Passport ID:                    

Court/Consulate Location:       
Passport Type:                  
Application Number:             
Oath Date:                      

Child Number:                   



Name:                           
Immigrant ID:                   CANA-01JUL1923-1-A-0001 

Age:                             years 
Birth Date:                     
Birth Place:                    

Occupation:                     
Height:                         
Eye Color / Hair Color:          / 



Other Relationship:             

Name:                           
Immigrant ID:                   

Occupation:                     

Comments:
[entry crossed out (alien)]

Applicant/Parent:

Action	Name	Birth Date	Birth Place	Comments
	Harpootlian [Harpoutlian], Levon H.	1879-12-02	Harput, Mamuretulaziz, Turkey	business connection with K. M. Stone Imp. Co., Inc., 12 E. 22nd St., New York, NY