TWELFTH CENSUS OF THE UNITED STATES / SCHEDULE No. 1. -- POPULATION.

[State] [County] [Township or other division of county] [Name of incorporated City, town or village] [Ward 
of city] [Supervisor's District No.] [Enumeration District No.] [Sheet No.] [Enumerated by me on the] 
[day of June, 1900.] {signed} [, Enumerator.] 

[Dwelling Order] [Family Order] 

[Name] [Relation] [Color or race] [Sex] [Date of Birth] [Month] [Year] [Age at last birthday] [Marital 
Status]  [Number of years married] [Birthplace] [Father's Birthplace] [Mother's Birthplace] [Occupation] 
[Number of months unemployed] [Can Read] [Can Write] [Can speak Engligh] [Own or Rent] [Farm or house] 
[Mortgaged or Clear?] [Number of farm schedule] 

[Name] [Relation] [Color or race] [Sex] [Date of Birth] [Month] [Year] [Age at last birthday] [Marital 
Status]  [Number of years married] [Mother of how many children] [Number of children living] [Birthplace] 
[Father's Birthplace] [Mother's Birthplace] [Can Read] [Can Write] [Can speak Engligh]

[Name] [Relation] [Color or race] [Sex] [Date of Birth] [Month] [Year] [Age at last birthday] [Marital 
Status]  [Number of years married] [Birthplace] [Father's Birthplace] [Mother's Birthplace] [Occupation] 
[Months attended school] [Can Read] [Can Write] [Can speak Engligh]