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City
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County
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State
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Enumeration Date
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Township
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Ward No.
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Roll No.
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Vol. No.
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E.D.
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Sheet
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Line
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April xx, 1910
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Location
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Name
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Relation
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Personal Description
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Street
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Home No.
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Dwelling No.
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Family No.
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Every person living
on April 15, 1910 |
Relation to Head
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Sex
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Color
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Age
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Marital Status
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Years Married
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No. of Children
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Children Living
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Vanderkloot, Adrian
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H
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W
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60
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Vanderkloot, Elizabeth B.
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W
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55
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Vanderkloot, Richard B.
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S
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25
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Vanderkloot, Elizabeth
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DL
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25
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Vanderkloot, Elizabeth
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GD
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NR
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Contd.
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Nativity
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Citizenship
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English
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Occupation
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Name
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Birthplace of Person
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Birthplace of Father
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Birthplace of Mother
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Year of Immigration
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Naturalized or Alien
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Speaks English
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Trade or Kind of Work
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Nature of Industry
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Employer, Employee, or Working Own Account
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Out of work on April 15, 1910 if employee
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Weeks out of work during 1909 if employee
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Vanderkloot, Adrian
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Holland
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Vanderkloot, Elizabeth B.
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England
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Vanderkloot, Richard B.
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Illinois
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Vanderkloot, Elizabeth
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Kentucky
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Vanderkloot, Elizabeth
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Illinois
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Contd.
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Education
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Ownership of Home
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Name
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Can Read
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Can Write
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Attended School since Sept. 1, 1909
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Owner or Rented
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Owned Free or Mortgaged
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Farm or Home
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Farm Sched. No.
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Survivor Civil War
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Whether Blind (both eyes)
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Whether Deaf and Dumb
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Vanderkloot, Adrian
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Vanderkloot, Elizabeth B.
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Vanderkloot, Richard B.
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Vanderkloot, Elizabeth
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Vanderkloot, Elizabeth
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