| Province | Manitoba |
| Electoral District | Brandon |
| Enumeration Sub-district | 34 |
| Municipality | Township of Souris |
| Page | 16 |
| Number in the order of visitation | Dwelling House | 186 | |||
| Family, household or institution | 188 | ||||
| Name and Residence | Name | Box William | Box Clara | Box Jean | Box Mary |
| Place of Abode | 1st. St Ward 4 | ||||
| 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 | 57 | 52 | 24 | 19 | |
| Place of Birth | Person | Ont | Ont | Ont | Ont |
| Father | England | England | Ont | Ont | |
| Mother | England | England | Ont | Ont | |
| Race and Citizenship | Racial or tribal origin | English | English | English | English |
| Year of immigration to Canada | |||||
| Year of Naturalization | |||||
| Citizenship | Canada | Canada | Canada | Canada | |
| Language | Can speak English | Yes | Yes | Yes | Yes |
| Can speak French | No | No | No | No | |
| Mother Tongue | English | English | English | English | |
| Education | Can read | Yes | Yes | Yes | Yes |
| Can write | Yes | Yes | Yes | Yes | |
| Months at school since Sept. 1, 1925 | No | ||||
Source: FamilySearch - Canada, Prairie Provinces Census, 1926