| Page | Enumeration Date | Street, avenue, road, etc. | House number or farm, etc. | No. of house in order of visitation | No. of family in order of visitation | Name of each person whose place of abode on April 15, 1910 was in this family. Enter surname first, then given and middle initial if any. Include every person living on April 15, 1910. Omit Children born since April 15, 1910. | Relationship of each person to the head of this family - whether wife, son, daughter, servant, boarder, or other. | Sex. | Color or race. | Age at last birthday. | Whether single, married, widowed, or divorced. | Number of years in present marriage. | Mother of how many children. | Number of children living. | Place of birth of this person. | Place of birth of Father of this person. | Place of birth of Mother of this person. | Year of immigration to the U.S. | Whether naturalized or alien. | Trade, profession, or particular kind of work done, as spinner, salesman, laborer, etc. | General nature of industry, business, or establishment in wihich at work, as cotton mill, dry goods store, farm, etc. | Whether an employer, employee, or working on own account. | Whether out of work on April 10,1910 | Number of weeks out of work during year 1909 | Whether able to read. | Whether able to write. | Attended school any time since September 1, 1909. | Owned or rented. | Owned free or mortgaged. | Fram or house. | Number of farm schedule. |
