Census ID:                          

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

Name:                               
Immigrant ID:                       
Sex:                                
Age:                                 years  months

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
	Nalbandian, Paul	head	30	M	Harput, Mamuretulaziz, Turkey	1910	papers		CRNR-30APR1910-3-L-0030
	Nalbandian, Lucy	wife	28	F	Harput, Mamuretulaziz, Turkey	1913	alien		LPRV-13JAN1913-3-7-0012
	Nalbandian, Berg	son	5	M	CA, USA
	Nalbandian, Peter	son	3-3m	M	CA, USA
	Derderian, Kazar	head	34	M	Harput, Mamuretulaziz, Turkey	1909	papers		CALI-14AUG1909-3-3-0013
	Derderian, Nazly	wife	28	F	Harput, Mamuretulaziz, Turkey	1913	alien		HAVR-03DEC1913-2-D-0014
	Jizmajian [Jizmejian], Mike P.	brother-in-law	21	M	Harput, Mamuretulaziz, Turkey	1913	papers		HAVR-17FEB1913-3-G-0016
	Derderian, Kavork	son	7m	M	IL, USA