Census ID:                          

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

Name:                               
Immigrant ID:                       
Sex:                                
Age:                                 years 
Birth Date:                         
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	Year of Immigration	Citizenship Status	Comments	Immigrant ID
	Bakalian, Vartan	head	35	M	Turkey	1908			LBRT-24MAY1909-3-1-0013
	Kirkorian [Krikorian], Misag	boarder	25	M	Turkey	1904			MNDS-09OCT1920-3-44-0004
	Mooridian [Mouradian], Garabed	boarder	40	M	Turkey	1904			LLRN-08SEP1906-3-18-0020
	Mooridian [Mouradian], Mugurtich	boarder	18	M	Turkey	1909			CORI-10DEC1909-3-C1-0030
	Agopian [Hagopian], Mordig	boarder	40	M	Turkey	1908			LLRN-31DEC1910-3-10-0016
	Mosoian [Moushoian], Melkon	boarder	45	M	Turkey	1909			LGSC-16FEB1910-3-17-0006 ?
	Aslanian [Arslanian], Avedis	boarder	42	M	Turkey	1905
	Manoogian [Manougian], Boghos	boarder	26	M	Turkey	1909			LPRV-25MAY1906-3-24-0015,MWAS-02FEB1909-3-63-0020
	Depigian, Artin	boarder	45	M	Turkey	1906
	Aprahamian [Abrahamian], Yeghia	boarder	35	M	Turkey	1907