PRISM Scanned Document
PRISM Scanned Document Page I of 1 U S. Deportment State APPUCATION FOR 0 U. Onl gyro Or prat all capital Wan in blue tack Ink M whil• era. 1. NAME Inca sad Mid 11 CITY I— 6 1 cowmen*/ CARE OF resapholork..._ cie s 1t4. t.Lt k_ a..s tact "Y lA t oizr 1 1_1 6.0 TE OfAIRTH L itipaL N IT ,,T ZT„tiottint. Sur C, Co. ' MOTHER'S PULL INLO DATE re. • -4 . mare te HAVE YOU EVEN KEN ISSUED A U.S. PASSPORT/ — US in M.COMPUITS NW tall ASO NAM 0445•001IPIVellaaat ISSPOST/ON NAME Ito WHCH GSVED _irrr ut „ not moms isis onotrxhiaTt ISSIA Dan ni HIT :ri Elore as a004••• inn...Minya .we ~an end or p•Inn•Pir w. 4— r rusiet Ile lannel Yen • dela Inn Ihrinunn paean asp In __._- Ina PO MN OCCUPATION pl ts...WAS IIIIMMENCY COMM, • nuns nu win ntlur ••• Urn .W.•. N •••••••••• "Int. er• ppm.% lior Inning — nu es In ienuane t M on•Snel NAME I STREET M. Tsaves PLANS trotnensom.r mue Os. rren irr,„ 4-scsals• COuNfIlqST fl SE_YLSTED. CAA Mn. 15-
Summary
PRISM Scanned Document Page I of 1 U S. Deportment State APPUCATION FOR 0 U. Onl gyro Or prat all capital Wan in blue tack Ink M whil• era. 1. NAME Inca sad Mid 11 CITY I— 6 1 cowmen*/ CARE OF resapholork..._ cie s 1t4. t.Lt k_ a..s tact "Y lA t oizr 1 1_1 6.0 TE OfAIRTH L itipaL N IT ,,T ZT„tiottint. Sur C, Co. ' MOTHER'S PULL INLO DATE re. • -4 . mare te HAVE YOU EVEN KEN ISSUED A U.S. PASSPORT/ — US in M.COMPUITS NW tall ASO NAM 0445•001IPIVellaaat ISSPOST/ON NAME Ito WHCH GSVED _irrr ut „ not moms isis onotrxhiaTt ISSIA Dan ni HIT :ri Elore as a004••• inn...Minya .we ~an end or p•Inn•Pir w. 4— r rusiet Ile lannel Yen • dela Inn Ihrinunn paean asp In __._- Ina PO MN OCCUPATION pl ts...WAS IIIIMMENCY COMM, • nuns nu win ntlur ••• Urn .W.•. N •••••••••• "Int. er• ppm.% lior Inning — nu es In ienuane t M on•Snel NAME I STREET M. Tsaves PLANS trotnensom.r mue Os. rren irr,„ 4-scsals• COuNfIlqST fl SE_YLSTED. CAA Mn. 15-
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