Gambar halaman
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b. Was active-duty military service during

Fill a circle for each period in which this person served.
O May 1975 or later

O Vietnam era (August 1964-April 1975)

O February 1955-July 1964

Korean conflict (June 1950-January 1955)
O World War II (September 1940-July 1947)
O World War I (April 1917-November 1918)
Any other time

19. Does this person have a physical, mental, or other health condition which has lasted for 6 or more months and which...

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23. At what location did this person work last week? If this person worked at more than one location, print where he or she worked most last week.

9

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from using public transportation?..

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O

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20. If this person is a female

How many babies has she ever
had, not counting stillbirths?
Do not count her stepchildren
or children she has adopted.

None 1 2 3 4 5 6 O O O O O O O

21. If this person has ever been married

7 8 9 10 11 12 or more 00

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Yes, this house

Turn to next page for Skip to 16

next person

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O Born April 1975 or later

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O Bus or streetcar

O Railroad

O Subway or elevated

O Taxicab

O Motorcycle
O Bicycle

O Walked only

O Worked at home

O Other-Specify

If car, truck, or van in 24b, go to 24c. Otherwise, skip to 28.

FOR CENSUS USE ONLY

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Puerto Rico,

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Per. 11.

No.

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000

13b. 000

I I I

I I I

222

222

444 444

5 555 555 666 666

? 777 272 888 888 999 999

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