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:                       
Residence in 1935:                  
Birth Place:                        
Year of Immigration:                
Citizenship Status:                 

Comments:
                                    

Census household:

Actions:
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Action	Name	Relationship	Age	Sex	Birth Place	Citizenship Status	Comments	Immigrant ID
	Kasparian, Kevork	head	40	M	Russia	naturalized		KNGA-02MAY1921-3-25-0022
	Kasparian, Catharine	wife	32	F	Russia	alien		FRAN-13MAR1921-3-5-0004
	Kasparian, George	son	11	M	MI, USA
	Kasparian, Caroline	daughter	6	F	MI, USA