| Island | Lanai |
| County | Maui |
| Census Tract | M-16-PART |
| E.D. Number | 5-22 |
| Name of street, avenue, or road | Block 46 |
| House (and apartment) number | 3 |
| Serial number of dwelling unit | 15 |
| Is this house on a farm (or ranch)? | No |
| Is this house on a place of three or more acres? | No |
| Line Number | 27 | 28 See Below | 29 | 30 | 1 | 2 | 3 |
| Name | Masicampo, Ricardo | Masicampo, Corazon | Masicampo, Mariano | Masicampo, Jeraldine | Masicampo, Frederick | Masicampo, Barbara | Masicampo, Richard |
| Relationship | Head | Wife | Son | Daughter | Son | Daughter | Son |
| Race | Filipino | Filipino | Filipino | Filipino | Filipino | Filipino | Filipino |
| Is this person of mixed race? | No | No | No | No | No | No | No |
| Sex | Male | Female | Male | Female | Male | Female | Male |
| How old was he on his last birthday? | 45? | 30 | 13 | 9 | 7 | 5 | 1 |
| Is he now married, widowed, divorced, separated, or never married? | Married | Married | Never | Never | Never | Never | Never |
| What State (or foreign country) was he born in? | Philippines | Philippines | Hawaii | Hawaii | Hawaii | Hawaii | Hawaii |
| If foreign born is he naturalized? | Yes | No | |||||
| Is he a Territorial Citizen? | Yes | No | Yes | Yes | Yes | Yes | Yes |
| What was this person doing most of last week - working, keeping house, or something else? | Work | House | |||||
| Did this person do any work at all last week, not counting work around the house? | No | ||||||
| Was this person looking for work? | No | ||||||
| Even though he didn't work last week, does he have a job or business? | No | ||||||
| How many hours did he work last week? | 40 | ||||||
| What kind of work was he doing? | Truck Driver | ||||||
| What kind of business or industry was he working in? | Pineapple Plantation | ||||||
| Class of Worker | Private |
| Sample Line Number | 28 |
| Was he living in this same house on V-J Day (August 14, 1945)? | Yes |
| Was he living on this same island? | |
| Where was he living on V-J Day? | |
| In what country were his father and mother born? |
Father: Phillipines
Mother: Phillipines |
| What is the highest grade of school that he has attended? | S8 |
| Did he finish this grade? | Yes |
| Has he attended school at any time since February 1st? | 30 or over |
| 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? | None |
| Last year (1949), how much money did he earn working as an employee for wages or salary? | None |
| Last year, how much money did he earn working in his own business, professional practice, or farm? | None |
| Last year, how much money did he receive from interest, dividends, veterans allowances, pensions, rents, or other income (aside from earnings)? | None |
| 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? | |
| If female and ever married how many children has she ever borne, not counting stillbirths? | 6 |
Source: Ancestry - 1950 United States Federal Census