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
	Barsamian, Kaspar	head	50	M	Turkey	1904	alien
	Barsamian, Nartie	wife	45	F	Turkey	1908			LSVO-09FEB1907-3-23-0027
	Barsamian, Parpion	daughter	17	F	Turkey	1908
	Barsamian, Victoria	daughter	15	F	Turkey	1908			LSVO-09FEB1907-3-23-0028
	Barsamian, Rabaga	daughter	9	F	Turkey	1908			LSVO-09FEB1907-3-23-0029
	Barsamian, Karakian	son	8	M	Turkey	1908			LSVO-09FEB1907-3-23-0030
	Tashian [Tashjian], Garabed	brother-in-law	27	M	Turkey	1900	alien
	Garogosian [Giragosian],	brother-in-law	45	M	Turkey	1889	alien
	Mardresian [Mardirosian],	brother-in-law	20	M	Turkey	1908	alien