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Dwelling / Family Number:            / 

Name:                               
Immigrant ID:                       
Sex:                                
Age:                                 years  months

Relationship to Head of Household:  
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Home Address:                       
Birth Place:                        
Father's Birth Place:               
Mother's Birth Place:               
Year of Immigration:                
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Census household:

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Action	Name	Relationship	Age	Sex	Birth Place	Year of Immigration	Citizenship Status	Comments	Immigrant ID
	Hasslanian [Arslanian], Armenag	head	47	M	Turkey	1900	naturalized
	Hasslanian [Arslanian], Agnes	wife	42	F	Turkey	1900	naturalized		OBDM-19OCT1896-3--0218
	Hasslanian [Arslanian], Richard	son	24	M	Turkey	1900	naturalized		OBDM-19OCT1896-3--0219
	Hasslanian [Arslanian], Margaret	daughter	17	F	MA, USA
	Hasslanian [Arslanian], Frederick	son	14	M	MA, USA
	Hasslanian [Arslanian], Araxie	son	6	M	PA, USA
	Hasslanian [Arslanian], Armen	daughter	4-1m	F	MI, USA
	Alexander [Alexandrian], Alexander	roomer	38	M	Turkey	1911	alien