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Record on this Blank United States
citizens and citizens of insular possessions of the United States, or
a port of another insular possession.
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LIST OF UNITED STATES CITIZENS |
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(FOR THE IMMIGRATION AUTHORITIES) |
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S.S.
LA Lorraine sailing from Le Havre,
April 17, 1920 |
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| 1. |
2. |
3. |
4. |
5. |
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No. on List |
NAME IN FULL |
Age |
Sex |
Married or Single |
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Family Name |
Given Name |
Yrs. |
Mos. |
| 15 |
Tachna |
Isidor |
39 |
- |
male |
single |
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| 6. |
7. |
| IF NATIVE OF UNITED STATES INSULAR
POSSESSION OR IF NATIVE OF UNITED STATES, GIVE DATE AND PLACE OF BIRTH
(CITY OR TOWN AND STATES). |
IF NATURALIZED, GIVE NAME AND
LOCATION OF COURT WHICH ISSUED NATURALIZATION PAPERS, AND DATE OF
PAPERS. |
| 117384 Washington |
Fathers papers |
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| 8. |
| ADDRESS IN UNITED STATES. |
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227 Audubon Avenue, New York City |
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