Form 19B
CENSUS BLANK
CENSUS OF CHILDREN between the Ages of Four/Five and Twenty-one Years, Residing in School District No. 7
Pend Oreille County, Washington, on the First Day of May, 1923
                 
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. C. Hartman Ruth M. Hartman Apr 30 1908 Female 33 3/5   Tiger, Wash J. C. Hartman
J. C. Hartman Christ V. Hartman Mar 15 1906 Male 33 1/5 Tiger, Wash J. C. Hartman
M. B. Smith Bertie Smith Dec 20 1915 Male 31 3/5 Tiger, Wash Mrs. M. B. Smith
M. B. Smith Thelma Smith Jul 5 1908 Female 32 4/5 Tiger, Wash Mrs. M. B. Smith
T. H. Blair T. Duston Blair June 8 1913 Male 31 4/5 Tiger, Wash T.H. Blair
J. N. McInturff Marshall McInturff Nov 9 1903 Male None Tiger, Wash Working
J. N. McInturff Guy McInturff Feb 1 1906 Male None Tiger, Wash Working
J. N. McInturff Loring McInturff Feb 15 1909 Female 34 Tiger, Wash Mrs. J. N. McInturff
J. N. McInturff Merle McInturff Aug 17 1910 Female 34 Tiger, Wash Mrs. J. N. McInturff
J. N. McInturff Hilary McInturff Aug 24 1913 Female 34 Tiger, Wash Mrs. J. N. McInturff
J. N. McInturff Hazle McInturff Oct 9 1917 Female None Tiger, Wash Mrs. J. N. McInturff
T. A. Hanson Mildred Greenamyer Aug 27 1904 Female No Attendance Tiger, Wash Working at Home
T. A. Hanson Leafy Hanson Mar 2 1907   Working at Home Tiger. Wash Mrs. T. Hanson
T. A. Hanson James Hanson Jan 27 1909 Male Working at Home Tiger, Wash Mrs. T. Hanson
   FOREST HOME SCHOOL              
   Total Students in Class of 1923:  14           View Original Document N/A
   Forest Home School Teacher for 1923:  To Be Determined Salary per month:  TBD    
   Forest Home School Board Directors for 1923:  TBD            
   Forest Home School Board Clerk for 1923:  TBD              
                 
   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
                 

 

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