. Isom            
                 
   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