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Registrant ID: Country: Registration Date (Conflict): Registration Location: Card Type: Serial Number: Registrant Name: Immigrant ID: LBRT-23SEP1907-3-21-0012 Age: years Home Address: Birth Place: Occupation / Employer: / Citizenship Status (Country): / Marital Status / Dependents: / Height / Build: / Eye Color / Hair Color: / Nearest Relative Name: Nearest Relative Address: Nearest Relative Immigrant ID: Comments: date of birth: January 15, does not know year / is not sure of his age, thinks about 31 or 32 / has not heard from parents or written them in 3 years / at Harper Hospital, West Branch