| State | New York |
| County | Chautauqua |
| Incorporated Place or Township | Jamestown |
| E.D. Number | 7-107 |
| Name of street, avenue, or road | Hazzard |
| House (and apartment) number | 430 |
| Serial number of dwelling unit | 129 |
| Is this house on a farm (or ranch)? | No |
| Is this house on a place of three or more acres? | No |
| Line Number | 18 See Below | 19 | 20 |
| Name | Panter, Maurice | Panter, Elsie | Panter, Elizabeth |
| Relationship | Head | Wife | Mother |
| Race | White | White | White |
| Sex | Male | Female | Female |
| How old was he on his last birthday? | 49 | 53 | 86 |
| Is he now married, widowed, divorced, separated, or never married? | Married | Married | Widowed |
| What State (or foreign country) was he born in? | England | England | England |
| If foreign born is he naturalized? | Yes | Yes | No |
| What was this person doing most of last week - working, keeping house, or something else? | Work | House | House |
| Did this person do any work at all last week, not counting work around the house? | Yes | 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? | 49 | 12 | |
| What kind of work was he doing? | foreman of hardware department | run dish washing machine | |
| What kind of business or industry was he working in? | metal window frame factory | school cafetaria | |
| Class of Worker | Private | Government |
| Sample Line Number | 18 |
| 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: England Mother: England |
| What is the highest grade of school that he has attended? | S9 |
| Did he finish this grade? | Yes |
| Has he attended school at any time since February 1st? | 30 ir 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? | 52 Weeks |
| Last year (1949), how much money did he earn working as an employee for wages or salary? | $2141 |
| 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? |
World War II - No
World I - No Any other time including present service - No |
Source: Ancestry - 1950 United States Federal Census