| Province | Manitoba |
| District No. | 26 |
| Enumeration Sub-District No. | 31 in Town of Souris |
| Page | 15 |
| Enumerated by | John Smith ??? |
| Numbered in the Order of Visitation |
Dwelling House | 74 | |||
| Family, Household or Institution | 178 | ||||
| Name | Name of each person in family, household or institution | Box William C | Box Clara K | Box Jean | Box Mary |
| Place of Abode | Section | Pt. | |||
| Township | St. | ||||
| Range | |||||
| Meridan | |||||
| Municipality | |||||
| Tenure and Class of Home | Home Owned or Rented | R | |||
| If Rented, Given Rent Paid per Month | 30 | ||||
| Class of House | S. | ||||
| Materials of Construction | W. | ||||
| Rooms Occupied by this Family | 6 | ||||
| Personal Description | Relationship to head of family or household | Head | Wife | Daughter | Daughter |
| Sex | M | F | F | F | |
| Single, married, widowed, divorced or legally separated | M | M | S | S | |
| Age at last birthday | 51 | 46 | 19 | 14 | |
| Nativity | Person | Ont. | Ont. | Ont. | Ont. |
| Father | England | England | Ont | Ont | |
| Mother | England | England | Ont | Ont | |
| Citizenship | Year of Immigration to Canada | ||||
| Year of Naturalization | |||||
| Nationality | Canada | Canada | Canada | Canada | |
| Race, Language and Religion | Racial or tribal origin | English | English | English | English |
| Can speak English | Yes | Yes | Yes | Yes | |
| Can speak French | No | No | No | No | |
| Language Other Than English or French Spoken as Mother Tongue |
none | none | none | none | |
| Religion | Methodist | Methodist | Methodist | Methodist | |
| Education | Can read | Yes | Yes | Yes | Yes |
| Can write | Yes | Yes | Yes | Yes | |
| Months at School since Sept 1, 1920 | 9 | 9 | |||
| Profession, Occupation and Employment |
Chief occupation or trade | ?? | None | Student | None |
| On | |||||
| Worker etc | ??? | ||||
| Total Earnings Past 12 Months | X | ||||
| If Employee were you out of Work June first 1921 | X | ||||
| Number of Weeks Unemployed in Past 12 Months | X | ||||
| Number of Weeks Unemployed since June 1st 1920 because of illness |
Source: RG 31; Folder Number: 21; Census Place: Souris (Town), Brandon, Manitoba; Page Number: 15
Source: Ancestry.com. 1921 Census of Canada