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Registrant ID: Country: Registration Date (Conflict): Registration Location: Serial Number: Registrant Name: Immigrant ID: PANN-26OCT1920-3-T52-0012 Age: years Birth Date: Home Address: Birth Place: Occupation / Employer: / Citizenship Status (Country): Height / Build: / Eye Color / Hair Color: / Nearest Relative Name: Nearest Relative Address: Nearest Relative Immigrant ID: Comments: tatoo marks - 1 on each forearm - 2 on back of right hand & 1 on left hand / residence: 0.75 miles north of Woodlake Hwy. on 4th Ave. E.