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Sheet Number: 18A
Line Number: 9
State: Illinois
County: Montgomery
City, Township: Nokomis Twp
Enumerative District: 96
Location
Street, Avenue, Road, etc.:
House number or farm:
(1) Dwelling number: 207
(2) Number of family in order of visitation: 208
Name
(3) Name: Bertha Harrison
Relationship
(4) Relationship: Daughter
Personal Description
(5) Sex: F
(6) Color or Race: W
(7) Age at last birthday: 5
(8) Whether single, married, widowed or divorced: S
(9) Number of years in the present marriage:
Mother of how many children –
(10) Number born:
(11) Number now living:
Nativity
(12) Place of birth of this person: Illinois
(13) Place of birth of father of this person: Eng-English
(14) Place of birth of mother of this person: Eng-English
Citizenship
(15) Year of immigration to the U.S.:
(16) Whether naturalized or Alien:
(17) Whether able to speak English; or, if not, give language spoken:
Occupation
(18) Trade or profession of, or particular kind of work done by this person: None
(19) General nature of industry, business, or establishment in which this person works:
(20) Whether an employer, employee, or working on own account:
If an employee –
(21) Whether out of work on April 15, 1910:
(22) Number of weeks out of work during 1909:
Education
(23) Whether able to read:
(24) Whether able to write:
(25) Attended school any time since Sept. 1, 1909:
Ownership of home
(26) Owned or rented:
(27) Owned free or mortgaged:
(28) Farm or house:
(29) Number of farm schedule:
(30) Whether a survivor of the Union or Confederate Army or Navy:
(31) Whether blind (both eyes):
(32) Whether deaf and dumb:
Remarks
Online Record ID# - 124091
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