| Index No |
Martin |
Sarah |
Charles |
Annie |
Maud |
Florence |
| |
Visitation |
|
|
|
|
|
|
| |
Number |
|
|
|
|
|
|
| 1 |
Name of Street |
190 |
|
|
|
|
|
| 2 |
House Number |
197 |
|
|
|
|
|
| 3 |
Name |
Collins Martin |
Collins Sarah |
Collins Charles |
Collins Annie |
Collins Maud |
Collins Florence |
| 4 |
Relationship to Head of family |
Head |
Wife |
Son |
Daughter |
Daughter |
Daughter |
| 5 |
Color |
W |
W |
W |
W |
W |
W |
| 6 |
Sex |
M |
F |
M |
F |
F |
F |
| 7 |
Date of Birth |
|
|
|
|
|
|
| 8 |
Age |
64 |
53 |
29 |
23 |
18 |
16 |
| 9 |
Is the person single, Married or divorced. |
M |
M |
W |
S |
S |
S |
| 10 |
Years Married |
34 |
34 |
|
|
|
|
| 11 |
Mother No Children |
|
7 |
|
|
|
|
| 12 |
How many are living |
|
6 |
|
|
|
|
| 13 |
Place of birth |
North Carolina |
South Carolina |
Virginia |
Virginia |
Virginia |
Virginia |
| 14 |
Place of fathers birth |
North Carolina |
South Carolina |
North Carolina |
North Carolina |
North Carolina |
North Carolina |
| 15 |
Place of Mothers birth |
North Carolina |
South Carolina |
South Carolina |
South Carolina |
South Carolina |
South Carolina |
| 16 |
Year Immigrate to US |
|
|
|
|
|
|
| 17 |
Years in US |
|
|
|
|
|
|
| 18 |
Naturalized or alien |
|
|
|
|
|
|
| 19 |
Profession |
Hardware Merchant |
|
Clothing Merchant |
|
Sales Lady |
|
| 20 |
Month Unemployed past year |
0 |
|
0 |
|
0 |
|
| 21 |
Attended School past year |
|
|
|
|
|
|
| 22 |
Cannot read |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
| 23 |
Cannot write |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
| 24 |
English or other |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
| 25 |
Own or rent house |
Owned |
|
|
|
|
|
| 26 |
House owned or mortgaged |
Owned |
|
|
|
|
|
| 27 |
Farm or house |
House |
|
|
|
|
|
| 28 |
Farm ID number |
|
|
|
|
|
|
