| 1 | Note A - The Census Year begins June 1, 1879, and ends May 31, 1880 | ||||||||||||||||
| 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. | ||||||||||||||||
| 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 ______________________________ in the | |||||||||||||||||
| County of Saginaw State of Michigan, ________________________________, 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 | 41 | Stout, Rosa | 9 | F | W | / | Michigan | New York | New York | October | Putrid Sore Throat | 2 | O.D Hamilton M.D. | ||||
| 2 | |||||||||||||||||
| 3 | |||||||||||||||||
| 4 | |||||||||||||||||
| 5 | |||||||||||||||||
