Surname
Allas
No.
52422
(2)
White
Date
Rms. Fl.
Address
Front
Rent per mo.
Landlord
Address
Dist.
Date
From
To
Rea
8/14
9/14
1 Moon Street
$11
Mr. H.K. Gay
3 Gore St.
6/9/13
13 Revere Street
$12.
5
Age
Birhplace Nation an.
Race
Date of Birth
Nation of
Parents
Religlon
Previous Marriages
Marriage
Date
Place
Man's Hrst Name
Verifiod)
Boston
England
Vermont
English
1873
Prot.
12/9/98
O Firy Name
1st wife- Mary
Elsie
Maiden Name
1876
Scotland
By whom
Read and Write
any language
A Left School at
Occupation
at Ap
Wages
per wk
Ins. Prem.
Years, at Ap
Mental and Physical Defects
Amt. per wk. B-Began Work at Age Posltion
Stone
City State .s
A
C
1. Man
Yes
Carnenter 310.
25d
Boaton
'8d One 1eg out off-
2. Woman
Yes
Date of Birth
B.
First Names
By Ist wife
John
tAp. or
C
Fame of Wite, andd den
Wages
A.
Am
Mental and Physical Defects
1897
36
Deaf Mute
gent
4. Grace
190su
104
S. Ralph
1904
104
6 Dorothy
1909
7.
10.
KeauAnFuil Namas y at
Occupation
Kinship
wages
Renetit Society
Pawns
Other Sources of
Income
N.
Amount
ner wk
llments
White, Theresa
waitress 56.
sister 1
Bond, George
boarder
laborer
Relatives
Address
Kinship
Friendly Visitor
Address
Date
Brown, Rose & George 35 Second St.
sister 1
Mrs. A.F. Johnson
Reading, Mass.
8/14
White. Amelia & John
England
parentsl
Stone, Maude& James 2 Hayre St.
brother
References
Address
Connection
No-
Dr. Lambert
Pond St.. Cambridge
14 Atherton Street
doctor 3
friend 2
Mrs. E.J. Hayes
Employer
Address
Date
To
Position
Dept.
Foreman
Wages
per wk.
From
Ellis Brush Paatory
3/14-8/14
Malden, Maas.
A C. White
6/14-
7/13-9/14
Portland St. Boaton-
Eighth St.. South Boston
0. K. Lunch
. S. F. - Case Record Form-No. 24,
C. O. Dept. of
