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Census of Canada 1891
Enumeration Form

Province: ____________

District No: __________

S. District: ___________

Schedule No.1. Nominal return of the living

Enumerated by me on the ____ day of __________, 1891.

Page: ____

Enumerator: _______________
Numbered in the order of visitation:
1. Vessels and shanties: __________

2. Houses in construction: _________

3. Houses uninhabited: ___________

4. Houses inhabited: _____________

5. Families: ____________________
6. Names: ___________________________

7. Sex: _______

8. Age: _______

9. Married or widowed: _______________

10. Relation to head of family: __________

11. Country of province of birth: _________

12. French canadians: _________________

13. Place of birth of father: _____________

14. Place of birth of mother: ____________

15. Religion: _______________________

16. Profession, occupation or trade: _______________________________

17. Employers: _____________________

18. Wage earner: ___________________

19. Unemployed during week preceding [the] Census: ______________________

20. Employer to state average number of hands employed during year: ______

21. Instruction:

21. Read: ____
22. Write: ____

23. Infirmities

Deaf and dumb: _________
Blind: _________________
Unsound of mind: ________