1851 Canadian Census Form

1851 Canadian Census Form
PERSONAL CENSUS—ENUMERATION DISTRICT, N O . __________ __________________________________ OF
Place of Birth.
Religion.
Age
if
next birth
Occupation.
out of limits.
day.
Profession, commerce
Lieu de résidence
or
Female
Name of Inmates.
Residence
Male
Sex.
Profession, Trade
Sexe.
Lieu de naissance.
Religion.
occupation.
1
2
3
4
si situé a l’extérieur
au
des limites.
prochain anniversaire.
5
6
Féminin.
ou
Masculin.
Noms des résidents.
Âge
7
8
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
[page 1 of 4]
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1851 Canadian Census Form
Indians if any.
Colored persons—Negroes.
Indiens, le cas
échéant
9
Personnes de
couleur - Négres
Marié
ou célibataire
Married
or Single.
_________________________ IN THE COUNTY OF _____________________________ COMPRISING
10
11
Deaths during year 1851
Residents
Members
Members.
Not
Members.
absent.
Résidents
Membres
Membres.
M
12
F
13
NonMembres.
absents.
Deaf
Blind.
&
Lunatic.
Dumb.
Attending
School.
Age and cause
during the
N0
year 1851.
of
Deaths
Nouveau-nés
Sourds
Aveugles.
&
Births
Aliénés
F
M
F
M
F
M
F
M
F
M
F
14
15
16
17
18
19
20
21
22
23
24
25
des
1851.
muets.
M
Âge et cause
N0
en
Étudiants
M
26
F
27
décés
M
28
F
29
30
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
[page 2 of 4]
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1851 Canadian Census Form
_______________________________ OF THE SAID ____________________________
Houses./Maisons.
Brick, Stone, Frame, Log, Shanty,
N0 of
or other kind of residence.
Stories.
Brique, peirre, charpente, rondin,
Nombre
camp ou n’importe quel autre
d’étages
type de résidence.
31
32
N0 of
families
occupying
Vacant.
Building.
Nombre de
familles
occupantes
vacantes
en
construction.
33
34
35
Shops, Stores, Inns,
Public Buildings.
Places of Worship.
Édifices publics
Lieux de culte
Taverns, &c.
Ateliers, magasins,
auberges, tavernes, &c.
36
37
38
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
[page 3 of 4]
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1851 Canadian Census Form
TAKEN UNDER ACT 14TH & 15TH VICT. CHAP. 49.
_______________________________________
ENUMERATOR.
Number of
Information as to Mills, Factories, &c., &tc., their cost, power, produce, &c.
persons usual-
General Remarks of the Enumerator.
ly employed
therein.
Nombre de
Renseignements sur les moulins, les usines, etc. et leurs coûts,
personnes habituellement
leur source d’énergie, leur production, etc.
employées a ces
Commentaires généraux de l’énumérateur.
entreprises
39
40
41
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
[page 4 of 4]
For more family history charts and forms, visit http://www.ancestry.com/charts/canadacensus.aspx
copyright © 2006 MyFamily.com, Inc.