Census ID:                          

Country (Census Year):              
Census Place:                       
Page Number (Enumeration Date):     
Line Number:                        
Dwelling / Family Number:            / 

Name:                               
Immigrant ID:                       LSVO-28FEB1910-3-11-0004 THEM-22OCT1920-2-5-0001 
Sex:                                
Age:                                 years 
Relationship to Head of Household:  
Marital Status & Children:          
Occupation:                         
Home Address:                       
Birth Place:                        
Father's Birth Place:               
Mother's Birth Place:               
Year of Immigration:                
Citizenship Status:                 

Comments:
                                    

Census household:

Actions:
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Action	Name	Relationship	Age	Sex	Birth Place	Year of Immigration	Citizenship Status	Comments	Immigrant ID
	Milkionian [Melkonian], Peta	head	40	M	Turkey	1905	papers
	Milkionian [Melkonian], Mary	wife	40	F	Turkey	1905	alien
	Milkionian [Melkonian], Tom	son	29	M	Turkey	1913	naturalized	[age appears to be incorrect, based on ages of parents]
	Metzoian [Medzoian], Caspar	lodger	29	M	Turkey	1910	papers		LSVO-28FEB1910-3-11-0004,THEM-22OCT1920-2-5-0001
	Dostorinn [?] [Dostourian], Misak	lodger	30	M	Turkey	1910	papers
	[?], Masrop	lodger	24	M	Turkey	1916	papers	[last name unreadable, was put on subsequent line with next family]