Census ID:                          

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Census Place:                       
Page Number (Enumeration Date):     
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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
	Kakligan [Kakligian], Icnados	head	32	M	Turkey	1912	alien		STLO-05JUL1910-3-C3-0002
	Kakligan [Kakligian], Ossig	wife	27	F	Turkey	1914	alien		OLMP-10SEP1913-3-C34-0003
	Kakligan [Kakligian], Floresa	daughter	4	F	IL, USA
	Kakligan [Kakligian], Mary	daughter	1	F	IL, USA
	Ozadian [Azadian], Melcon	father-in-law	55	M	Turkey	1914	alien		LSVO-09AUG1913-3-12-0012
	Ozadian [Azadian], Seloog	wife	45	M	Turkey	1914	alien	[sex incorrect, should be F]	OLMP-10SEP1913-3-C34-0002