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Passport ID: Court/Consulate Location: Passport Type: Application Number: Oath Date: Name: Immigrant ID: Age: years Birth Date: Birth Place: Occupation: Height: Eye Color / Hair Color: / Other Relationship: Name: Immigrant ID: LBRG-30SEP1895-3--0640 Occupation: Emigrated From (Date): Resided in USA: Naturalization Date / Location / Court: / / Comments:has never resided in USA / signed (in Armenian): Yeghsa [last name illegible]
Children: