| Page #_______ | Note A - The Census Year begins June 1, 1879, and ends May 31, 1880 | ||||||||||||||||
| 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. | ||||||||||||||||
| Enumeration dist # ___293__ | Note C - For instructions relative to the entries in column 14, see back of this schedule. | ||||||||||||||||
| Note D - In column 17, note distinctly if no Physician was in attendance, thus (None.) | |||||||||||||||||
| Schedule 5. - Persons who died during the year ending May 31, 1880, enumerated by me in Chapin in the | |||||||||||||||||
| County of Saginaw State of Michigan, Joseph E. La??g, Enumerator. | |||||||||||||||||
| 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 | |||||||||||||||||
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | |
| 1 | 1 | Albaugh Levi | 21 | M | W | / | Indiana | Ohio | Ohio | Farmer | Nov | Consumption | 6 | yes | A R Lawnson | ||
| 2 | 31 | Burnett Marion | 9/30 | M | W | / | Mich | Canada | Mich | May | Not Known | 3/12 | yes | A R Lawnson | |||
| 3 | 42 | Smith Rosy | 41 | F | W | / | Ireland | Ireland | Ireland | Keeping House | Apr | Typhiod Fever | 10 | yes | A R Lawnson | ||
| 4 | 56 | Ball Clarence A | 1/30 | M | W | / | Mich | Ohio | Ohio | Nov | Not Known | 1/30 | yes | Chas Konen | |||
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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: | |||||||||||||||
| 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 | ||||||||||||||
| 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 | |||||||||||
| 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. | |||||||||||||||||
| REMARKS | |||||||||||||||||
