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The 2000 Federal Census For The South...


moodyblue

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I was going through some stuff to throw away and came across this. You may have seen this......

SUBJECT: THE 2000 FEDERAL CENSUS FOR THE SOUTH

Last name:___________

First name: (Check apporpiate box)

(__)Billy-Bob

(__)Billy-Joe

(__)Billy-Ray

(_)Billy-Sue

(_)Billy-Mae

(_)Billy-Jack

What does everyone call you?

(_)Booger

(_)Bubba

(_)Junior

(_)Sissy

(_)other_________

Age:_____ (if unsure, guess)

Sex:____ M ______F ____Not sure

Shoe size:_______Left ______Right

Occupation: (check appropriate box)

(_)Farmer

(_)Mechanic

(_)Hair Dresser

(_)Unemployed

(_)Dirty Politician

(_)Preacher

Spouse's Name:___________

2nd Spouse's Name:_________

3rd Spouse's Name:_______

Lover's Name:______

Relationship with spouse: (check appropriate box)

(_)Sister

(_)Brother

(_)Aunt

(_)Uncle

(_)Cousin

(_)Mother

(_)Father

(_)Son

(_)Daughter

(_)Pet

Number of children living in household:_______

Number of children living in shed:_____

Number that are yours:____

Mother's Name:_________(if not sure, leave blank)

Father's Name:_______(if not sure, leave blank)

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

Do you (_) own or (_) rent your mobile home?

(check appropriate box)

Total number of vehicles you own:_____

Number of vehicles that still crank:____

Number of vehicles in front yard:___

Number of vehicles in backyard:____

Number of vehicles on cement blocks:___

Firearms you own and where you keep them:

____truck

____bedroom

____bathroom

____kitchen

____shed

Model and year of your pickup: 19___

Do you have a gun rack?

(_)Yes (_) No; if no, Please explain:

Newspaper/magazines you subscribe to:

(_)The National Enquier

(_)The Globe

(_)TV Guide

(_)Soup Opera Digest

(_)Rifle and Shotgun

Number of times you've seen a UFO:____

Numbers of times in the last 5 years you've seen Elvis:____

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

How often do you bathe:

(_)Weekly

(_)Monthly

(_)Not Applicable

Color of eyes:

Left______ Right______

Color of Hair:

(_)Blond

(_)Black

(_)Red

(_)Brown

(_)White

(_)Clairol

Color of teeth:

(_)Yellow

(_)Brownish-Yellow

(_)Brown

(_)N/A

Brand of chewing tobacco you prefer:

(_)Red Man

How far is you home from a paved road?

(_)1 mile

(_)2miles

(_)just a whoop-and-a-holler

(_)road?

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