| Province | Ontario |
| District No. | 122 Stormont |
| S. District No. | 5 |
| Enumeration District | 4 in Cornwall |
| Page | 6 |
| Nominal return of living persons by | John Kennedy |
| Numbered in the Order of Visitation | Dwelling House | 60 | ||
| Family, Household or Institution | 60 | |||
| Residence and Personal Description | Name of each person in family, household or institution | Carver George | Carver Amelia | Carver Annie |
| Place of habitation | Water St | Water St | Water St | |
| Sex | M | F | F | |
| Relationship to head of family or household | Head | Wife | Daughter | |
| Single, married, widowed, divorced or legally separated | M | M | S | |
| Month of birth | Dec? | July | Nov | |
| Year of birth | ?? | 1865 | 1896 | |
| Age at last birthday | ?? | 45 | 14 | |
| Citizenship, Nationality and Religion | Country or place of birth | England | England | England |
| Year of immigration to Canada, if an immigrant | 1911 | 1911 | 1911 | |
| Year of naturalization, if formerly an alien | ||||
| Racial or tribal origin | English | English | English | |
| Nationality | Canadian | Canadian | ?? | |
| Religion | English | English | English | |
| Profession, Occupation, Trade or Means of Living | Chief occupation or trade | none | none | ?? |
| Employment other than at chief occupation or trade, if any | n9? | n9? | 6-6-99 | |
| Employer | ||||
| Employee | ||||
| Working on own account | ||||
| Wage-Earners | State where person is employed, as "on farm", "in woolen mill", "at foundry shop", "in drug store", etc. | mill | ||
| Weeks employed in 1910 at chief occupation or trade | ||||
| Weeks employed in 1910 at other than chief occupation or trade, if any | ||||
| Hours of working time per week at chief occupation | ||||
| Hours of working time per week at other occupation, if any | ||||
| Total earning in 1910 from chief occupation or trade | ||||
| Total earning in 1910 from other than chief occupation or trade, if any | ||||
| Rate of earnings per hour when employed by the hour - Cents | ||||
| Insurance Held at Date | Upon life | |||
| Against accident or sickness | ||||
| Cost of insurance in coming year | ||||
| Education and Language of Each Person Five Years of Age and Over | Months at school in 1910 | |||
| Can read | Yes | Yes | Yes | |
| Can write | Yes | Yes | Yes | |
| Language commonly spoken | Eng | Eng | Eng | |
| Cost of education in 1911 for persons over 16 years of age at College, Convent or University | ||||
| Infirmities (Specify age when infirmity appeared) | Blind | |||
| Deaf and dumb | ||||
| Crazy or lunatic | ||||
| Idiotic or silly |
Source: Year 1911; Census Place: 43 - Cornwall, Stormont, Ontario; Page: 6;
Family No: 60
Source: Ancestry.com. 1911 Census of Canada