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
	Hamparzam [Hampartsoumian], Minas Z.	head	35	M	Turkey	1907	papers
	Zokorian [Zakarian], George	lodger	25	M	Turkey	1907	alien
	Podatian, John Y.	lodger	28	M	Turkey	1908	alien
	Papazian, George J.	lodger	23	M	Turkey	1909	alien
	Hamparzm [Hampartsoumian], Markas Z.	lodger	23	M	Turkey	1907	alien
	Hamparzm [Hampartsoumian], Assa B.	lodger	22	M	Turkey	1908	alien
	Dansel, Robert	lodger	20	M	Turkey	1907	alien
	Masrob [Mesrobian], Jack	lodger	27	M	Turkey	1908	alien
	Massrob [Mesrobian], Dernel [?]	lodger	24	M	Turkey	1906	alien