Received July 9, 1880 Note A. - The Census Year begins June 1, 1879, and ends May 31, 1880. Note B. - In making entries in columns 6, 7, and 8, an affirmative mark only will be used, thus /, except in the case of Divorced persons, column 8, when the letter D is to be used. Note C. - For instructions relative to the entries in column 14, see back of this schedule. Note D. - In column 17, note distinctly if no physician was in attendance, thus (None.) Page No. 1 Supervisor's Dist. No. 1 Enumeration Dist. No. 118 Schedule 5. - Persons who DIED during the Year ending May 31, 1880, enumerated by me in the first Civil District, in the County of Campbell, State of Tennessee, J. H. Agee, Enumerator. Column 1 - Number of the family as given in Column numbered 2, Schedule 1. Column 2 - Name of the person Deceased. Column 3 - Personal Description - Age at last birthday.  If under 1 year give months in fractions, thus 3/12. If under 1 month, give days in fractions, thus 2/30. Column 4 - Personal Description - Sex - Male (M)  Female (F) Column 5 - Personal Description - Color - White (W), Black (B), Mulatto (Mu), Chinese (Ch), Indian (I) Column 6 - What was the civil condition of the person who died? - Single / Column 7 - What was the civil condition of the person who died? - Married / Column 8 - What was the civil condition of the person who died? - Widowed /  Divorced D. Column 9 - Nativity - Place of birth of this person, naming the State or Territory of the U.S., or the country, if of foreign birth. Column 10 - Nativity - Where was the father of this person born? (As in column 9) Column 11 - Nativity - Where was the mother of this person born? (As in column 9) Column 12 - Profession, Occupation or Trade.  (Not to be used in respect to persons under 10 years of age.) Column 13 - The month in which the person died. Column 14 - Disease or cause of death. Column 15 - How long a resident of the county?  If less than 1 year, state months in fractions, thus - 3/12. Column 16 - If the disease was not contracted at place of death, state the place. Column 17 - Name of attending Physician.

L  1    2                  3     4  5  6  7  8  9     10    11    12             13    14               15  1617

1  168  Burris, Sabry      28    F  W     1     Tenn  Tenn  N.C.  Keeping House  July  Consumption      4     None
2  174  Darity,Gerah, Jr.  2/30  M  W  1        Tenn  Tenn  Tenn                 Feb   Hives                  None
3  180  Phillips, Susie    28    F  W     1     Tenn  Tenn  Tenn  Keeping House  Mar   Pneumonia fever  28    C. D. Russell

I certify that I have this day completed the enumeration of the district assigned me and this the return have been duly and truthfully made in accordance with law and my oath of office. June 29th 1880. Kelly Adkins Enumerator Dist 120 Column 1 - Number of the line upon which the case is reported above. Column 2 - Place where the death occurred - Town. Column 3 - Place where the death occurred - County. Column 4 - Place where the death occurred - State. Column 1 - Number of the line upon which the case is reported above. Column 2 - Place where the death occurred - Town. Column 3 - Place where the death occurred - County. Column 4 - Place where the death occurred - State.   Remarks. Note E. - Upon this Schedule should be CAREFULLY RETURNED. 1st.  Every death which has occurred in this enumeration district during the Census year, whether the deceased was or was not, at death a member of any family which resided June 1, 1880, in the district. 2d.  Every death which has occurred outside of this enumeration district during the Census year, the deceased being at date of death a member of a family which resided June 1, 1880, in the enumeration district. The enumerator should make these entries upon this Schedulewith great care, seeking every source of information.  When a positive statement is impossible, as when an age can only be estimated, or a birth place must be conjectured, the entry may be  inclosed in parentheses, thus: Age (25), meaning that the best estimate of the age that can be given is 25 years.

 

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