Census ID:                          

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Census Place:                       
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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:                
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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
	Ohan [Ohanian], Nishan M.	head	28	M	Harput, Mamuretulaziz, Turkey	1911	alien		ROMA-27JUL1912-3-6-0015
	Ohan [Ohanian], Mendoohie	wife	23	F	Harput, Mamuretulaziz, Turkey	1914	alien		ROCH-12NOV1913-3-37-0015
	Ohan [Ohanian], Helen N.	daughter	4-10m	F	MA, USA
	Ohan [Ohanian], Hazel N.	daughter	1-6m	F	MA, USA
	Sohigian [Soghigian], Arapel	brother[-in-law]	26	M	Turkey	1912	alien