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Portland Branch
Federal Reserve Bank of San Francisco
Fiscal Agent of the United States
(Date)
wlephone:
Interview:
Adult:

^

Minor:
Male:

Female:
Citizenship:

ir /
(City)

(Suate)

Date of last entry into United States:
Operating under Treasury License now?:
Type of Business:
Partnership:
proprietorship:
Corporation:
Individual:

Person Intervie
1:

IJ!$s sR V u r t o 1
/ J

Address:—
Telephone N umbe r :

Principal property involved and scope of problem:

Action taken:*

Handles by;
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* A tta c h a d d i t i o n a l pages where necessa ry

r

_____

a

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Queens Hotel

__________________

Portland Branch
Federal Reserve Bank of San Francisco
Fiscal Agent of the United States

Name ■ ■ 1 2 . U J L

'Date,
Telephone:
Interview:'

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(Print

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(Street and Lumber)

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Date of last entry into United States:
Operating under Treasury License now?:
Type of Business:
Partnership:
Proprietorship
Corporation:
Individual:

Person Interviewed:
Address:
■Telephone Number:

Principal property involved and scope of problem:

Action taken:*

*Attach additional pages where necessary.

Adult:
Ninor:
Ma le:
Female:
Citizenship:

Portland Branch
Federal Reserve Bank of San Francisco
Fiscal A g e n t Qf the United States

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Bate of last entry into United States:
Operating under Treasury License nov»?:
Type of Business:
Partnership:
Proprietorship:
Corporation:
Individual:

lanor:

Male:
Female:
Citizenship:

Person Interviewed:
Add ress;

_______

Telephone N m b er :

Principal property involved and scope of' problem:

Action taken:*

* A tta c h a d d it io n a l pages where n e c e s s a ry .

Queens Hotel

Telephone:
Interview:

Name:

Portland Branch
Federal Reserve Bank of San Francisco
Fiscal Agent of the United States

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Citizenship:

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Date of last entry into United States
Operating under Treasury License now?
Type of Bus iness :
Partnership:
Proprietorship:
Corporation:
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Portland Branch
Federal Reserve Bank of San Francisco
. Fiscal Agent of the United States

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(Street_^*nd Number)

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(State)

Date of last entry into United States:
Operating under Treasury License now?:
Type of Business:
Partnership:
Proprietorship:
Corporation:
Individual:

______

______________

**H *sH 4 *^

Person Interviewed:
Address:
Telephone Number

Principal property involved and scope of problem

Action taken:*

Handled by:

-"'Attach a d d it io n a l- p a g e s where n e c e s sa ry .