Simoneau (Simeno)	Peter	Delphine  (Bechard)	Phillip	Mador	Willie
Relationship to Family	Head	Wife	Son	Daughter	Son
Color and Sex	White, Male	White, Female	White, Male	White, Female	White, Male
Age	27	22	4	2	2 / 12
Married/Single Widowed/Divorced	Married	Married	Single	Single	Single
Occupation & Other Data	Farmer	Keeping Home	Blank	Blank	Blank
Months Unemployed	None	Blank	Blank	Blank	Blank
Person Health	Blank	Blank	Blank	Blank	Blank
Attended School	Blank	Blank	Blank	Blank	Blank
Cannot Read	Blank	Blank	Blank	Blank	Blank
Cannot Write	Blank	Blank	Blank	Blank	Blank
Person Birthplace	Canada	Illinois	Illinois	Illinois	Illinois
Fathers Birthplace	Canada	Canada	Canada	Canada	Canada
Mothers Birthplace	Canada	Canada	Illinois	Illinois	Illinois
Occupation & Other Data	Farmer	Keeping Home	Blank	Blank	Blank