Form 19 B
CENSUS BLANK
CENSUS OF CHILDREN between the Ages of Four and Twenty-one Years, Residing in School District No. 7
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
Mrs. J. C. Hartmans Julia Hartman Jan 8 1895 Female - Tiger, Wash Mrs. J. C. Hartman
Mrs. J. C. Hartmans Bertha Hartman Apr 27 1897 Female - Tiger, Wash Mrs. J. C. Hartman
Mrs. J. C. Hartmans Gilbert Hartman Apr 27 1899 Male - Tiger, Wash Mrs. J. C. Hartman
Mrs. J. C. Hartmans Theodore Hartman Oct 23 1902 Male - Tiger, Wash Mrs. J. C. Hartman
Mrs. J. C. Hartmans Christjohn Hartman Mar 15 1906 Male - Tiger, Wash Mrs. J. C. Hartman
Mrs. W. B. Smith Florence Smith Oct 21 1904 Female - Tiger, Wash Mrs. W. B. Smith
Mr. & Mrs. Pfister John J. Pfister Nov 5 1906 Male - Tiger, Wash Joseph A. Pfister
Mr. & Mrs. Williams ????? Williams Jan 18 1908 Male - Tiger, Wash Mrs. Earne Williams
Mr. & Mrs. Williams Chester Williams Dec 20 1906 Male - Tiger, Wash Mrs. Earne Williams
Mr. & Mrs. McCulley Helen McCulley - - 1902 Female - Tiger, Wash Mr. & Mrs. McCulley
Mr. & Mrs. McCulley George McCulley - - 1904 Male - Tiger, Wash Mr. & Mrs. McCulley
Mrs. E. Cavanaugh Agnus E. Cavanaugh July 18 1899 Female - Tiger, Wash Mrs. E. Cavanaugh
Mrs. E. Cavanaugh Marjorie Cavanaugh Dec 11 1902 Female - Tiger, Wash Mrs. E. Cavanaugh
Mr. & Mrs. Gardener Gertrude Gardener - - 1902 Female - Ione, Wash B. L. Gardener
Mr. & Mrs. Gardener Harry Gardener - - 1905 Male - Ione, Wash B. L. Gardener
   FOREST HOME SCHOOL              
   Total Students in Class of 1912: 15           View Original Document N/A
   Forest Home School Teacher for 1912: Ray E. Hastings Salary per month: $65      
   Forest Home School Board Directors for 1912: M. B. Smith, E. J. Chamberlain, Mrs. E. Cavanaugh  
   Forest Home School Board Clerk for 1912: Mrs. E. Cavanaugh          
                 
   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