^ie>.""-^^ IMAGE EVALUATION TEST TARGET (MT-S) 11.25 '-la I JO "'"=== IM 2.2 1.8 jy. ill 1.6 i ilUlUglUpHlL. Sciences Corporation A ^ mj>J^ € t^ ,^ V ¥^ m ^ N> -"is '^q> V % "o^ ^!i> 23 WEST MAIN STREET WEBSTER, N.Y. 14S80 (716) 872-^503 ■^#'^ > ,f Popuhitioii of this Pro\iiice,^" iorc iiie. \ Form of answer to the Questions cortairtd h\ t]:e Feludiile to an '• Likiiigaii aecoiiht oi" the PopiiIati( ISjire ;.n'l cle.si:i ipliim lit Pdiisn 1)1 Oity T 'Disiiict, 111 such Ta-isli or Citv, and withiii iviijt CoiuUy oituate. 0•.le.^L.•ll .bt. y .cili'.m Slid - - liou'ies new Biiiid I):; Oicslioii J d (. liy how niMiy Fd- iriilic!. iHciipifd Whiles Inhabited Oiher HiHises lj'Milih,U)itrd ^T.l!^•s a^K^vc i() \ t'ais ol Bge M^Ies iindcT Fema! 10 Vf.irsof a e 16 yen IS' ii — li'any Fsrnilv occupies two 01 more Ilou-e., iiidiliereut. Paiolie-; or iJotrlcts, the ludividuaij b^lon-iii^ to such Family, are to I r,t!i O ;ebtii)a. — Aie diere ii,y •.;;..tLers which you tli.r.'f. it i.ccessar / to leniark, in explan: 7\TTESTATlOX, ON OATH, BY THE PERSONS APF POPULA1 '• I, A. P>. tA\^ perso.i appointed to take an account of the Popu -• (or for tlic District of in the ParisJi (or City) o "' do swear tliat thea!)ove retnrn contains, to the best of my know! "-' contained in the Schedule to an Act, intituled, '= An Act for The abovciijentioned A. B. \v\ s sworn this Justice of the re Sclxdiile to an Act of Assembly 5th George IV. intituled, '•' An Act for i.t of the Population of this Province." CJicbUDi, 4 li fcTboubmcluQi.i-j e h.ltiui] ui uitd.Lvci ,.t,i; V\'hiles People of Colour. Vt'aisolage 16 vcarsof a, e Females sbove 16 years nt n(;c Females under ibvearsof af;e. Mahs above I M:iU's under I Females above | Fenir.Ics iirjf'er i6\ejr:i ot a;;e, I id vo.ir; of age. I i6yearsof3;Te. | 16 years of a;.":. Total of Persons. ' .sai. bJon;,i„2 to aid, Family, are to be n.ir„!,cre,d o;ily in those Parishes or Districts where they severally iiapperi to be at the time of taking the aeco., ,1:;. it accessary to leniark, in cxpianation nf your answers to cither of the preceding questions P PERSONS APPOINTED TO TAKE AN ACCOUNT OF THE POPULATION. •count of the Population for the Parisli (or Cit\ ) of Parish (or City) of ) in the County of ^ best of my knowledge and b^^^lief, a full and true answer to the questions x\, ''• An Act for taking an account of the Population of this Province," 'iis day of before me. CD, . Justice of the Peace for