| State | Maine |
| County | Somerset |
| Incorporated Place or Township | Fairfield |
| E.D. Number | 13-20 |
| Name of street, avenue, or road | State St |
| House (and apartment) number | 27 |
| Serial number of dwelling unit | 353 |
| Is this house on a farm (or ranch)? | No |
| Is this house on a place of three or more acres? | No |
| Line Number | 11 | 12 | 13 | 14 See Below | 15 | 16 | 17 | 18 |
| Name | Gurney, Louis J | Gurney, Yvette M | Gurney, Richard H | Gurney, Donald F | Gurney, Julia R | Gurney, Joan B | Gurney, Joyce B | Gurney, Nancy M |
| Relationship | Head | Wife | Son | Son | Daughter | Daughter | Daughter | Daughter |
| Race | White | White | White | White | White | White | White | White |
| Sex | Male | Female | Male | Male | Female | Female | Female | Female |
| How old was he on his last birthday? | 31 | 29 | 12 | 11 | 9 | 7 | 3 | May |
| Is he now married, widowed, divorced, separated, or never married? | Married | Married | Never | Never | Never | Never | Never | Never |
| What State (or foreign country) was he born in? | ME | ME | ME | ME | ME | ME | ME | ME |
| If foreign born is he naturalized? | ||||||||
| What was this person doing most of last week - working, keeping house, or something else? | Work | Work | ||||||
| Did this person do any work at all last week, not counting work around the house? | ||||||||
| Was this person looking for work? | ||||||||
| Even though he didn't work last week, does he have a job or business? | ||||||||
| How many hours did he work last week? | 40 | 40 | ||||||
| What kind of work was he doing? | Scaler | Stitcher | ||||||
| What kind of business or industry was he working in? | Paper Mill | Shirt Factory | ||||||
| Class of Worker | Private | Private |
| Sample Line Number | 14 |
| Was he living in this same house a year ago? | Yes |
| Was he living on a farm a year ago? | |
| Was he living in this same county a year ago? | |
| What county and State was he living in a year ago? | |
| What country were his father and mother born in? | Father: US Mother: US |
| What is the highest grade of school that he has attended? | S5 |
| Did he finish this grade? | No |
| Has he attended school at any time since February 1st? | Yes |
| If looking for work - How many weeks has he been looking for work? | |
| Last year, in how many weeks did this person do any work at all, not counting work around the house? | |
| Last year (1949), how much money did he earn working as an employee for wages or salary? | |
| Last year, how much money did he earn working in his own business, professional practice, or farm? | |
| Last year, how much money did he receive from interest, dividends, veterans allowances, pensions, rents, or other income (aside from earnings)? | |
| Last year (1949), how much money did his relatives in this household earn working for wages or salary? | |
| Last year, how much money did his relatives in this household earn working in own business, professional practice, or farm? | |
| Last year, how much money did his relatives in this household receive from interest, dividends, veterans allowances, pensions, rents, or other income (aside from earnings)? | |
| If Male did he ever serve in the U.S. Armed Forces during? |
Source: Ancestry - 1950 United States Federal Census