Line/

Fam

#

Last Name

First Name

Relation-

ship

Sex

Mo.  & Yr. of Birth

Age

Mar-ital

# Yrs.

Marr-ied

Mot-her

to # Child- ren

# of

Child-ren Liv-ing

Place of

Birth

Father's

Birth-place

Mother's

Birth-Place

Yr. of

Immig-ration

Occu-pation

1/277

Henson

Martha C.

Wife

F

Jul/1877

22

M

3

1

1

MO

MO

MO

2/277

Henson

Girty W.

Dau

F

Aug/1898

1

S

MO

MO

MO