| State | Illinois |
| County | Cook |
| Incorporated Place or Township | Palatine |
| E.D. Number | 16-579 |
| Name of street, avenue, or road | Woodland Ave in gainer? Park |
| House (and apartment) number | |
| Serial number of dwelling unit | 126 |
| 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 |
| Name | Broadbent Lillian | Oliver Esther |
| Relationship | head | daughter |
| Race | White | White |
| Sex | Female | Female |
| How old was he on his last birthday? | 78 | 45 |
| Is he now married, widowed, divorced, separated, or never married? | Wd | Wd |
| What State (or foreign country) was he born in? | New York | Illinois |
| If foreign born is he naturalized? | ||
| What was this person doing most of last week - working, keeping house, or something else? | h | w |
| 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? | secretary | |
| What kind of business or industry was he working in? | Steel Manufacturer | |
| Class of Worker | p |
Source: Ancestry - 1950 United States Federal Census