| 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, 1922 | ||||||||
| 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 | |||||
| L. McMillan | Allen McMillan | Aug | 29 | 1915 | Male | None | Tiger, Wash | L. McMillan |
| Ruth M. Hartman | Apr | 30 | 1908 | Female | 36 | Tiger, Wash | Mrs. J. C. Hartman | |
| Mrs. J. C. Hartman | Christopher V. Hartman | Mar | 16 | 1906 | Male | 4 | Tiger, Wash | Working at Home |
| Mrs. M. B. Smith | Selma Smith | July | 6 | 1908 | Female | 32 | Tiger, Wash | Mrs. M. B. Smith |
| Mrs. M. B. Smith | Bertie Smith | Dec | 20 | 1905 | Male | None | Tiger, Wash | |
| T. H. Blair | Duston Blair | June | 8 | 1912 | Male | 36 | Tiger, Wash | T.H. Blair |
| J. N. McInturff | Marshall McInturff | Nov | 9 | 1903 | Male | None | Tiger, Wash | Working at Home |
| J. N. McInturff | Guy McInturff | Feb | 1 | 1906 | Male | None | Tiger, Wash | Working at Home |
| J. N. McInturff | Lorring McInturff | Feb | 15 | 1909 | Female | 36 | Tiger, Wash | J. N. McInturff |
| J. N. McInturff | Merle McInturff | Aug | 17 | 1910 | Female | 36 | Tiger, Wash | J. N. McInturff |
| J. N. McInturff | Hilary McInturff | Aug | 20 | 1913 | Female | 36 | Tiger, Wash | J. N. McInturff |
| Mrs. S.H. Shaw | Orville J. Shaw | July | 13 | 1902 | Male | None | Tiger, Wash | Working at Home |
| Mrs. S.H. Shaw | Alfred M. Shaw | Jan | 26 | 1904 | Male | None | Tiger, Wash | Working at Home |
| Mrs. S.H. Shaw | Alta M. Shaw | Feb | 28 | 1907 | Female | 36 | Tiger, Wash | |
| Mrs. S.H. Shaw | Oliver Shaw | May | 28 | 1909 | Male | 36 | Tiger, Wash | |
| FOREST HOME SCHOOL | ||||||||
| Total Students in Class of 1922: 15 | View Original Document N/A | |||||||
| Forest Home School Teacher for 1922: To Be Determined | Salary per month: TBD | |||||||
| Forest Home School Board Directors for 1922: TBD | ||||||||
| Forest Home School Board Clerk for 1922: 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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