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Here is the census form that they use in the south.

Plez compleet this paper, best ya can.



  Last name: ________________



  First name:

  [_] Billy-Bob [_] Bobby-Sue

  [_] Billy-Joe [_] Bobby-Jo

  [_] Billy-Ray [_] Bobby-Ann

  [_] Billy-Sue [_] Bobby-Lee

  [_] Billy-Mae [_] Bobby-Ellen

  [_] Billy-Jack [_] Bobby-Beth Ann Sue



  Age: ____ (if unsure, guess)



  Sex: [_]M [_]F

  Shoe Size: ____ Left ____ Right



  Occupation:



  [_] Farmer [_] Mechanic

  [_] Hair Dresser [_] Waitress

  [_] Un-employed [_] Dirty Politician



  Spouse's Name: ______________________________

  2nd Spouse's Name: __________________________

  3rd Spouse's Name:___________________________



  Relationship with spouse:



  [_] Sister [_] Aunt

  [_] Brother [_] Uncle

  [_] Mother [_] Son

  [_] Father [_] Daughter

  [_] Cousin [_] Pet



  Number of children living in household: ___

  Number of children living in shed: ___

  Number of children that are yours: ___



  Mother's Name: _______________________

  Father's Name: _______________________



  Education: 1 2 3 4 (Circle highest grade completed)



  If you obtained a higher education what was your major?



  [_] 5th grade [_] 6th grade

  Do you [_] own or [_] rent your mobile home?



  Vehicles you own and where you keep them:



  Total number of vehicles you own _____

  ___ Number of vehicles that still crank

  ___ Number of vehicles in front yard

  ___ Number of vehicles in back yard

  ___ Number of vehicles on cement blocks



  Age you started drivin_______(if over 10 are you still lernin)



  [_] Yes [_] No



  Firearms you own and where you keep them:



  ____ truck ____ kitchen ____ bedroom

  ____ bathroom/outhouse

  ____ shed ____ pawnshop



  Model and year of your pickup: _____________ 194_



  Do you have a gun rack?

  [_] Yes [_] No; If no, please explain:



  Newspapers/magazines you subscribe to:



  [_] The National Enquirer [_] The Globe

  [_] TV Guide [_] Soap Opera Digest

  [_] Rifle and Shotgun [_] Bassmasters



  ___ Number of times you've seen a UFO

  ___ Number of times you've seen Elvis

  ___ Number of times you've seen Elvis in a UFO



  How often do you bathe:



  [_] Weekly

  [_] Monthly

  [_] Not Applicable



  How many teeth in YOUR mouth? ___



  Color of teeth:



  [_] Yellow [_] Brownish-Yellow

  [_] Brown [_] Black

  [_] N/A



  How far is your home from a paved road?



  [_] 1 mile

  [_] 2 miles

  [_] don't know



  Signature: (if you kan't spell yur name, draw a

  pikshur of yaself)

[ Thanks again J Colannino! ]

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