| State | Michigan |
| County | Berrien |
| Incorporated Place or Township | Fairplain |
| E.D. Number | 11-8 B |
| Name of street, avenue, or road | Elvern drive |
| House (and apartment) number | 211 |
| Serial number of dwelling unit | 84 |
| Is this house on a farm (or ranch)? | No |
| Is this house on a place of three or more acres? | No |
| Line Number | 9 | 10 | 11 |
| Name | Southland, Harry J. | Southland, Ellen | O'Neill Clara |
| Relationship | Head | Wife | Mother in law |
| Race | White | White | White |
| Sex | Male | Female | Female |
| How old was he on his last birthday? | 45 | 45 | 70 |
| Is he now married, widowed, divorced, separated, or never married? | Mar | Mar | Wd |
| What State (or foreign country) was he born in? | Michigan | England | England |
| If foreign born is he naturalized? | yes | mo | |
| What was this person doing most of last week - working, keeping house, or something else? | wk | wk | H |
| 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? | 48 | 40 | |
| What kind of work was he doing? | freight agent | cashier | |
| What kind of business or industry was he working in? | railroad | Retail department stock? | |
| Class of Worker | P | P |
| Sample Line Number | 11 |
| 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? | S-6 |
| 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? | Weeks |
| 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 |
NB - Rest of row blank.
Source: Ancestry - 1950 United States Federal Census