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Registrant ID: Country: Registration Date (Conflict): Registration Location: Serial Number: Registrant Name: Immigrant ID: LPRV-31MAY1908-3-14-0011 TNMR-03JUN1919-3-29-0017 Age: years Birth Date: 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: ASIA-27FEB1927-3-5-0009 Comments: residence: ½ mile north of Adams Ave. on Newmark Ave.