WHITE COUNTY, INDIANA
U.S.
SPECIAL CENSUS ON DEAF FAMILY MARRIAGES AND HEARING RELATIVES, 1885-1895
(Please answer the questions as fully as possible and return record to E.A. Fay, Kendall Green, Washington, D.C.)
Marriage Record
of
Charles Pence (husband) and Elsie Armentrout (name of wife before marriage)
__________________
1) Details relating to marriage
Date of Marriage Place of Marriage
Were parties related before marriage? If so what relationship?
Give any other details known relating to marriage
2)Offspring. Total Number of children born of this marriage? 2 How many deaf?
How many hearing? How many died in infancy?
Give nay other details known relating to offspring; for example---
names, dates of birth or death, causes of death, ages at death, etc., where possible.
If any are or were deaf, write the word deaf after their names.
Son b 1889
II QUESTIONS TO BE ANSWERED BY HUSBAND.
1) PARENTAGE, Name of your father? David Pence
Name of your mother before marriage?
Were you parents related before marriage? If so, what relationship?
Give any other details known relating to parents; for example-- causes of death, date of death, ages at death, etc., where possible:
2. BROTHERS AND SISTERS.
Give your full name and date of birth, and the names of all your brothers and sisters, with date of birth, if possible.
Where dates are not given, state whether names are in the order of birth or not.
Chas. F. b 1864
How many of these (yourself included) are or were deaf? How many hearing? How many died young (under two years)? X
Give any other details known: for example-- causes of death, ages at death, etc.
Write the word deaf after the names of all who are or were deaf?
3) Other Relatives. Have you any deaf relatives other than brothers and sisters or children?
If so, give relationship and names, if possible.
4.NOTE. Are you deaf or hearing? Deaf
Age when deafness occured? 7 Cause of deafness? Spotted Fever
Attended what School or Institution? Ind.
Residence when admitted? Brook, Ind.
Year when admitted? 1876 Age when admitted? 12 Years under instruction?
Present residence? Monon, Ind.
Occupation?
II QUESTIONS TO BE ANSWERED BY WIFE.
1) PARENTAGE, Name of your father?
Name of your mother before marriage?
Were you parents related before marriage? If so, what relationship?
Give any other details known relating to parents; for example-- causes of death, date of death, ages at death, etc., where possible:
2. BROTHERS AND SISTERS. Give your full name and date of birth, and the names of all your brothers and sisters, with date of birth, if possible.
Where dates are not given, state whether names are in the order of birth or not.
Daisy
How many of these (yourself included) are or were deaf? How many hearing? How many died young (under two years)? X
Give any other details known: for example-- causes of death, ages at death, etc. Write the word deaf after the names of all who are or were deaf?
3) Other Relatives. Have you any deaf relatives other than brothers and sisters or children?
If so, give relationship and names, if possible.
4.NOTE. Are you deaf or hearing? Hearing
Age when deafness occured? Cause of deafness?
Attended what School or Institution?
Residence when admitted?
Year when admitted? Age when admitted? Years under instruction?
Present residence?
Occupation?
Remarks: Silent Hoosier
Additions from Census School Statistics 1890
Ind. Hoosier May 18/93
Date of Information Mar 11/93 Signed H.D.D. Long
Transcribed and Contributed by Erica Beatty
(Please answer the questions as fully as possible and return record to E.A. Fay, Kendall Green, Washington, D.C.)
Marriage Record
of
Charles Pence (husband) and Elsie Armentrout (name of wife before marriage)
__________________
1) Details relating to marriage
Date of Marriage Place of Marriage
Were parties related before marriage? If so what relationship?
Give any other details known relating to marriage
2)Offspring. Total Number of children born of this marriage? 2 How many deaf?
How many hearing? How many died in infancy?
Give nay other details known relating to offspring; for example---
names, dates of birth or death, causes of death, ages at death, etc., where possible.
If any are or were deaf, write the word deaf after their names.
Son b 1889
II QUESTIONS TO BE ANSWERED BY HUSBAND.
1) PARENTAGE, Name of your father? David Pence
Name of your mother before marriage?
Were you parents related before marriage? If so, what relationship?
Give any other details known relating to parents; for example-- causes of death, date of death, ages at death, etc., where possible:
2. BROTHERS AND SISTERS.
Give your full name and date of birth, and the names of all your brothers and sisters, with date of birth, if possible.
Where dates are not given, state whether names are in the order of birth or not.
Chas. F. b 1864
How many of these (yourself included) are or were deaf? How many hearing? How many died young (under two years)? X
Give any other details known: for example-- causes of death, ages at death, etc.
Write the word deaf after the names of all who are or were deaf?
3) Other Relatives. Have you any deaf relatives other than brothers and sisters or children?
If so, give relationship and names, if possible.
4.NOTE. Are you deaf or hearing? Deaf
Age when deafness occured? 7 Cause of deafness? Spotted Fever
Attended what School or Institution? Ind.
Residence when admitted? Brook, Ind.
Year when admitted? 1876 Age when admitted? 12 Years under instruction?
Present residence? Monon, Ind.
Occupation?
II QUESTIONS TO BE ANSWERED BY WIFE.
1) PARENTAGE, Name of your father?
Name of your mother before marriage?
Were you parents related before marriage? If so, what relationship?
Give any other details known relating to parents; for example-- causes of death, date of death, ages at death, etc., where possible:
2. BROTHERS AND SISTERS. Give your full name and date of birth, and the names of all your brothers and sisters, with date of birth, if possible.
Where dates are not given, state whether names are in the order of birth or not.
Daisy
How many of these (yourself included) are or were deaf? How many hearing? How many died young (under two years)? X
Give any other details known: for example-- causes of death, ages at death, etc. Write the word deaf after the names of all who are or were deaf?
3) Other Relatives. Have you any deaf relatives other than brothers and sisters or children?
If so, give relationship and names, if possible.
4.NOTE. Are you deaf or hearing? Hearing
Age when deafness occured? Cause of deafness?
Attended what School or Institution?
Residence when admitted?
Year when admitted? Age when admitted? Years under instruction?
Present residence?
Occupation?
Remarks: Silent Hoosier
Additions from Census School Statistics 1890
Ind. Hoosier May 18/93
Date of Information Mar 11/93 Signed H.D.D. Long
Transcribed and Contributed by Erica Beatty