Census ID:                          

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

Name:                               
Immigrant ID:                       @0004 
Sex:                                
Age:                                 years 
Relationship to Head of Household:  
Marital Status & Children:          
Age at 1st Marriage:                
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
	Hazrabedian [Hairabedian], Tatoo	head	57	M	Turkey	1906	alien		@0004
	Kazarian [Ghazarian], Harry	roomer	39	M	Turkey	1910	papers
	Karazozian, Ernest	roomer	41	M	Turkey	1913	alien
	Nahchigian [Nazigian], Kachy	roomer	37	M	Turkey	1913	alien
	Kalazyian [?] [Kalajian], Henry	roomer	43	M	Turkey	1913	alien