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SARRETT/SARRATT/SURRATT
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1910 CENSUS RESEARCH FORM T-624 Soundex Number:_______________ Soundex Reel: ________ E.D. ________________ Sheet:___________ Line:_______________ =============================================================================================================================================================== Local Community: _______________________________________ County: _____________________________________________ State: ______________________________ Ward: __________________________ Enumerator District #: __________________________ Enumerator: __________________________ Date Census Taken: ____________________ Supervisor District #: __________________________ +====+====+======+=====+===+===+=================+====+===+===+===+===+===+===+===+====+====+====+==+==+====+==========+==+==+==+==+==+==+==+==+==+==+==+==+==+ |Writ|Prin| |House|Dwl|Fam| | | | | |Mar|Yrs|Mot| # |Bir |Bir |Bir |Im|Na| |Occupation|Em|Ou|# | | | |Ow|Fr|Fa|# |CW| |Df| |Pg #|Pg #|Street| # | # | # | Person's Name |Rela|Sex|Col|Age|Sta|Mar|#ch|liv|Plac|Fath|Moth|Yr|Al|Lang|Nat of Biz|WE|Wr|We|Re|Wr|Sc|Re|Mr|Ho|FS|Ve|Bl|Dm| +----+----+------+-----+---+---+-----------------+----+---+---+---+---+---+---+---+----+----+----+--+--+----+----------+--+--+--+--+--+--+--+--+--+--+--+--+--+ | | | | | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10| 11| 12 | 13 | 14 |15|16| 17 | 18 & 19 |20|21|22|23|24|25|26|27|28|29|30|31|32| +====+====+======+=====+===+===+=================+====+===+===+===+===+===+===+===+====+====+====+==+==+====+==========+==+==+==+==+==+==+==+==+==+==+==+==+==+ | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | +----+----+------+-----+---+---+-----------------+----+---+---+---+---+---+---+---+----+----+----+--+--+----+----------+--+--+--+--+--+--+--+--+--+--+--+--+--+ | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | +----+----+------+-----+---+---+-----------------+----+---+---+---+---+---+---+---+----+----+----+--+--+----+----------+--+--+--+--+--+--+--+--+--+--+--+--+--+ | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | +----+----+------+-----+---+---+-----------------+----+---+---+---+---+---+---+---+----+----+----+--+--+----+----------+--+--+--+--+--+--+--+--+--+--+--+--+--+ | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | +----+----+------+-----+---+---+-----------------+----+---+---+---+---+---+---+---+----+----+----+--+--+----+----------+--+--+--+--+--+--+--+--+--+--+--+--+--+ | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | +----+----+------+-----+---+---+-----------------+----+---+---+---+---+---+---+---+----+----+----+--+--+----+----------+--+--+--+--+--+--+--+--+--+--+--+--+--+ | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | +----+----+------+-----+---+---+-----------------+----+---+---+---+---+---+---+---+----+----+----+--+--+----+----------+--+--+--+--+--+--+--+--+--+--+--+--+--+ | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | +----+----+------+-----+---+---+-----------------+----+---+---+---+---+---+---+---+----+----+----+--+--+----+----------+--+--+--+--+--+--+--+--+--+--+--+--+--+ | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | +====+====+======+=====+===+===+=================+====+===+===+===+===+===+===+===+====+====+====+==+==+====+==========+==+==+==+==+==+==+==+==+==+==+==+==+==+ Field Descriptions: The first two boxes are for you to record the written and printed page numbers where you found the information. 1. Dwelling, in the order of visitation. 17. English speaker? If not, give language. 2. Family number, in the order of visitation. 18 and 19. Occupation and nature of business. 3. The Name of every Person whose usual of abode 20. Employer, wage earner, or working on own on the 15th April, 1910, was in this family. account? 4. Relationship to head of this household. 21. Out of work on April 15, 1910? 5. Sex. 22. # of weeks not working in 1909. 6. Person's color. 23. Can read? 7. Age. 24. Can write? 8. Marital Status. 25. In school since Sept 1, 1909? 9. Number of years married. 26. Home owned or rented? 10. Mother of how many children. 27. Owned free of mortgage? 11. Number of these children living. 28. Farm of house? 12. Person's birthplace. 29. No. of farm schedule. 13. Father's birthplace. 30. Civil War veteran? 14. Mother's birthplace. 31. Blind? 15. Year of immigration. 32. Deaf & Dumb? 16. Naturalized or alien?

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E-Mail: Paul R. Sarrett, Jr. Auburn, CA.

Text - Copyright © 1996-2001 Paul R. Sarrett, Jr. Feb. 20, 2001