Form 19B
CENSUS BLANK
CENSUS OF CHILDREN between the Ages of Four/Five and Twenty-one Years, Residing in School District No. 3
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
Edward C. Peat Mildred A. Peat Aug 19 1900 Female 26 Metaline, Wa Mrs. Ed Peat
George Samms Glenn Samms Jul 6 1897 Male 26 Metaline, Wa G.S. Samms
(George Samms) Lucile Robinson Dec 9 1900 Female 26 1/2 Metaline, Wa (G.S. Samms)
(George Samms) Juanita Samms Oct 11 1905 Female 26 1/2 Metaline, Wa (G.S. Samms)
Mrs. Hepburn Milo Hepburn Apr 7 1905 Male 26 1/2 Metaline, Wa Lizzie Hepburn
C. P. Moore Lorrain Moore Oct 7 1899 Female 8 1/2 Metaline, Wa V. Maie Moon
(C. P. Moore) Chas. Moore Mar 21 1903 Male 17 1/2 Metaline, Wa (V. Maie Moon)
(C. P. Moore) Luella Jane Moore Oct 29 1905 Female 1/2 Metaline, Wa (V. Maie Moon)
M. E. I. Kirkland Wanda Kirkland Dec 25 1906 Female 0 Metaline, Wa Mrs. E. J. Kirkland
Chas. Pursche Clara Pursche Jun 18 1896 Female 0 Metaline, Wa Lissa Pursche
Arthur Houland Marion Howland Aug 15 1903 Male 23 Metaline, Wa Mrs. A. B. Houland
Chas. Pursche Emma Pursche Jun 12 1898 Female 20 1/2 Metaline, Wa Lina Pursche
(Chas. Pursche) Walter Pursche Jul 18 1904 Male 21 Metaline, Wa (Lina Pursche)
(Chas. Pursche) Albert Pursche Nov 28 1905 Male 20 1/2 Metaline, Wa (Lina Pursche)
(Chas. Pursche) Richard Pursche Jan 1 1907 Male 0 Metaline, Wa (Lina Pursche)
Chas. Curns Chas. Curns Mar 5 1900 Male 25 1/2 Metaline, Wa Mrs. Chas. Curns
(Chas. Curns) Louise Curns Nov 22 1901 Female 25 1/2 Metaline, Wa (Mrs. Chas. Curns)
Kempe Herman Kempe Dec 26 1895 Male 0 Metaline, Wa H. Kempe
(Kempe) Alfred Kempe Nov 1 1901 Male 0 Metaline, Wa (H. Kempe)
(Kempe) Emilie Kempe Sep 9 1897 Female 0 Metaline, Wa (H. Kempe)
(Kempe) Ella Kempe Aug 28 1905 Female 0 Metaline, Wa (H. Kempe)
(Kempe) Walter Kempe Feb 18 1907 Male 0 Metaline, Wa (H. Kempe)
(Kempe) Clara Kempe Jan 10 1892 Female 0 Metaline, Wa (H. Kempe)
J. H. Sexsmith Hazel G. Sexsmith Sep 13 1903 Female 0 Metaline, Wa Mrs. J. H. Sexsmith
David Lykins Clarence Lykins Mar 26 1899 Male 26 Metaline, Wa David Lykins
(David Lykins) Frank Lykins Dec 16

1901

 Male 26 Metaline, Wa (David Lykins)
H. H. Leadbetter Ira Leadbetter Sep 26 1902 Male

22 1/2

Metaline, Wa Elizabeth J. Leadbetter
(H. H. Leadbetter) Myrtle Leadbetter Oct 22 1905 Female 0 Metaline, Wa (Elizabeth J. Leadbetter)
Lymau Westfall Loyd Westfall Feb 21 1905 Male 23 Metaline, Wa Lymau Westfall
Hutchins Avarelle Hutchins   10 1905 Female 0 Metaline, Wa Thyrza Hutchins
S. H. Auschell Russell F. Auschell Jul 30 1901 Male 3 Metaline, Wa S. H. Auschell
(S. H. Auschell) Rosalind Auschell Oct 27 1903 Female 2 Metaline, Wa (S. H. Auschell)
(S. H. Auschell) Chester H Auschell Nov 25 1905 Male 0 Metaline, Wa (S. H. Auschell)
Philip Bennett Alma Bennett May 1 1906 Female 1 Metaline, Wa Philip Bennett
G. H. Clark Ruth Clark     1906 Female 0 Metaline, Wa G. H. Clark
   METALINE SCHOOL              
   Total Students in Class of 1912:  35           View Original Document N/A
   Metaline School Teacher for 1912:  To Be Determined Salary per month:  TBD    
   Metaline School Board Directors for 1912:  TBD            
   Metaline School Board Clerk for 1912:  TBD              
                 
   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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