| 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, 1917 | ||||||||
| 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 | 24 | Tiger, Wash | Mrs. J. L. Lasswell |
| J. L. Lasswell | Agusta Lasswell | May | 29 | 1902 | Female | 34 | Tiger, Wash | Mrs. J. L. Lasswell |
| J. L. Lasswell | Martha W. Lasswell | Feb | 22 | 1908 | Female | 34 | Tiger, Wash | Mrs. J. L. Lasswell |
| J. L. Lasswell | Marion Lasswell | July | 5 | 1909 | Female | 30 | Tiger, Wash | Mrs. J. L. Lasswell |
| J. L. Lasswell | Gertrude Lasswell | Feb | 28 | 1912 | Female | - | Tiger, Wash | Mrs. J. L. Lasswell |
| Chas. W. Dull | Ward Dull | Oct | 14 | 1911 | Male | - | Tiger, Wash | Mrs. C. W. Dull |
| Geo. Dull | Edwin Dull | Sep | 10 | 1906 | Male | 18 | Tiger, Wash | Geo. Dull |
| Robert Alexander | Robert Alexander | Jan | 19 | 189? | Male | 32 | Tiger, Wash | Robert Alexander |
| J. C. Hartman | Bertha J. Hartman | Apr | 27 | 1899 | Female | - | Tiger, Wash | Mrs. J. C. Hartman |
| J. C. Hartman | Gilbert ?. Hartman | Apr | 27 | 1899 | Male | 30 | Tiger, Wash | Mrs. J. C. Hartman |
| J. C. Hartman | Theodore F. Hartman | Oct | 23 | 1902 | Male | 34 | Tiger, Wash | Mrs. J. C. Hartman |
| J. C. Hartman | Chris V. Hartman | Mar | 15 | 1906 | Male | 35 | Tiger, Wash | Mrs. J. C. Hartman |
| J. C. Hartman | Ruth Hartman | Apr | 30 | 1908 | Female | 36 | Tiger, Wash | Mrs. J. C. Hartman |
| Otto Kennedy | Chris J. Kennedy | Mar | 27 | 1911 | Male | - | Tiger, Wash | Mrs. O. Kennedy |
| A. E. Bard | Daisy M. Bard | Apr | 3 | 1899 | Female | - | Tiger, Wash | Mrs. E. A. Bard |
| M. B. Smith | Florence Smith | Oct | 21 | 1904 | Female | 22 | Tiger, Wash | Mrs. M. B. Smith |
| M. B. Smith | Thelma Smith | July | 6 | 1908 | Female | 22 | Tiger, Wash | Mrs. M. B. Smith |
| Mrs. Leon Bowns | Margaret R. Bowns | Sep | 4 | 1901 | Female | 36 | Tiger, Wash | Mrs. Leon Bowns |
| Mrs. Leon Bowns | Arvilla V. Bowns | Apr | 12 | 1907 | Female | 36 | Tiger, Wash | Mrs. Leon Bowns |
| O. C. Isom | Grace K. Isom | Feb | 15 | 1899 | Female | 32 | Tiger, Wash | O. C. Isom |
| O. C. Isom | Max Dana Isom | July | 9 | 1901 | Male | 35 | Tiger, Wash | O. C. Isom |
| O. C. Isom | Genevieve J. Isom | Sep | 10 | 1911 | Female | - | Tiger, Wash | O. C. Isom |
| FOREST HOME SCHOOL | ||||||||
| Total Students in Class of 1917: 22 | View Original Document N/A | |||||||
| Forest Home School Teacher for 1917: H. P. Willard | Salary per month: $80 | |||||||
| Forest Home School Board Directors for 1917: O. C. Isom, Jas E. Porter | ||||||||
| Forest Home School Board Clerk for 1917: O. C. Isom | ||||||||
| 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 | |||||||