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Naturalization ID: Court Location: Court Type: Court Description: Form Type: Form Number: Form Date: Name: Immigrant ID: ADRI-12FEB1921-1-7-0017 CANA-03JAN1923-1-11-0001 Birth Date: Birth Place: Occupation: Marital Status: Height / Weight: / Eye Color / Hair Color: / Residence Address: Last Foreign Residence: Emigrated From (Date): Arrival Port (Date): Ship Name: Declaration Date / Number / Location / Court: / / / Marriage Date: Marriage Place: Spouse Name: Spouse Immigrant ID: Spouse Birth Date: Spouse Birth Place: Spouse Arrival Port (Date): Spouse Naturalization Date / Certificate / Location: / / Residency Location (Date): 1st Witness Name / Occupation / Residence: / / 2nd Witness Name / Occupation / Residence: / / Petition Outcome / Date / Certificate: / / Comments:scar on chin, mole left side of chin / departed USA (28-Jun-1923), returned (12-Jan-1924, New York) on ship Canada / departed USA (20-Jun-1934), retured (15-Oct-1935, New York) aboard ship Aquitania
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