1900 Blank Census Form - Us Census

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1900 United States Federal Census
State: ______________________________
County: ____________________________
Page No.: ______________
City:_______________________________
Call Number / URL: ______________
LOCATION
RELATION
PERSONAL DESCRIPTION
NATIVITY
DATE OF
NAME
IN CITIES
Place of birth of each person and parents of each person enumerated. If born in the United State, give the State or Territory; if
BIRTH
of foreign birth, give the country only.
of each person whose place
of abode on June 1, 1900
Relationship of
was in this family.
each person to
Place of birth of
the head of the
House
Place of birth of this
Place of birth of
Street
MOTHER of this
Enter surname first, the given name and
family.
Number
person.
FATHER of this person
middle initial, if any.
person
Include every person living on June 1, 1900.
Omit children born since June 1, 1900
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
CITIZENSHIP
Education
Ownership of Home
Occupation, Trade, or Profession
of each person TEN YEARS of age and
over
Notes
Occupation
16
17
18
19
20
21
22
23
24
25
26
27
28

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