| Province | Ontario |
| District No. | South Perth |
| Enumeration Sub-District No. | 21 in Mitchell |
| Page | 16 |
| Enumerated by | Wm. Tarrant? |
| Numbered in the Order of Visitation |
Dwelling House | 80 | |||
| Family, Household or Institution | 80 | ||||
| Name | Name of each person in family, household or institution | Chapman Harry | Chapman Clarissa | Baggs Marion | Baggs Harry |
| Place of Abode | Township | St George | |||
| Municipality | North Ward | ||||
| Tenure and Class of Home | Home Owned or Rented | O | |||
| If Rented, Given Rent Paid per Month | |||||
| Class of House | S. | ||||
| Materials of Construction | W. | ||||
| Rooms Occupied by this Family | 7 | ||||
| Personal Description | Relationship to head of family or household | Head | Wife | Grandchild | Grandchild |
| Sex | M | F | F | M | |
| Single, married, widowed, divorced or legally separated | M | M | |||
| Age at last birthday | 62 | 58 | 11 | 7 | |
| 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 |
|||||
| 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 | Printer | None | None | |
| W. | |||||
| Worker etc | Paper Off | ||||
| Total Earnings Past 12 Months | ?? | ||||
| If Employee were you out of Work June first 1921 | no | ||||
| Number of Weeks Unemployed in Past 12 Months | none? | ||||
| Number of Weeks Unemployed since June 1st 1920 because of illness |
?? | 2 |
Source: RG 31; Folder Number: 81; Census Place: Mitchell (Town), Perth South, Ontario; Page Number: 6
Source: Ancestry.com. 1921 Census of Canada