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Passport ID: Court/Consulate Location: Passport Type: Application Number: Oath Date: Name: Immigrant ID: KFJI-03DEC1912-3-47-0024 LTRN-08JUN1920-2-U1-0023 Age: years Birth Date: Birth Place: Occupation: Height: Eye Color / Hair Color: / Residence Address: Emigrated From (Date): Ship Name: Resided in USA: Naturalization Date / Location / Court: / / Leaving Country: Mar-1920 / New York, NY (Imperator) / France: marry Mlle. Desiree Bouzard, to whom I am engaged, who lives in France at Cruzy Le ChatelOther Relationship: Name: Immigrant ID: Occupation: Birth Date: Birth Place: Current Residence / Purpose: / Witness Name / Occupation / Residence / Time Known Applicant: / / / Send Passport To: Comments: