Census ID:                          

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

Name:                               
Immigrant ID:                       
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
	Malkasian [Malkhasian], Hatchik	head	62	M	Turkey	1908	alien		IONI-08DEC1907-3-A2@1-0009
	Malkasian [Malkhasian], Mariam	wife	52	F	Turkey	1908			LLRN-16NOV1907-3-17-0022
	Malkasian [Malkhasian], Dickran	son	22	M	Turkey	1908	alien
	Malkasian [Malkhasian], Kerop	son	19	M	Turkey	1908			LLRN-16NOV1907-3-17-0021
	Malkasian [Malkhasian], Sampad	son	14	M	Turkey	1908			LLRN-16NOV1907-3-17-0024