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28. lndustry or Employer
a. For whom did this person work? lf now on active duty ln the yrmed
Forces, ■ this drde •» O and print the
branch of the yrmed Forces.
(Name of company, business, or other employer)
b. What kind of business or lndustry was this?—y Describe the activity at location where employed. /
(For example: hospital, newspaper publishing.
c. b this mainly — FVJ ONE cirde
C Manufacturing O Other (agriculture.
O Wholesale trade construction, service.
O Retail trade government, etc.)
a. What kind of work.
I tfala person doing?
(For example: registered nunc, personnel manager,
b. What were this
person'!, meet lmportant actMttee
(For example: patient care, clfrecitng Kking policles,
SO. Was this person - FB ONE cirde
O Employee of a PRIVATE FOR PROHT company or
easssssst or of an individual, for wagss, salary, or
tax-exempt, or charitable organization
business, professional practice, or farm
business, professional practice, or farm
Sla. Last year (1969). did this parson
lew days, at a paid )ob or ln a
bustnaes or farm?
b. How many wweks did this person
. During the weeks WORKED ln 1989. how many hours did this person usually work each week?
Pfease furn to the next page and answer guw Mont for Penon 2 on page 2. lfthlt is the last person fisrecf/n guesffon la on page ], go n> fne fcuvr* o/the farm.
Regular Usual home elsewhere
CI. Vacancy status
O Now married O Separated
O Widowed O Never married
No (not Spanish/Hispanic)
Yes, Mexican, Mexican-Am., Chlcano
Yes, Puerto Rkan _
Yes, Cuban ■
Yes. other Spanlsh/Hlspanlc
Salwxionei, Jyenjard, and so on.)
«■ 3 6 7 8 9
O For rent O
O For sale only
FOR CENSUS USE
D. Months vacant
O Lessthanl o 6uptol2
C2. Is this unit boarded up?
E. Cnmplm after
O LR O TC O QA •"CI
O P/F O RE O l/T
O MV O ED O EN .
O P0 O P3 O P6
O PI O P4 O IA J102
O P2 O PS 0 SM O
O lb O la
9 9 9 0
QUESTIONS ASKED OF A SAMPLE OF HOUSEHOLDS
PLEASE ALSO ANS WER THESE
H20. What arc the yearly costs of utilities and
O lncluded ln rent or ln condominium let O No charge or electricity not used
O lncluded ln rent or ln condominium n O No charge or gas not used
H14. Which FUEL ls used MOST for headng this house or apartment?
O Gas: from underground pipes
serving the neighborhood
O Gss: bottled, tank, or LP
C Fuel oil. kerosene, etc.
O Solar energy
_. O No fuel used
H15. Do you get water from
O y public system such as a ciry water
O yn individual drilled walP
O An lndividual dug wet?
O Some other source such as a spring,
H16. Uthlsbulktrng connected to a public sewer?
O Yes, connected to pubec sewer
O No. connected lo septic tank or cesspool
O No, use other means
H17. About when was this building Brst built?
H18. ls thss house or apartment part of s
a*you fVe ln an apsrtmenf buifcOng, slop to H20.
HI9a. b this house on less than 1 acre?
b.ln 1989. what were the actual sales of all agricultural
O Sl to $999
O $1,000 to $2,499
O $2,500 to $4,999
O $5,000 to $9,999
O $10,000 or mors
Yearly cost — Dollars
0 lncluded in rent or ki condominium let O Nochargs
d. OU, coal, kerosene, wood, etc.
Yearly cost - Dosars
lncluded ln rent or in condominium fee No charge or these fuels not used
The sample questionnaire contains housing questions
H23a. Do you have a mortgage, deed of trust, contract to purchase, or similar debt on THIS property?
O Yes, mortgage, deed of trust,) or similar debt
O Yes, contract to purchase
O fio-Skip to H24e
b. How much la your regular monthly mortgage
payment on THIS property? Include payment only on first mortgage or contract to purchase.
H24a. Do you have a second or )unior
mortgage or a home equity loan on THIS property?
b. How much is your regular monthly payment on all second or Junior mortgages and all home equity loans?
O No regular payment required — Skip to H24a
c. Does your regular monthly mortgage payment Include payments tor real estate taxes on THIS property?
O Yes, taxes Included in payment
O No, taxes paid separately or taxes not required
d. Does your regular monthly mortgage payment include payments for fire, hazard, or Bood Insurance on THIS property?
O Yes. insurance Included In payment
O No, Insurance paid separately or no Insurance