Form 19 B
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, 1913
                 
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
Mr&Mrs H.W. Whitcomb Van Whitcomb Sep 3 1900 Female 25 Tiger, Wash Mrs. H. W. Whitcomb
Mr. & Mrs. Jos. A. Pfister John J. Pfister Nov 5 1906 Male 20 Tiger, Wash Mrs. J. A. Pfister
Mrs. E. Cavanaugh Agnus Cavanaugh July 18 1899 Female 34 Tiger, Wash Mrs. E. Cavanaugh
Mrs. E. Cavanaugh Marjorie E. Cavanaugh Dec 11 1901 Female 34 Tiger, Wash Mrs. E. Cavanaugh
Mr. & Mrs. J. C. Hartman Gilbert Hartman Mar 27 1899 Male 34 Tiger, Wash J. C. Hartman
Mr. & Mrs. J. C. Hartman Bertha Hartman Mar 27 1899 Female 34 Tiger, Wash J. C. Hartman
Mr. & Mrs. J. C. Hartman Cristphor Hartman Mar 15 1906 Male 34 Tiger, Wash J. C. Hartman
Mr. & Mrs. J. C. Hartman Theodore Hartman Oct 23 1901 Male 34 Tiger, Wash J. C. Hartman
Mr. & Mrs. J. C. Hartman Edith Hartman Apr 30 1908 Female - Tiger, Wash J. C. Hartman
Mr. & Mrs. M. B. Smith Florence Smith Oct 21 1904 Female 30 Tiger, Wash Mrs. M. B. Smith
Mr&Mrs J.B. McQuown Darel McQuown Apr 17 1897 Male - Tiger, Wash Mrs. J. B. McQuown
Mr. & Mrs. E. J. Chamberlain Earnest Chamberlain Feb 2 1908 Male - Tiger, Wash Mrs. E. J. Chamberlain
Mr. & Mrs. E. Williams Rosco Williams Jan 18 1905 Male 30 Tiger, Wash Mrs. Earne Williams
Mr. & Mrs. E. Williams Chester Williams Dec 20 1906 Male - Tiger, Wash Mrs. Earne Williams
Mr. & Mrs. E. E. Bard Daisy Bard Apr 3 1899 Female 30 Tiger, Wash Mrs. A. E. Bard
Mr. & Mrs. E. E. Bard Nickles W. Bard June 8 1896 Male - Tiger, Wash Mrs. A. E. Bard
Mr. & Mrs. Gardner Gertrude Gardener - - 1901 Female 30 Ione, Wash Mr. B. F. Gardner
Mr. & Mrs. Gardner Harry Gardener - - 1905 Male 30 Ione, Wash Mr. B. F. Gardner
Mrs. Will Fontaine Keith Fontaine Dec 1 1900 Male 30 Tiger, Wash Mrs. W. Fontaine
   FOREST HOME SCHOOL              
   Total Students in Class of 1913: 19           View Original Document N/A
   Forest Home School Teacher for 1913: Lena Sherman Salary per month: $65      
   Forest Home School Board Directors for 1913: Not Available          
   Forest Home School Board Clerk for 1913: 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