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State: MassachusettsCounty: SuffolkTownship: RoxburyInc. place: BostonWard: 10Block: 12-13S.D.: 10E.D.: 15-378Enumerator: Kings M. AhonyDate: April 11, 1940
| Line | Name | Relation | Sex | Race | Age | Street | House # | HH # | Own/Rent | Value/Rent | Farm? | Given | Surname | Marital | School | Grade | Birthplace | Citizenship | 1935 City | 1935 County | 1935 State | 1935 Farm? | At work | Emerg. work | Seeking | Has job | Status | Hours | Unemp. wks | Occupation | Industry | Class | Wks 1939 | Wages $ | Other inc. | Father b. | Mother b. | Mother tongue | Veteran | Usual occ. | Usual ind. |
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