| Page #___One____ | 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 # ____310_____ | 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 ____________Town of James__________________ in the | |||||||||||||||||
| County of Saginaw State of Michigan, ____________Chas. B. Jeffs____________________, 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 | McCline Archie | 5/12 | M | W | x | Michigan | Ireland | Ireland | Sept | Dysentary | 5/12 | O.P.Barbor M.D. | ||||
| 2 | 13 | Buittz Jennine | 23 | F | W | x | New York | New York | New York | Visiting | March | Consuption | 6/12 | Michigan | C.K. F??biner M.D. | ||
| 3 | 59 | Hanks Nellie C. | 7/12 | F | W | x | Michigan | England | Michigan | June | Whooping Cough | 7/12 | O.P. Barber M.D. | ||||
| 4 | 68 | Van Horn Pollz | 86 | F | W | x | New York | Penn | Penn | Dependent | March | Consumption | 30 | None | |||
| 5 | 69 | Hunt Sarah | 26 | F | W | x | Michigan | England | New York | Keepinghouse | April | Child birth | 26 | O.P. Barber M.D. | |||
| 6 | 69 | Hunt Sarah | ? | F | W | x | Michigan | Canada | Michigan | March | Inflation of the lungs | 14/30 | None | ||||
| 7 | 75 | Moore Lavina | 17 | F | W | x | Michigan | England | England | Visiting | April | Consumption | 2/12 | Blife M.D. | |||
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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. | |||||||||||||||||
| 7 | Brockway | St. Clair | Michigan | 2 | Sag City | Saginaw | Michigan | ||||||||||
| REMARKS | |||||||||||||||||
| Dr. O.P. Barbour is not now in the state could not learn the cause in 5 to make a statement in Col 14 of same but if followed into birth of no 6 is what form I was unable to ?arn. | |||||||||||||||||
