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Registrant ID: Country: Registration Date (Conflict): Registration Location: Serial Number: Registrant Name: Immigrant ID: LBRT-06DEC1909-3-21-0023 FRAN-04JAN1914-3-7-0026 ROUS-17DEC1920-3-15-0014 Age: years 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: blind / four fingers missing on right hand / birth date: 15-Aug [year blank]