Line # |
NameRelationshipOccupation | Color Sex AgeMonth Bornif w/in YrSMW/DMd w/in YrSickness/Disability |
Mos Unemp |
Blind |
Deaf-Dumb |
Idiotic |
Insane |
Other Disab. |
Att. School |
Can't Read |
Can't Write |
BirthplaceMother BirthplaceFather Birthplace | |||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|