| Form 19B | ||||||||
| CENSUS BLANK | ||||||||
| CENSUS OF CHILDREN between the Ages of Five and Twenty-one Years, Residing in School District No. 7 | ||||||||
| Pend Oreille County, Washington, on the First Day of May, 1916 | ||||||||
| 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 | |||||
| J. L. Lasswell | Chester W. Lasswell | Nov | 29 | 1900 | Male | 30 | Tiger, Wash | Mrs. J. L. Lasswell |
| J. L. Lasswell | Marion Lasswell | July | 5 | 190? | Female | 12 | Tiger, Wash | Mrs. J. L. Lasswell |
| Joseph Pfister | John J. Pfister | Nov | 5 | 1906 | Male | 36 | Tiger, Wash | Mrs. J. A. Pfister |
| Joseph Pfister | Florence M. Pfister | Jan | 1 | 1909 | Female | 33 | Tiger, Wash | Mrs. J. A. Pfister |
| O. C. Isom | Grace Isom | Feb | 15 | 1899 | Female | 31 | Tiger, Wash | O. C. Isom |
| O. C. Isom | Max Dana Isom | July | 9 | 1901 | Male | 35 | Tiger, Wash | O. C. Isom |
| Chas. C. Fridley | Lois M. Fridley | Dec | 6 | 1904 | Female | 24 | Tiger, Wash | E. A. Kiser (Grandfather) |
| Chas. C. Fridley | Howard J. Fridley | Oct | 22 | 1906 | Male | 24 | Tiger, Wash | E. A. Kiser (Grandfather) |
| Chas. C. Fridley | Wayne Fridley | Mar | 28 | 1909 | Male | 23 | Tiger, Wash | E. A. Kiser (Grandfather) |
| J. C. Hartman | Bertha J. Hartman | Apr | 27 | 1899 | Female | None | Tiger, Wash | Mrs. J. C. Hartman |
| J. C. Hartman | Gilbert Hartman | Apr | 27 | 1899 | Male | None | Tiger, Wash | Mrs. J. C. Hartman |
| J. C. Hartman | Theodore F. Hartman | Oct | 23 | 1902 | Male | 36 | Tiger, Wash | Mrs. J. C. Hartman |
| J. C. Hartman | Chris V. Hartman | Mar | 15 | 1906 | Male | 36 | Tiger, Wash | Mrs. J. C. Hartman |
| J. C. Hartman | Ruth Hartman | Apr | 30 | 1908 | Female | 36 | Tiger, Wash | Mrs. J. C. Hartman |
| A. E. Bard | Daisy M. Bard | Apr | 3 | 1899 | Female | 15 | Tiger, Wash | Mrs. E. A. Bard |
| M. B. Smith | Florence Smith | Oct | 21 | 1904 | Female | 35 | Tiger, Wash | Mrs. M. B. Smith |
| M. B. Smith | Thelma Smith | July | 6 | 1908 | Female | 35 | Tiger, Wash | Mrs. M. B. Smith |
| J. B. McQuown | Darrel McQuown | Apr | 17 | 1898 | Male | None | Tiger, Wash | J. B. McQuown |
| FOREST HOME SCHOOL | ||||||||
| Total Students in Class of 1916: 18 | View Original Document N/A | |||||||
| Forest Home School Teacher for 1916: Mabel Kruckman | Salary per month: $80 | |||||||
| Forest Home School Board Directors for 1916: Jos. A. Pfister, James E. Porter | ||||||||
| Forest Home School Board Clerk for 1916: Jos. A Pfister | ||||||||
| 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 | |||||||