Form Bc-600 - Application For Search Of Census Records - U.s. Department Of Commerce Page 4
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4GIVE PLACE OF RESIDENCE FOR APPROPRIATE CENSUS DATE (SEE INSTRUCTIONS 1 AND 6)
6.
Number and street
City, town, township
Name of person with whom living
Relationship of
Census date
County and State
(Read instruction 6 first)
(Read instruction 6 first)
(Head of household)
head of household
April 15, 1910
(See instruction 6)
Jan. 1, 1920
(See instruction 6)
April 1, 1930
(See instruction 6)
April 1, 1940
(See instruction 6)
April 1, 1950
(See instruction 6)
April 1, 1960
(See instruction 6)
April 1, 1970
(See instruction 6)
April 1, 1980
(See instruction 6)
April 1, 1990
ZIP Code
(See instruction 6)
April 1, 2000
ZIP Code
(See instruction 6)
7. LOCATOR MAP (Optional)
PLEASE DRAW A MAP OF WHERE THE APPLICANT LIVED, SHOWING ANY PHYSICAL FEATURES, LANDMARKS, INTERSECTING ROADS,
CLOSEST TOWNS, ETC., THAT MAY AID IN LOCATING THE APPLICANT FOR THE CENSUS YEAR REQUESTED.
HAVE YOU SIGNED THE APPLICATION AND ENCLOSED THE CORRECT FEES?
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