LOCATION |
Column 1: Street, Avenue, road, etc. |
Friendship Street |
Column 2: House Number |
520 |
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HOUSEHOLD DATA |
Column 3: No. of Household in order of visitation |
237 |
Column 4: Home owned (O) or rented (R) |
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Column 5: Value of home or owned, or Monthly rental, if rented |
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Column 6: Farm? (Yes or No) |
No |
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NAME
Name of each person whose usual place of residence on April 1, 1940, was in this household.
BE SURE TO INCLUDE:
1. Persons temporarily absent from household. Write "Ab" after names of such persons.
2. Children under 1 year of age. Write "Infant" if child has not been given a first name.
Enter X after name of person furnishing information. |
Column 7: Name |
Rinehart, Virginia |
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RELATION
Relationship of this person to the head of the household, as wife, daughter, father, mother-in-law, grandson, lodger, lodger's wife, servant, hired hand, etc. |
Column 8: Relationship |
Ward |
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PERSONAL DESCRIPTION |
Column 9: Sex |
F |
Column 10: Color or Race |
W |
Column 11: Age at Last Birthday |
15 |
Column 12: Marital Status |
S |
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EDUCATION |
Column 13: Attend school or college any time since March 1, 1940? |
Yes |
Column 14: Highest grade of school completed |
7 |
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PLACE OF BIRTH
If born in the United States, give state, territory, or possession.
If foreign born, give country in which birthplace was situated on January 1, 1937.
Distinguish Canada-French from Canada-English and Irish Free State from Northern Ireland. |
Column 15: Place of birth |
Pennsylvania |
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CITIZENSHIP |
Column 16: Citizenship of the foreign born |
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RESIDENCE, APRIL 1, 1935
In what place did this person live on April 1, 1935?
For a person who lived in a different place, enter city or town, county and State. |
Column 17: City, town, or village having 2,600 or more inhabitants. If less, enter "R" |
Same house |
Column 18: County |
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Column 19: State (or Territory or foreign country) |
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Column 20: On a farm? (Yes or No) |
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PERSONS 14 YEARS OLD AND OVER - EMPLOYMENT STATUS |
Column 21: Was this person AT WORK for pay or profit in private or nonemergency Govt. work during week of March 24-30? (Yes or No) |
No |
Column 22: If not, was he at work or assigned to, public EMERGENCY WORK (WPA, NYA, CCC etc.) during the week of March 24-30? (Yes or No) |
No |
If neither at work nor assigned to public emergency work. ("No" in cols 21 and 22) |
Column 23: Was this person SEEKING WORK? (Y or N) |
No |
Column 24: If not seeking work, did he HAVE A JOB, business, etc.? (Y or N) |
No |
For persons answering "No" to questions 21-24. |
Column 25: Indicate whether engaged in home housework (H) in school (S) or other (Ot) |
S |
If at private or nonemergency Government work ("Yes" in col. 21) |
Column 26: Number of hours worked during week of March 24-30, 1940. |
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If seeking work or assigned to public emergency work "Yes" in col 22 or 23 |
Column 27: Duration of unemployment up to March 30, 1940 - in weeks. |
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OCCUPATION, INDUSTRY, AND CLASS OF WORKER
For a person at work, assigned to public emergency work, or with a job ("Yes" in Col. 21, 22 or 24), enter present occupation, industry, and class of worker.
For a person seeking work ("Yes" in Col 23): (a) If he has previous work experience, enter last occupation, industry, and class of worker: or (b) if he does not have previous work experience, enter "New worker" in Col 28, and leave Cols. 29-30 blank.
For a person who lived in a different place, enter city or town, county, or State as directed in instructions. (Enter actual place of residence, which may differ from mail address. |
Column 28: Occupation - Trade, profession, or particular kind of work as- frame spinner, salesman, laborer, rivet heater, music teacher. |
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Column 29: Industry - Industry or business, as- cotton mill, retail grocery, farm, shipyard Public school. |
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Column 30: Class of worker. |
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Column 31: Number of weeks worked in 1939 (Equivalent full-time weeks) |
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INCOME IN 1939 (12 months ending December 31, 1939) |
Column 32: Amount of money wages or salary received (including commissions) |
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Column 33: Did this person receive income of $50 or more from sources other than money wages or salary? (Y or N) |
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Column 34: Number of Farm Schedule. |
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SUPPLEMENTARY QUESTIONS ONLY for Persons Enumerated on Lines 3 & 39. |
Column 35: Name (for persons who are on lines 3 & 39) |
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- FOR PERSONS OF ALL AGES - |
PLACE OF BIRTH OF FATHER AND MOTHER
If born in the U.S. give state, territory, or possession.
If foreign born, give country in which birthplace was situated on January 1, 1937.
Distinguish Canada-French from Canada-English and Irish Free State from Northern Ireland. |
Column 36: Father |
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Column 37: Mother |
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MOTHER TONGUE |
Column 38: Language spoken in home in earliest childhood. |
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VETERANS
Is this person a veteran of the of the United States military forces: or the wife, widow or under 18-year-old child of a veteran? |
Column 39 If so, enter "Yes" |
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Column 40: If child, is veteran - father dead? (Y or N) |
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Column 41: War or military service |
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- FOR PERSONS 14 YEARS OLD AND OVER - |
SOCIAL SECURITY |
Column 42: Does this person have a Federal Social Security Number? (Yes or No)
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Column 43: Were deductions for Federal Old-Age Insurance or Railroad Retirement made from this person's wages or salary in 1939? (Yes or No)
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Column 44: If so, were deductions made from all 1/2 or more, part but less than 1/2 of wages or salary?
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USUAL OCCUPATION, INDUSTRY, AND CLASS OF WORKER
Enter that occupation which the person regards as his usual occupation and at which he is physically able to work. If the person is unable to determine this, enter that occupation at which he has worked longest during the past 10 years and at which he is physically able to work. Enter also usual industry and usual class of worker. |
Column 45: Usual Occupation |
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Column 46: Usual Industry |
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Column 47: Usual class of worker |
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FOR ALL WOMEN WHO ARE OR HAVE BEEN MARRIED |
Column 48: Has this woman been married more than once? (Yes or No) |
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Column 49: Age at first marriage. |
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Column 50: Number of children ever born. (Do not include stillbirths.) |
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