Enumeration District 142:
331 Ramah & Town of Gordon Enumeration District 143:
Enumeration District 144:
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Enumeration Distict 145:
327 Bethel 327 Town of Irwinton Enumeration District 146:
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Questions: (Transcription Notes)
1. Number of the family as given in column
Number 2. Schedule 1.
2. Name of the person deceased.
Personal Description.
3. Age at last birthday, If under 1 year
give months in fractions, if under 1 month give days in fractions
4. Male (M) or Female (F)
5. Color - White (W) Black (B) Mulatto (M)
Chicano (C) Indian (I)
What was the civil condition of the person
who died? (use 1)
6. Single (S)
7. Married (M)
8. Widowed (W) Divorced (D)
NATIVITY
9. Place of birth of this person, including
the state or Territory of the U.S., or the country, if of foreign birth.
10.Where was the Father of this person born?
(with persons name, if not in Georgia)
11. Where was the Mother of this person
born (with persons name, if not in Georgia)
12. Profession, Occupation or Trade. (Not
to be asked in respect to persons under 10 years of age.)
13. The month in which the person died.
14. Disease or cause of death.
15. How long is resident of the county.
If less than 1 year state months in fractions.
16. If the disease was not contracted at
place of death, state the place. (if any will be in remarks at bottom
of page)
17. Name of attending Physician