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Page #1 |
Note
A - The Census Year begins June 1, 1879, and ends May 31, 1880 |
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Sup.
Dist #3 |
Note
B - In making entries in columns 6, 7, and 8, an affirmative mark only
will be used, thus /, except in the case of divorced persons, column 8,
when the letter "D" is to be used. |
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Enumeration
dist #294 |
Note
C - For instructions relative to the entries in column 14, see back of
this schedule. |
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Note
D - In column 17, note distinctly if no Physician was in attendance, thus
(None.) |
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Schedule
5. - Persons who died during the year ending May 31, 1880, enumerated by
me in Brant in |
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County
of Saginaw State of Michigan, Reuben Mon?????, Enumerator. |
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Number of the family, as given in the column #2 of
Schedule 1 |
Name of person deceased |
Personal Description |
What was the civil condition of
the person who died? |
Nativity |
Profession, occupation, or trade(Not to be asked in respect to
persons under 10 years of age) |
The month in which the person died |
Disease or cause of death |
How long a resident of the country? If less than 1 yr state months
in fract. thus 5/12 |
If the disease was not contracted at place of death, state the
places |
Name of attending Physician |
| Age last birth - day. If under one
year, give months in franctions 5/12 If under 1 month give days in
fractions, thus 6/31 |
Sex - MALE (M) FEMALE (F) |
Color - White, black mulatto chinesee Indian |
Single / |
married / |
Widowed / |
Place of birth of this person, naming the State or
Territory of the U.S. or the country, if of foreign birth |
Where was the Father of this person born? (As in
column 9) |
Where was the Mother of this person born? (As in
column 9) |
| divorced D |
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1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
11 |
12 |
13 |
14 |
15 |
16 |
17 |
| 1 |
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Roods
Lovila |
?? |
F |
W |
/ |
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Michigan |
NY |
NY |
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July |
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1/12 |
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None |
| 2 |
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Roods
Viola |
10/12 |
F |
W |
/ |
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Mich |
NY |
NY |
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May |
Infllamation
of Lungs |
10/12 |
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None |
| 3 |
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Ewing
Alma |
44 |
M |
W |
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/ |
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NY |
NY |
NY |
Farmer |
Mar |
Infllamation
Bowels |
P |
Arm |
Dr.
Case |
| 4 |
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Limbooker
Oran D |
36 |
M |
W |
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/ |
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NY |
NY |
NY |
Mason |
Mar |
Bad
Disorder |
19 |
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Clark
A. Eldred |
| 5 |
84 |
Vannacker |
3/12 |
M |
W |
/ |
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Michigan |
Michigan |
Michigan |
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Aug |
Wooping
Cough |
2/12 |
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None |
| 6 |
128 |
Woodman
Ruth |
1/12 |
F |
W |
/ |
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Mich |
Michigan |
Michigan |
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Sep |
Brane
Hanour??? |
1/12 |
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Dr.
R. Case |
| 7 |
127 |
Weriter
Lousa |
3 |
F |
W |
/ |
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Michigan |
Canada |
Michigan |
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April |
Leahlot
Peavour??? |
3 |
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Dr.
H. Case |
| 8 |
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| 9 |
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| 10 |
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| 11 |
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| 12 |
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| 13 |
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| 14 |
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| 15 |
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| 16 |
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| 17 |
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| 18 |
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| 19 |
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| 20 |
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| 21 |
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| 22 |
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| 23 |
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| 24 |
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| 25 |
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| 26 |
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| 27 |
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| 28 |
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| 29 |
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| 30 |
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| 31 |
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| 32 |
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| 33 |
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| 34 |
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| 35 |
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Note R-Upon
this Schedule should be carefully returned: |
Of the deaths reported above, the following
occured in this enumeration district, but the families to which the
deceased belonged, resided June 1 1880 out of the enumeration district, as
follows: |
Of the deaths reported above, the following
occured out of this enumeration district, but the families to which the
deceased belonged, resided June 1 1880 in this enumeration district, as
follows: |
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Number of the line upon which the one is reported
above |
Place where the family of the deceased resided
June 1, 1880 |
Number of the line upon which the one is reported
above |
Place where the death occured |
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1st every death which has
occurred in this enumeration district during the census year, whether the
deceased was or was not, at death, a member of any family which resided
June 1, 1880, in the district. |
Town |
County |
State |
Town |
County |
State |
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The enumerator should make
these entries upon this Schedule with great care, seeking every source of
information. When a positive statement is impossible, as when an age
can only be estimated, or a birth-place must be conjectured, the entry may
be inclosed in parentheses, thus: Age (25), meaning that the best estimate
of the age that can be given in 25 years. |
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REMARKS |
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