Form 19B
CENSUS BLANK
CENSUS OF CHILDREN between the Ages of Four/Five and Twenty-one Years, Residing in School District No. 15
Pend Oreille County, Washington, on the First Day of May, 1912
 
NAMES OF PARENTS OR GUARDIANS
(As entered by
School Board Clerk)		 NAMES OF CHILDREN DATE OF BIRTH SEX No. of Weeks Child Has Attended School During School Year POSTOFFICE ADDRESS SIGNATURE OF PARENT OF GUARDIAN
Month Day Year I certify, upon honor, that the foregoing information is correct
R. Greenholph Burton Greenholph Nov 13 1893 Male 90 days Usk R. Greenholph
Wm. Baldwin Lillian Baldwin Jul 14 1902 Female 172 days Usk Myrtle Baldwin
Wm. Baldwin Ella Baldwin Jan ? 1905 Female 172 days Usk Myrtle Baldwin
C. R. Bratt Mauriene Bratt May 28 1896 Female 123 1/2 days Usk C. R. Bratt
C. R. Bratt Dell Bratt Jun 28 1893 Male 0 days Usk C. R. Bratt
Edd Parrott Ray Rush May 26 1897 Male 107.5 days Usk E. I. Perrott
G. J. Faulkner Ethyl Faulkner Mar 29 1900 Female 124 days Usk G. J. Faulkner
G. J. Faulkner Millie Faulkner Apr 5 1902 Female 126 days Usk G. J. Faulkner
G. J. Faulkner Harry Faulkner Mar 31 1904 Male 121 days Usk G. J. Faulkner
H. A. Roff Richart C. Roff Aug 29 1899 Male 117 days Usk H. A. Roff
Lou Cooper Robert Cooper Jun 20 1904 Male 169 days Usk Mrs. Lou Cooper
A. A. Smith Essie Smith Mar 6 1895 Female 29 1/2 days Usk A. A. Smith
A. A. Smith Lipton Smith Feb 18 1897 Male 0 days Usk A. A. Smith
A. A. Smith Florence Smith Aug 18 1904 Female 163 1/2 days Usk A. A. Smith
E. J. Kirchmaster Gladis Kirchmaster Sep 26 1903 Female 140 days Usk Mrs. Leda Kirchemaster
J. F. Vanzant Franklin Vanzant Nov 19 1903 Male 171 days Usk Mrs. J. F. Van Zant
J. F. Vanzant Ethel Vanzant Nov 17 1905 Female 170 days Usk Mrs. J. F. Van Zant
O. McLoughlin Thomas McLoughlin Apr 29 1905 Male 162 1/2 days Usk Mrs. O. McLoughlin
Owen Broadwell Ople Broadwell Aug 2 1904 Female 88 days Usk Mrs. O. E. Broadwell
Owen Broadwell Pearl Broadwell Mar 23 1903 Female 73 days Usk Mrs. O. E. Broadwell
Edd Rose Lalah Rose Nov 24 1902 Female 164.5 days Usk Mrs. E. W. Rose
Edd Rose Pheby Rose Jan 23 1906 Female 69 days Usk Mrs. E. W. Rose
W. A. Cannon Clarence Cannon Sep 23 1902 Male 165 days Usk W. A. & Mrs Cannon
W. A. Cannon Hazel Cannon Jun 28 1904 Female 158 days Usk W. A. & Mrs Cannon
W. A. Cannon Richard Cannon Dec 21 1905 Male 145 days Usk W. A. & Mrs Cannon
J. M. Jared Emmett Jared Apr 10 1901 Male 152 days Usk J. M. Jared
J. M. Jared Myrtle Jared May 21 1906 Female 0 days Usk J. M. Jared
Frank Edson J. R. Edson Mar 16 1898 Male 150 days Usk F. M. Edson
Frank Edson Bessie Edson Jan 14 1900 Female 147 days Usk F. M. Edson
Frank Edson Mirtle Edson Jul 25 1903 Female 168 days Usk F. M. Edson
Frank Edson Willie Edson Jan 23 1906 Male 19 days Usk F. M. Edson
Frank Edson Bertha Edson Aug 6 1896 Female 69 1/2 days Usk F. M. Edson
Mrs. Chas Bradwell Nellie Broadwell Jun 17 1892 Female 0 days Usk Nelle Broadwell
Mrs. Frank Lindsley Pearl Lindsley Jul 9 1894 Female 0 days Usk Pearl Lindsey
Frank Boekenhauer Olive Boekenhauer Mar 9 1893 Female 156 1/2 days Usk Francis Boekenhauer
Frank Boekenhauer Vilos Boekenhauer Mar 22 1901 Male 163 days Usk Francis Boekenhauer
J. B. Fortiner Clarence Fortiner Apr 9 1897 Male 135 1/2 days Usk Mrs. M. Fortner
Christ Stahr Marie Stahr Nov 19 1893 Female 0 days Usk Chris Stahr
Christ Stahr Hulda Stahr Apr 17 1896 Female 163 days Usk Chris Stahr
Christ Stahr Rinhold Stahr May 13 1899 Male 168 days Usk Chris Stahr
Christ Stahr Leon Stahr Mar 27 1902 Male 172 days Usk Chris Stahr
Geo. H. Jones Harold Jones May 1 1900 Male 168 days Usk Mrs. Geo. H. Jones
Geo. H. Jones Layal Jones Mar 19 1894 Male 27 days Usk Mrs. Geo. H. Jones
Clarence Kuhn Womer Kuhn May 30 1899 Male 156 days Usk Mrs. E. Kuhn
Jos. Penney Bonta Perry Apr 3 1903 Male 171 days Usk Mrs. E. Penney
Jos. Penney Coral Perry Sep 2 1907 Female 34 days Usk Mrs. E. Penney
Leroy Lear William Lear Jan 31 1907 Male 0 days Usk Mrs. L. E. Lear
Mrs. Sarah Ferguson Jack McLarty Mar 19 1894 Male 74 days Usk Mrs. S A. Ferguson
Mrs. Sarah Ferguson Sadie McLarty Sep 23 1892 Female 0 days Usk Mrs. S A. Ferguson
USK SCHOOL               
Total Students in Class of 1912: 49 (24 boys, 25 girls)           View Original Document N/A
Usk School Teacher for 1912:  To Be Determined Salary per month:  TBD    
Usk School Board Directors for 1912:  TBD            
Usk School Board Clerk for 1912:  TBD              
                 
Information in () are assumed interpretations          
                 
Original Document Courtesy -       Transcription of Orginal Document by -
State of Washington, Eastern Regional Archives - Cheney, WA   Tiger Historical Center Contributor John Nordstrand
                 
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