| Form 19 B | ||||||||
| CENSUS BLANK | ||||||||
| CENSUS OF CHILDREN between the Ages of Four and Twenty-one Years, Residing in School District No. 7 | ||||||||
| 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 | |||||
| Mrs. J. C. Hartmans | Julia Hartman | Jan | 8 | 1895 | Female | - | Tiger, Wash | Mrs. J. C. Hartman |
| Mrs. J. C. Hartmans | Bertha Hartman | Apr | 27 | 1897 | Female | - | Tiger, Wash | Mrs. J. C. Hartman |
| Mrs. J. C. Hartmans | Gilbert Hartman | Apr | 27 | 1899 | Male | - | Tiger, Wash | Mrs. J. C. Hartman |
| Mrs. J. C. Hartmans | Theodore Hartman | Oct | 23 | 1902 | Male | - | Tiger, Wash | Mrs. J. C. Hartman |
| Mrs. J. C. Hartmans | Christjohn Hartman | Mar | 15 | 1906 | Male | - | Tiger, Wash | Mrs. J. C. Hartman |
| Mrs. W. B. Smith | Florence Smith | Oct | 21 | 1904 | Female | - | Tiger, Wash | Mrs. W. B. Smith |
| Mr. & Mrs. Pfister | John J. Pfister | Nov | 5 | 1906 | Male | - | Tiger, Wash | Joseph A. Pfister |
| Mr. & Mrs. Williams | ????? Williams | Jan | 18 | 1908 | Male | - | Tiger, Wash | Mrs. Earne Williams |
| Mr. & Mrs. Williams | Chester Williams | Dec | 20 | 1906 | Male | - | Tiger, Wash | Mrs. Earne Williams |
| Mr. & Mrs. McCulley | Helen McCulley | - | - | 1902 | Female | - | Tiger, Wash | Mr. & Mrs. McCulley |
| Mr. & Mrs. McCulley | George McCulley | - | - | 1904 | Male | - | Tiger, Wash | Mr. & Mrs. McCulley |
| Mrs. E. Cavanaugh | Agnus E. Cavanaugh | July | 18 | 1899 | Female | - | Tiger, Wash | Mrs. E. Cavanaugh |
| Mrs. E. Cavanaugh | Marjorie Cavanaugh | Dec | 11 | 1902 | Female | - | Tiger, Wash | Mrs. E. Cavanaugh |
| Mr. & Mrs. Gardener | Gertrude Gardener | - | - | 1902 | Female | - | Ione, Wash | B. L. Gardener |
| Mr. & Mrs. Gardener | Harry Gardener | - | - | 1905 | Male | - | Ione, Wash | B. L. Gardener |
| FOREST HOME SCHOOL | ||||||||
| Total Students in Class of 1912: 15 | View Original Document N/A | |||||||
| Forest Home School Teacher for 1912: Ray E. Hastings | Salary per month: $65 | |||||||
| Forest Home School Board Directors for 1912: M. B. Smith, E. J. Chamberlain, Mrs. E. Cavanaugh | ||||||||
| Forest Home School Board Clerk for 1912: Mrs. E. Cavanaugh | ||||||||
| Information in () are possible alternative interpretations | ||||||||
| Original Document Courtesy - | Transcription of Orginal Document by - | |||||||
| State of Washington, Eastern Regional Archives - Cheney, WA | Tiger Historical Center Board Director John Nordstrand | |||||||