User:ColdReactive
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- | <div | + | <div style="font-weight:normal;width:1100px;text-align:center">Please Print out and mail this form to <span style="font-weight:bold">123 Fake St., Free Country, USA</span> with Fluffypuff Marshmellows attached to each corner.</div> |
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- | + | <span style="margin-top:20px;float:right;text-align:right;margin-top:-10px;">USA DEPARTMENT OF COMMERCE<br />Economics and Statistics Administration<br />USA CENSUS BUREAU</span> | |
+ | <span style="margin-top:6px;float:left;font-size:48px;text-align:center">Census<hr style="background:#000" />2011</span><span style="float:left;margin-left:-150px;margin-top:-13px;">Free Country, USA</span> | ||
- | + | <span style="margin-left:80px;margin-top:6px;float:left;text-align:center">This is the un-o-official form for all the people of this address.<br />It is quick and easy, and your answers are protected by no law.</span> | |
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- | + | <div class="usermessage" style="border-color:#5CB2BF;width:1098px;height:1194px;background:#D0F1F8;margin-top:-13px;"> | |
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- | + | <div style="float:left;border-right:1px solid #5cb2bf;width:50%"> | |
+ | <div style="padding:10px 0px 10px 5px;width:95%;border:1px black solid;border-bottom:0px;background:#20BDE6">Use a blue or black fountain drink.</div> | ||
+ | <div style="height:600px;width:94.1%;padding:5px;border:1px black solid;border-top:0px;background:#AAE4F2"> | ||
+ | <div style="padding:20px;padding-left:5px;float:left;font-weight:bold;font-size:24px;background:#20BDE6;text-align:center;margin-top:-5px;margin-left:-5px;border-bottom-right-radius:2em;"><em>Start here</em></div><br /><br /><br /> | ||
- | + | The Census must count every person living here on April 1, 2011.<br /> | |
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- | == | + | Before you answer Question 1, count the crappy people lodging in this house, apartemento, or locker room using these guidelines. |
+ | <div style="height:50px;background:#D0F1F8;border-radius: 2em;padding-top:5px"><span style="float:left;font-size:20px;margin-left:10px">·</span><div style="padding-left:20px"> Count all people, including babies, who live and sleep here... most of the time.</div></div> | ||
+ | The Census Bureau also conducts in institutions and other places, so: | ||
+ | <div style="background:#D0F1F8;border-radius: 2em;padding-top:5px;padding-bottom:5px"><span style="float:left;font-size:20px;margin-left:10px">·</span><div style="padding-left:20px"> Do not count anyone living away either at college or in the No-Armed Forces.</div><hr style="background:#D0F1F8" /> | ||
+ | <span style="float:left;font-size:20px;margin-left:10px">·</span><div style="padding-left:20px"> Do not count anyone in jail, etc., on April 1, 2011. </div><hr style="background:#D0F1F8" /> | ||
+ | <span style="float:left;font-size:20px;margin-left:10px">·</span><div style="padding-left:20px"> Leave these people off your form, even if they will return to live here after they leave the college, millitary, jail, etc. Otherwise, they may be counted twice.</div></div> | ||
+ | The Census also must include people without a permanent place to stay, so: | ||
+ | <div style="background:#D0F1F8;border-radius: 2em;padding-top:5px"><span style="float:left;font-size:20px;margin-left:10px">·</span><div style="padding-left:20px"> If someone has no permanent place to stay is staying here on April 1, 2011, count that person. Otherwise, he or she may be missed in the census.</div></div><br /> | ||
+ | <span style="float:left;font-size:20px;margin-left:10px">1.</span><div style="padding-left:35px"> How many people were living or staying in this house, apartemento, or locker room on April 1, 2011?<br /> <br /> | ||
- | === | + | <span style="font-style:oblique">number of people =</span> <span style="background:white;border:1px solid #5cb2bf"><span style="border-right:1px solid #5cb2bf"> </span> </span></div> |
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- | + | <span style="float:left;font-size:20px;margin-left:17px">2.</span><div style="padding-left:42px"> Were there any <span style="text-decoration:underline">additional</span> people staying here April 1, 2011 that you <span style="text-decoration:underline">did not include</span> in question 1? | |
- | + | <span style="float:left;margin-top:-10px;font-weight:normal;font-style:oblique">Mark <span style="padding:2px;font-size:10px;background:white;border:1px solid #5cb2bf">X</span> all that apply</span><br /> | |
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- | + | <span style="font-weight:normal"><div style="background:white;border:1px solid #5cb2bf;height:10px;width:10px;"> </div><div style="float:left;margin-left:18px;margin-top:-16px;">Children, such as newborn babies or foster children</div><hr style="background:#D0F1F8" /> | |
- | < | + | <div style="background:white;border:1px solid #5cb2bf;height:10px;width:10px;"> </div><div style="float:left;margin-left:18px;margin-top:-16px;">Relatives, such as adult children, cousins, or in-laws</div><hr style="background:#D0F1F8" /> |
- | < | + | <div style="background:white;border:1px solid #5cb2bf;height:10px;width:10px;"> </div><div style="float:left;margin-left:18px;margin-top:-16px;">Nonrelatives, such as roomates, cheats, or live-in babysitters</div><hr style="background:#D0F1F8" /> |
- | < | + | <div style="background:white;border:1px solid #5cb2bf;height:10px;width:10px;"> </div><div style="float:left;margin-left:18px;margin-top:-16px;">No additional people</div> |
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- | === | + | <span style="float:left;font-size:20px;margin-left:17px">3.</span><div style="padding-left:42px"> Is this house, apartemento, or locker room — |
+ | <span style="float:left;margin-top:-10px;font-weight:normal;font-style:oblique">Mark <span style="padding:2px;font-size:10px;background:white;border:1px solid #5cb2bf">X</span> ONE box.</span><br /> | ||
- | ==== | + | <span style="font-weight:normal"><div style="background:white;border:1px solid #5cb2bf;height:10px;width:10px;"> </div><div style="float:left;margin-left:18px;margin-top:-16px;">Owned by you or someone in this household with a mortgage or loan? <span style="font-style:oblique">Include Señor Cardgage Mortgages.</span></div><hr style="background:#D0F1F8" /><br /> |
+ | <div style="background:white;border:1px solid #5cb2bf;height:10px;width:10px;"> </div><div style="float:left;margin-left:18px;margin-top:-16px;">Owned by you or someone in this household free and clear (without a mortgage or loan)?</div><hr style="background:#D0F1F8" /><br /> | ||
+ | <div style="background:white;border:1px solid #5cb2bf;height:10px;width:10px;"> </div><div style="float:left;margin-left:18px;margin-top:-16px;">Rented?</div><hr style="background:#D0F1F8" /> | ||
+ | <div style="background:white;border:1px solid #5cb2bf;height:10px;width:10px;"> </div><div style="float:left;margin-left:18px;margin-top:-16px;">Occupied without first and last month's payment?</div> | ||
+ | </span><br /> | ||
+ | </div> | ||
- | + | <span style="float:left;font-size:20px;margin-left:17px">4.</span><div style="padding-left:35px"> What is your telephone number? <span style="font-style:oblique;font-weight:normal">We may call you if we don't understand an answer.</span><hr style="background:#D0F1F8" /> | |
- | < | + | <span style="font-weight:normal">Area Code + Number</span><hr style="background:#D0F1F8" /> |
+ | <span style="background:white;border:1px solid #5cb2bf"><span style="border-right:1px solid #5cb2bf"> </span><span style="border-right:1px solid #5cb2bf"> </span> </span> <span style="color:#5cb2bf">—</span> <span style="background:white;border:1px solid #5cb2bf"><span style="border-right:1px solid #5cb2bf"> </span><span style="border-right:1px solid #5cb2bf"> </span> </span> <span style="color:#5cb2bf">—</span> <span style="background:white;border:1px solid #5cb2bf"><span style="border-right:1px solid #5cb2bf"> </span><span style="border-right:1px solid #5cb2bf"> </span><span style="border-right:1px solid #5cb2bf"> </span> </span></div><br /><br /><br /><br /> | ||
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- | === | + | <span style="float:left;font-size:20px;margin-left:17px">5.</span><div style="padding-left:590px"> Please provide information on <span style="text-decoration:underline">ONLY</span> the person who owns or rents the current dwelling; we do not care about the rest.<hr style="background:#D0F1F8" /> |
- | ' | + | What is this Person's Name? <span style="font-style:oblique;font-weight:normal">Print name below.</span><hr style="background:#D0F1F8" /> |
+ | <span style="font-size:10px;font-weight:normal">Last Name</span> <span style="background:white;border:1px solid #5cb2bf"><span style="border-right:1px solid #5cb2bf"> </span><span style="border-right:1px solid #5cb2bf"> </span><span style="border-right:1px solid #5cb2bf"> </span><span style="border-right:1px solid #5cb2bf"> </span><span style="border-right:1px solid #5cb2bf"> </span><span style="border-right:1px solid #5cb2bf"> </span><span style="border-right:1px solid #5cb2bf"> </span><span style="border-right:1px solid #5cb2bf"> </span><span style="border-right:1px solid #5cb2bf"> </span><span style="border-right:1px solid #5cb2bf"> </span><span style="border-right:1px solid #5cb2bf"> </span><span style="border-right:1px solid #5cb2bf"> </span><span style="border-right:1px solid #5cb2bf"> </span><span style="border-right:1px solid #5cb2bf"> </span> </span> | ||
- | ==== | + | <span style="font-size:10px;font-weight:normal">First Name</span> <span style="background:white;border:1px solid #5cb2bf"><span style="border-right:1px solid #5cb2bf"> </span><span style="border-right:1px solid #5cb2bf"> </span><span style="border-right:1px solid #5cb2bf"> </span><span style="border-right:1px solid #5cb2bf"> </span><span style="border-right:1px solid #5cb2bf"> </span><span style="border-right:1px solid #5cb2bf"> </span><span style="border-right:1px solid #5cb2bf"> </span><span style="border-right:1px solid #5cb2bf"> </span><span style="border-right:1px solid #5cb2bf"> </span><span style="border-right:1px solid #5cb2bf"> </span><span style="border-right:1px solid #5cb2bf"> </span><span style="border-right:1px solid #5cb2bf"> </span> </span> <span style="font-size:10px;font-weight:normal">MI</span> <span style="background:white;border:1px solid #5cb2bf"> </span></div><br /> |
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- | ==== | + | <span style="float:left;font-size:20px;margin-left:17px">6.</span><div style="padding-left:590px"> What is this person's sex? <span style="font-weight:normal;font-style:oblique">Mark <span style="padding:2px;font-size:10px;background:white;border:1px solid #5cb2bf">X</span> ONE box.</span><hr style="background:#D0F1F8" /> |
- | + | <span style="font-weight:normal"><span style="background:white;border:1px solid #5cb2bf;height:10px;width:10px;"> </span> Male <span style="background:white;border:1px solid #5cb2bf;height:10px;width:10px;"> </span> Female <span style="background:white;border:1px solid #5cb2bf;height:10px;width:10px;"> </span> Yes<br /><br /> | |
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- | ==== | + | <span style="float:left;font-size:20px;margin-left:-23px">7.</span><div style="padding-left:1px"> What is this person's date of birth on this person's fake I.D? <span style="font-weight:normal;font-style:oblique">In Format (MM - DD - YYYY)</span><hr style="background:#D0F1F8" /> |
- | + | <span style="background:white;border:1px solid #5cb2bf"><span style="border-right:1px solid #5cb2bf"> </span> </span> <span style="color:#5cb2bf">—</span> <span style="background:white;border:1px solid #5cb2bf"><span style="border-right:1px solid #5cb2bf"> </span> </span> <span style="color:#5cb2bf">—</span> <span style="background:white;border:1px solid #5cb2bf"><span style="border-right:1px solid #5cb2bf"> </span><span style="border-right:1px solid #5cb2bf"> </span><span style="border-right:1px solid #5cb2bf"> </span> </span></div><br /><br /> | |
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+ | <span style="float:left;font-size:20px;margin-left:-23px">8.</span><div style="padding-left:1px"> What is this person's life story? <span style="font-weight:normal;font-style:oblique">Yes, we needed a filler.</span><hr style="background:#D0F1F8" /></div> | ||
+ | <div style="background:#FFF;border:1px solid #5cb2bf;width:100%;height:750px"> </div> |
Revision as of 22:25, 27 March 2011
Please Print out and mail this form to 123 Fake St., Free Country, USA with Fluffypuff Marshmellows attached to each corner.