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Dwelling / Family Number:            / 

Name:                               
Immigrant ID:                       
Sex:                                
Age:                                 years 
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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Comments:
                                    

Census household:

Actions:
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Action	Name	Relationship	Age	Sex	Birth Place	Year of Immigration	Citizenship Status	Comments	Immigrant ID
	Demerjian [Demirjian], Mardros	head	50	M	Turkey	1891	naturalized		RUGI-02FEB1892-3--0030
	Demerjian [Demirjian], Sarah	wife	51	F	Turkey	1895			MASS-05JAN1898-0-G-0008
	Martin [Mardirosian], Henry	stepson	27	M	Turkey	1895	naturalized		MASS-05JAN1898-0-G-0009
	Martin [Mardirosian], Roupenia	stepdaughter[-in-law]	26	F	Turkey	1907
	Martin [Mardirosian], Roupen	grandson	1-3m	M	MA, USA
	Demerjian [Demirjian], Jacob	son	25	M	Turkey	1895	naturalized		MASS-05JAN1898-0-G-0010
	Demerjian [Demirjian], Yehsa	daughter-in-law	21	F	Turkey	1908
	Demerjian [Demirjian], Nonig	[grand]daughter	2m	F	MA, USA