The object of this Supplemental Schedule is to furnish material
not only for a complete enumeration of paupers, but for an account
of their condition. It is important that every inquiry respecting
each case be answered as fully as possible. Enumerators will,
therefore, after making the proper entries upon the Population
Schedule (No. 1), transfer the name (with schedule page and number)
to this Special Schedule, and proceed to ask the additional
questions indicated in the headings of the several columns.
In case any person enumerated on this Special Schedule is blind,
deaf and dumb, insane, or idiotic (see columns 25 to 28 inclusive),
the particulars of such case will also be carried on such other
Special Schedule, as the case may be.
In addition to the
enumeration of paupers required in this Schedule, enumerators will
also ask the keeper of every institution designed for the
maintenance of the destitute the questions found below, at the
bottom of the page, respecting the number of paupers during the year
ending May 31, 1880, and record the answers.
Number taken
from Schedule No. 1
01 Number of Page
02 Number of Line
03
Name
Residence when at home. -(See note a.)
04 City or Town
05 County (if in same State), or State (if in some other State)
How Supported? (See Note B.)
06 At cost of city or town?/.
07
At cost of county?/.
08 At cost of State?/.
09 At cost of
institution?/.
10 Is this person able-bodied?
11 Is he (or
she) habitually intemperate?
12 Is he (or she) epileptic?
13
Has he (or she) ever been convicted of a crime?
14 If disabled,
state form of disability (crippled, consumption, dropsy, old age,
lying-in, etc.).
15 Was this person born in this
institution?/(See Note B.)
16 Date of admission. (Give day of
month and the year, the latter in two figures, thus: "Jan. 15, '79.)
What other members of the family of this person are in this
establishment? (See Note B.)
17 Husband?/.
18 Wife?/.
19
Mother?/.
20 Father?/.
21 Sons-how many?
22 Daughters-how
many?
23 Brothers-how many?
24 Sisters-how many?
See Note
B)
25 Is this person also blind?/.
26 Is he or she deaf and
dumb?/.
27 Is he or she insane?/.
28 Is he or she idiotic?/.
NOTE A – Paupers may not be residents of the county or State in
which the institution designed for the maintenance of the destitute
is situated, and in that case their residence when at home, or the
place from whence they came to such institution, should be stated,
in order that they may be accredited to the State or county to which
they properly belong, and that the county in which the institution
is situated may not be charged with more than its due proportion of
paupers.
NOTE B –In Making entries in columns 6, 7, 8, 9, 15, 17,
18, 19, 20, 25, 26, 27, and 28 inclusive, an affirmative mark only
will be used, thus: “/.” In columns 10, 11, 12, and 13 inclusive,
say “Yes” or “No,” as the case may be. Columns 21, 22, 23, and 24
should be filled by inserting the numbers which correctly answer the
query: How many sons, daughters, brothers, sisters, respectively,
has this person in this institution? –If none, use the zero (0).
Wyoming Twp Supervisor's Dist No:1; Enumeration Dist No:333; Enumerator: John Paul | ||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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 | 26 | 27 | 28 | Notes |
11 | 39 | Farly James | Wyoming | Jones Co | x | no | no | no | no | Paralyses | ||||||||||||||||||
The above mentioned James Farly has a wife healthy & strong and four | ||||||||||||||||||||||||||||
healthy children. The Township Trustees say they give relief at the expense | ||||||||||||||||||||||||||||
of the county to the amount 1 50/100 dollars per week including medical treatment. | ||||||||||||||||||||||||||||
Scotch Grove Twp Supervisor's Dist No:1; Enumeration Dist No:331; Enumerator: A. O. Dreibbellis | ||||||||||||||||||||||||||||
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 | 26 | 27 | 28 | Notes |
5 | 43 | Null Henry Wm | Scotch Grove Tp | Jones Co | home | yes | 9 years old | he is a twin | ||||||||||||||||||||
2 | 25 | Starring H. J. | no | no | no | no | old age is 78 yrs | |||||||||||||||||||||
County Poor House, Wayne Twp Supervisor's Dist No:1; Enumeration Dist No:330; Enumerator: A. J. Schoonover | ||||||||||||||||||||||||||||
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 | 26 | 27 | 28 | Notes |
7 | 49 | Reed Ruben | Anamosa | Jones Co. | x | yes | yes | no | no | Jun 4 '74 | ||||||||||||||||||
7 | 50 | Gates Ruben | Canton | Jones Co. | x | no | no | no | no | Consumption | Jun 15 '77 | |||||||||||||||||
8 | 1 | Barnard John | Anamosa | Jones Co. | x | no | no | yes | no | Fits | 67 | |||||||||||||||||
8 | 2 | Eames J. C. | Fairview | Jones Co. | x | yes | no | no | no | Rheumatism | Nov 15 '75 | x | ||||||||||||||||
8 | 3 | Eames Priscilla | Fairview | Jones Co. | x | no | no | no | no | Old age | Nov 15 '75 | x | ||||||||||||||||
8 | 4 | Davis Priscilla | Oxford | Jones Co. | x | yes | no | no | no | Oct 30 '75 | ||||||||||||||||||
8 | 5 | Brantwait Mary | Baldwin | Jones Co. | x | no | no | no | no | Old age | 76 | |||||||||||||||||
8 | 6 | Hughes Terrence | Cascade | Jones Co. | x | no | no | no | no | Old age | Jan '76 | |||||||||||||||||
8 | 7 | Lewis Oren | Monticello | Jones Co. | x | no | no | no | no | Old age | 73 | |||||||||||||||||
8 | 8 | Moore Bridget | Cascade | Jones Co. | x | yes | no | no | no | Oct '70 | ||||||||||||||||||
8 | 9 | Mulverhill Thos | Cascade | Jones Co. | x | yes | no | no | no | 75 | ||||||||||||||||||
8 | 10 | Dick Curtis L | Monticello | Jones Co. | x | no | yes | no | no | Cripple | Nov '78 | |||||||||||||||||
8 | 11 | Gilbert Jas | Wyoming | Jones Co. | x | no | yes | no | no | Rheumatism | 76 | |||||||||||||||||
8 | 12 | Comberford Anna | Monticello | Jones Co. | x | no | no | no | no | Old age | Oct 22 '76 | |||||||||||||||||
8 | 13 | Ritz Adolph | Anamosa | Jones Co. | x | yes | yes | no | no | Jan 11 '79 | ||||||||||||||||||
8 | 14 | Phelan Sarah A | Anamosa | Jones Co. | x | yes | no | no | no | Weak minded | Jan 4 '79 | |||||||||||||||||
8 | 15 | Woods Adaline | Castle Grove | Jones Co. | x | no | no | no | no | Rheumatism | Mar 17 '80 | |||||||||||||||||
8 | 18 | John Smith | Monticello | Jones Co. | no | no | no | no | Consumption | May 18 '80 | ||||||||||||||||||
8 | 16 | Phelan Jas | x | yes | no | no | no | x | ||||||||||||||||||||
8 | 17 | McGowen Milly | Center Junction | Jones Co. | x | no | no | no | no | Paralysis | x | x |