Census ID:                          

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

Name:                               
Immigrant ID:                       
Sex:                                
Age:                                 years  months

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
	Goorgian [Gurjian], George	head	40	M	Turkey	1905	alien		RYND-21FEB1905-3-AAA-0005
	Goorgian [Gurjian], Mary	wife	32	F	Turkey	1905			RYND-21FEB1905-3-AAA-0006
	Goorgian [Gurjian], Samuel	son	17	M	Turkey	1905			RYND-21FEB1905-3-AAA-0007
	Goorgian [Gurjian], Albert	son	9	M	Turkey	1905			RYND-21FEB1905-3-AAA-0008
	Goorgian [Gurjian], Mornig	son	7	M	Turkey	1905		[sex incorrect, should be female]	RYND-21FEB1905-3-AAA-0009
	Goorgian [Gurjian], Pansy	daughter	4	F	CA, USA
	Goorgian [Gurjian], Vahan	son	10m	M	CA, USA