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Census ID: Country (Census Year): Census Place: Page Number (Enumeration Date): Line Number: Dwelling / Family Number: / Name: Immigrant ID: PRET-16SEP1905-3-25-0025 STPA-22JUN1913-3-C6-0012 MCLM-26JAN1922-3--0129 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: