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AN EQUAL OPPORTUNITY EMPLOYER
U. S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU
T
Enumerator Name:
Date of Enumeration:
Total Number of ICQs for GQ:
AF
GQ Name:
of
Total Envelopes
D
Envelope
R
Total Number of ICQs in this envelope:
USE SEPARATE ENVELOPES FOR EACH GQ.
DO NOT PLACE QUESTIONNAIRES FROM DIFFERENT GQs
IN THE SAME ENVELOPE.
DH-40(GQ) (5-2017)
10" x 13" envelope with no window
DC
D
R
AF
T
Disclosure Prohibited—Title 13 U.S. Code
| File Type | application/pdf |
| File Title | untitled |
| File Modified | 2017-05-22 |
| File Created | 2017-05-12 |