The Census of 1910
Schedule No. 1 -- Population.
State __________, County ________________.
Supervisor's District No. _____; Enumeration District No. ______.
Township or other division of county [Insert proper name and, also, name of class, as township, town, precinct, district, hundred, beat, etc..] _________.
Name of incorporated place ________________.
Ward of city _________________.
Name of institution, _____________________.
3. ____ Name of each person whose place of abode on April 15, 1910, was in this family. Enter surname first, then the given name and middle initial, if any. Include every person living on April 15, 1910. Omit children born since April 15, 1910.