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Sheet Number: 13A
Line Number: 7
State: Illinois
County: Montgomery
City, Township: Panama Village
Enumerative District: 91
Location
(1) Street, Avenue, Road, etc.:
(2) House number or farm: .
(3) Dwelling number: 47
(4) Number of family in order of visitation: 51
Name & Relationship
(5) Name: Johan Crkvik*
(6) Relationship: Daughter
Tenure
(7) Home owned or rented:
(8) If owned, free or mortgaged:
Personal Description
(9) Sex: F
(10) Color or Race: W
(11) Age at last birthday: 3+2/12
(12) Whether single, married, widowed or divorced: S
Citizenship
(13) Year of immigration to the U.S.:
(14) Whether naturalized or Alien:
(15) If naturalized, year of naturalization:
Education
(16) Attended school any time since Sept. 1, 1919:
(17) Whether able to read:
(18) Whether able to write:
Nativity & Mother Tongue
This person:
(19) Place of birth: Illinois
(20) Mother Tongue:
Father:
(21) Place of birth: Austria
(22) Mother Tongue: Slovene
Mother:
(23) Place of birth: Austria
(24) Mother Tongue: Slovene
(25) Whether able to speak English; or, if not, give language spoken:
Occupation
(26) Trade or profession of, or particular kind of work done by this person: None
(27) General nature of industry, business, or establishment in which this person works:
(28) Whether an employer, employee, or working on own account:
(30) Number of farm schedule:
Remarks
Online Record ID# - 185123
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