Created by gemini-2.0-flash on 2025-05-04

Here's a description of the image:

The image shows a beige or tan-colored form, likely for documenting details about buildings and occupancy. It has several columns and rows for data entry. The form is organized into sections for:

• Street: Fields to note the street name and building number.
• Block No.: A field for the block number.
• Date: A field to note the date.
• Bld'g : A field to note the type of the building.
• Loc. on Lot: A section to describe the location of the building on the lot, with subfields "Front", "Center", and "Rear".
• Frame and Brick : Sections to note the building frame and brick.
• No. of Stories : Section to note the number of stories in the building.
• Families: A column on the left to number the families.
• ROOMS: A large section for rooms, further divided into columns for "No. of," "Dark," "Poorly Vent.," and "Repair."
• Repair: Fields for details about the repair status of the "Sink" and "Toilet".
• Cleanliness of Apts. : Field for details about the cleanliness of the apartments.
• OCCUPANTS: A section for "Adults" and "Minors."
• Rent per Month: A column to record the monthly rent.
• REMARKS: A large column for additional notes or comments.

The rows are numbered from 1 to 10, with a "Total" row at the bottom for summing up data. Additional sections appear at the bottom of the form, including "Other Uses of Bldgs.," "General Repair of Public Parts," and "Cleanliness of Public Parts." A form number, "Form 13 3-A-1552 2m," is printed in the bottom left corner. The form's overall design suggests it was used for urban planning, property management, or perhaps census-related work.

Created by gemini-2.0-flash-lite on 2025-05-04

The image is a vintage form for collecting data related to buildings. The form is divided into several columns and rows to accommodate various details. At the top, there's space for "Street," "No.," "Block No.," and "Date." The main body of the form is a grid with the following headings:

• Bld'g: This column likely refers to "Building."
• Families: This seems to be a column dedicated to the number of families.
• Frame and Brick: Columns for recording the number of rooms.
• No. of Stories
• Loc. on Lot
• Rooms: Sub-columns for the details of the rooms, including "No. of," "Dark," "Poorly Vent.," and "Repair."
• Repair of Sink:
• Repair of Toilet:
• Cleanliness of Apts.:
• Occupants: Sub-columns for the number of "Adults" and "Minors."
• Rent per Month:
• Remarks: Provides space for additional notes or observations.
• Other Uses of Bldgs.:
• General Repair of Public Parts:
• Cleanliness of Public Parts:

At the bottom, there's a line for "Total" and a mention of "Other Uses of Bldgs." and "General Repair of Public Parts" with space for writing notes. The form is marked with "Form 13 3-A-1552 2m" at the bottom.