| Page #___1 of 1____ | 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 _______________Township of James_______________ in the | |||||||||||||||||
| County of Saginaw State of Michigan, _____________Charles 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 | McClure, Archie | 5 months | M | W | Infant | No | No | Michigan | Ireland | Ireland | None | Sep-tember | Not Listed | 5 Months | O. P. Barber | |
| 2 | 13 | Buttz, Jennie | 23 | F | W | Single | No | No | New York | New York | New York | "Visiting" | March | Consumption | 5 Months | Michigan | B. H. Furbinger |
| 3 | 59 | Hanks, Nellie C. | 2 Months | F | W | Infant | No | No | Michigan | England | Michigan | None | June | Whooping Cough | 5-Months | O.P. Barber | |
| 4 | 68 | Van Horn, Pollie | 86 | F | W | No | No | Widowed | New York | Penn-sylvanis | Penn-sylvania | Dependent | March | Consumption | 30 Years | None Listed | |
| 5 | 69 | Hunt, Sarah | 26 | F | W | No | Married | No | Michigan | England | New York | Keeping House | April | Child Birth Death | 26 Years | O.P. Barber | |
| 6 | 69 | Hunt, Sarah | 14 Days | F | W | Infant | No | No | Michigan | England | England | None | April | Inflammation of Lungs-Pneumonia | 14 Days | None Listed | |
| 7 | 75 | Moore, Gavina | 17 | F | W | Single | No | No | Michigan | England | England | "Visiting" | April | Consumption | 2 Months | Blife | |
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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 | |||||||||||||||||
