| Index No |
Martha Ann |
| 1 |
Name of Street |
|
| 2 |
House Number |
|
| 3 |
Visitation Number |
|
| 4 |
Owned or Rented |
|
| 5 |
Value if owned Monthly if rented |
|
| 6 |
Is it a farm |
|
| 7 |
Name |
East, Martha Ann |
| 8 |
Relationship to Head of family |
Patient |
| 9 |
Sex |
F |
| 10 |
Color |
W |
| 11 |
Age |
50 |
| 12 |
Is the person single, Married or divorced |
M |
| 13 |
Attended School in past year |
No |
| 14 |
Highest grad in school completed |
6 |
| 15 |
Place of birth |
Virginia |
| 16 |
Is person a citizen |
Same Place |
| 17 |
City from 1935 |
|
| 18 |
County |
|
| 19 |
State |
|
| 20 |
House or farm |
|
| 21 |
Worked for pay |
Inst. Think it is institutionalized |
| 22 |
If not doing public works |
|
| 23 |
If not seeking work |
|
| 24 |
Have a job or business |
|
| 25 |
If no above what the hack are you doing? |
|
| 26 |
How many hour are you working |
|
| 27 |
How long unemployed |
|
| 28 |
Profession |
|
| 29 |
Type of business |
|
| 30 |
Class of work |
|
| 31 |
Number of weeks worked last year |
|
| 32 |
Amount of money received |
|
| 33 |
Receive more than $50 other than wages? |
|
| 34 |
Number on Farm Schedule |
|
