EFTA Document EFTA01306398

PRISM Scanned Document Page I of I U S. Department o State •* (Typo or mat ad capital looms lo OR.. Nock ..t to otitis rum * • APPLICATION FOR Chi ASSPORT ❑REGISTRATION rt, NAME Pint NW WPC • :_calotLitt.11-4 NIGHT I I . a /WS DOLOR Z12°4 6 .4 Of if t: /W-.0 ..-37‘i II MAI YOU MR SEEN IMMO A LLa. PASSNORnK ya roof IN MC. 45140 we _ _t. taw IS Vweir it? yaw^ • ta 1%.> l i n 17 ....JaS, tleNg..11/2-ra AP COO, YRS COI•Ure ANOILINIIINOVORT • ALLAY. 01100to:Ce.