Form 19B
CENSUS BLANK
CENSUS OF CHILDREN between the Ages of Five and Twenty-one Years, Residing in School District No. 9
Pend Oreille County, Washington, on the First Day of May, 1915
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
Nancy Brown	Olliver Brown	Nov	3	1901	Male	29	Lost Creek, WA	(Nancy Brown)
(Nancy Brown)	Edward Brown	Sep	14	1905	Male	32	Lost Creek, WA	Nancy Brown
(Nancy Brown)	Henry Brown	Jun	14	1906	Male	None	Lost Creek, WA	(Nancy Brown)
(J. W. Pennington)	Delpha Pennington	Dec	12	1904	Female	16	Blueslide, WA	(J. W. Pennington)
J. W. Pennington	Chas. Pennington	Jun	10	1900	Male	4	Blueslide, WA	J. W. Pennington
May Barber	Hazel Brown	Nov	21	1899	Female	None	Lost Creek, WA	W. H. Ritchie
W. H. Ritchie	Mary Ritchie	Sep	8	1909	Female	None	Lost Creek, WA	(W. H. Ritchie)
(L. A. Culver)	Paul Culver	Mar	12	1903	Male	32	Blueslide, WA	(L.A. Culver)
(L. A. Culver)	Lucille Culver	Jul	14	1905	Female	32	Blueslide, WA	L.A. Culver
L. A. Culver	Lyman Pat Culver	Nov	7	1908	Male	22	Blueslide, WA	(L.A. Culver)
(Lee R. Bilderback)	Sarah E. Bilderback	Mar	2	1898	Female	None	Lost Creek, WA	(Lee R. Bilderback)
Lee R. Bilderback	Grace I. Bilderback	Apr	5	1905	Female	32	Lost Creek, WA	Lee R. Bilderback
S. Schultz	Lorena M. Schultz	May	39	1906	Female	29	Crescent, WA	L.L. Schultz
Henry Schulz	Louise Schulz	Nov	19	1899	Female	32	Lost Creek, WA	Mrs. H. Schulz
(Henry Unthank)	Olliver Unthank	Feb	6	1903	Male	31	Lost Creek, WA	H. M. Unthank
Henry Unthank	Henry Unthank Jr.	May	24	1905	Male	31	Lost Creek, WA	(H. M. Unthank)
LOST CREEK SCHOOL
Total Students in Class of 1915:  16							View Original Document N/A
Lost Creek School Teacher for 1915:  To Be Determined				Salary per month:  TBD
Lost Creek School Board Directors for 1915:  TBD
Lost Creek School Board Clerk for 1915:  Lee R. Bilderback
Information in () are assumed 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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