Census ID:                          

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

Name:                               
Immigrant ID:                       LBRT-06DEC1909-3-5-0006 
Sex:                                
Age:                                 years 
Relationship to Head of Household:  
Marital Status & Children:          
Occupation:                         
Home Address:                       
Birth Place:                        
Year of Immigration:                
Citizenship Status:                 

Comments:
                                    

Census household:

Actions:
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Action	Name	Relationship	Age	Sex	Birth Place	Citizenship Status	Comments	Immigrant ID
	Kurk [Kurkjian], Alex H.	head	58	M	Turkey	alien		LBRT-06DEC1909-3-5-0006
	Kurk [Kurkjian], Mayne G.	wife	47	F	OK, USA			M@WW2-U-OR-Linn-Albany-1-3858-NR
	Kurk [Kurkjian], Tharona N.	daughter	7	F	OR, USA