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
	Chalikian [Cholakian], Ruben	head	34	M	Turkey	1897	papers		NYRK-26DEC1896-2--0037,ETRU-17JUL1904-2-B-0021
	Chalikian [Cholakian], Zaroohi	wife	27	F	Turkey	1904			ETRU-17JUL1904-2-B-0022
	Chalikian [Cholakian], Azniv	daughter	4	F	MA, USA				@0007
	Chalikian [Cholakian], Isabella	daughter	3	F	CA, USA
	Chalikian [Cholakian], Zepour	daughter	1-6m	F	CA, USA