| Province | Ontario |
| District No. | 94 |
| Enumeration Sub-District No. | 18 in Kingston |
| Page | 2 |
| Enumerated by | ?.?. Stewart |
| Numbered in the Order of Visitation |
Dwelling House | 12 | |||||
| Family, Household or Institution | 12 | ||||||
| Name | Name of each person in family, household or institution | Jarvis Frederick A | Jarvis Emma | Jarvis Constance M | Jarvis Elsie O | Jarvis Arthur John | Jarvis Ethel M |
| Place of Abode | Township | 621 Princess St | |||||
| Municipality | Rideau Ward | ||||||
| Tenure and Class of Home | Home Owned or Rented | R | |||||
| If Rented, Given Rent Paid per Month | 20 | ||||||
| Class of House | T | ||||||
| Materials of Construction | Wood | ||||||
| Rooms Occupied by this Family | 6 | ||||||
| Personal Description | Relationship to head of family or household | Head | Wife | Daughter | Daughter | Son | Daughter |
| Sex | M | F | F | F | M | F | |
| Single, married, widowed, divorced or legally separated | M | M | S | S | S | S | |
| Age at last birthday | 35 | 34 | 11 | 9 | 5 | 1 | |
| Nativity | Person | England | England | England | England | Ont | Ont |
| Father | England | England | England | England | England | England | |
| Mother | England | England | England | England | England | England | |
| Citizenship | Year of Immigration to Canada | 1913 | 1913 | 1913 | 1913 | ||
| Year of Naturalization | |||||||
| Nationality | Canada | Canada | Canada | Canada | Canada | Canada | |
| Race, Language and Religion | Racial or tribal origin | English | English | English | English | English | English |
| Can speak English | Yes | Yes | Yes | Yes | Yes | Yes? | |
| Can speak French | No | No | No | No | No | No | |
| Language Other Than English or French Spoken as Mother Tongue |
|||||||
| Religion | Anglican | Anglican | Anglican | Anglican | Anglican | Anglican | |
| Education | Can read | Yes | Yes | Yes | Yes | Yes | No |
| Can write | Yes | Yes | Yes | Yes | No | No | |
| Months at School since Sept 1, 1920 | 8 | 5 | 8 | ||||
| Profession, Occupation and Employment |
Chief occupation or trade | Coppler? | None | Student | Student | Student | |
| W? | |||||||
| Worker etc | ?? Shop | ||||||
| Total Earnings Past 12 Months | ?? | ||||||
| If Employee were you out of Work June first 1921 | ?? | ||||||
| Number of Weeks Unemployed in Past 12 Months | ?? | ||||||
| Number of Weeks Unemployed since June 1st 1920 because of illness |
?? |
Source: RG 31; Folder Number: 66; Census Place: Rideau Ward, Kingston, Ontario; Page Number: 2
Source: Ancestry.com. 1921 Census of Canada