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Nrune:

Addree

nnt

of laot .n
in

i

to Unit , d ' t...

v

· oasury Lio

·~ r-

:

Uhl ,, ' · ~ .

~ --

...... , ........

" ..

"" ~

,,

rn,

_,

-··--,- -J
~:· 1
lll

I

p:

Alr

I

t' · r.

'r lc!1hon
l''incj pnl Jropor y involved

nd ,

COl)O

of probl.om:

Au

,

io

NDJlt :

Adult:

Addr ss:

!inor:

Male:
Ferr.a.lo:
Citiz nship:

D ,

of lant entry into Unit od State a 1

0 :r tin

Ty

undor Tr a ury Liccm

of Busin os:

novr":

p l on

.Pnrtnorohi :
·r pri tor h p:
Gor pora Li 0111

Adtlr

Ind vidu 1:
P:r :i.nc i ::-i.1 pro · l"' y in volvod

_,,_
int rv· ..wed:
s:

l phon

nd

co

-Numb :r:

Dete

ot la:it entry .:Into Unit Jd .:Jta·'.,,e: - ·- - - - - · _ _ _ _ _ _ _ _

inciP&J. J:lroperty .:Involved and scope of problem:

Loe Angele
anch
Fed rU Reserve Banlc o S n Francisf>lj
Fiscal Agent or the United St tes

Adult:~~

Uinc-r s
llale 1

.

Female:~ 2

Citiunshipt

int~

Da

of lnst entry

T~ r

of Busine·s:
Partnerohip :
Pr opri tor :Jhip:
Corporation:
Individual:

United States:

Frincipal pr,.,porty involved and

~ ~I
.

-}

~rso n

Interviewed:

Address:

"'C

pe of problemi

t

Nruno:

A dr ea:

lo.ct ut1·y into lh1
' '1'
J.

'J.

ury .Lie

t .uO

no\', 'i .

I

A. lr r · ~l fl :

Tt~l ephono l Jumb1r :

(j)

··1
I

1~1

<O '

0

rfoc. pn.

.......
Q

pr p ty involved n

w

)

I

I

> l s
r- nch
F·d al
e v B nk of San Fr iobco
F... eoa.1.. A nt ot the Unit d States

Nrun :
Adult:

Addreea:

~

ii.nor:

Malo:

Female:
Citiz nehip:

n te

of la t

ntry into United Gt tes:

__ _..,...._..______._.._______________________

n )CJI ating und r Troasucy Lio na now?: _....._.....__ __...._ _._ _.,..__________
1

P :rson. it rvi.owed:

Addra

--;

T l phon Nu.nu r:
rinc pa] p o rty invclvod

nd scope o problem:
/'f

h

n

e An 1

ranch

B nk of !'..", n •rnnci co
ent of the United i...ta.toa
v

Nrun
Adult:
Minor:
ialo:

Address:

rremalct

Citiz nehip:

n

e of laot ont

Opern in

un or

y

into

u

tod states:

------

Lie n oo now? :

Porson Intarvi wod:
J\ddro e:

rincipe.. prop- :r y involve l

Ac

01

11:1

,

cope of problem:

tak t : "·

n

y

Name:

Addr es:

n

t

o

01.1..

t

J aot onh'Y into Unit •.. d ,..

n un . ~~ ' 'lrea.su

Lie

,-.ilJ

n<Ji •~ :

---·----

.p:

T _ephono Nu.mui r: --- · -·---·· - - - - --- - -

rind

on

it

prop r y lnvolv d

0..

k

t : ·

ll

~

cor.o or Pl' Obl rn.:

00

co

Ad rees:

· ti.

WO

:

Pt
T1~

r nc pal prop rty involved nn

17

. phon

capo o. probl m:

-.............. -~··-------------

Addrees1

nnte of 1 ot mtl
(\

i.t.n un ..
J.

ft

to Ui1.lt r d '> ,

'l'rea ury Lio t .o ..

o Burl.1r''), •
rrt1 · · tP :

1

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p l

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C01· 4 i :m :
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:

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r

·n

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u

rincipa pro rty .lnvolv cl

'r 1 cphono
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Numb1 ' :

co c of problem:

J

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tt.nor:
Mn.lc:

Fem l :
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() '

. st ntry into Un tod Gt t

und r Tr
~·,

u

--

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,I
co

p.

l' SOl

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r no.1 p

h

pro rty

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l

l

volv d nd scope o

w·h

N .i.mbi )

j

t1

Loe An l

D nk

Foderal Roeurv

or

Fiscal Ag nt

Branch
of

sah

the Unitod

F

~

s
Cb

Nrun
f J t:
I. t. ' "'"":

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of

aot .li'!tl'
-

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r,

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p:
ophono Num1.> . r : - - - - · - · · · - - - - - - - - -

pro

ncj p

Lot

n.k

r y .involv d

Addr

Adult:

Minor 1

s:

Mal

t

F rnalet
Oitizen.ehip: ....,..._.._.....

Dat

of la.et

() r t i.ng und

into Unit d St te : _......,......,...__ _.__...___......._ _.....,...._....___

Tre ury Lio n

now? :
P r on

ddr

•t ......._...._

T l phon
Principa pro rty

\ dtli lon

Numb ~rt

copo of problem:

h

M

t

Adul t
ifi.no:r:

Ad r as:

Malo:
FeIM.l :
Citiz n hi

Datu of la.st en ry
0 ratin

under Tr

Typ· of B sin ss:
Par n rnhip:
Propri t r hi
Co po:r tion :

In

Unit d Sta

v du l:

P inclp l pro

r y inv

P r o iJ

rvi ·

A
Teleph n · Nunb r:

1

Addr·ss:

i.l .

t:

L

D t . or laot .ntty in o U1 it d '' · '·, os:
ic

sv nO\ ? .

- ...

........

.........

---·- ·--·- ,-G°)J

-....

,

··-

4'11• -

"I

·vi

:_J

.WOt t

T l ·pt o r,, Nun b<r :

)rin ipe.l prop t"'ty involv c

robl m:

.,

Ac

I

({)

T

n

h nd

Br ch
l
c c
Bank o! S
nt of the United St tos
A

~

d

Ad\ilt:
Mil or:

as:

Malo:
F malo:
Citiz n hip:

D

0

ntry intc..., United states'

of la t

ur~r Lia ens

ra in undor Tr

no I'':

---------------------------....-..------

P r on i.nt

p:

Ad

vi

'1

e :

T 1 phon· Nwnb r:
rinci .1

0

r y involved and

oC

of

robl m:

I
J

h

lt

F

Ad\llt:

Ad oss:

Minor:
Ml:
F male:
Citiz n hi

Da
O~r

of laut n , "Y into Uni cd Stat s c

ln

under 'rro SUIJ Li.c nse no ti':
--..-------------~--~----~--------

Ty yo of Bu.sin "S:
Pa.rtnorohi. :
Pro ri or !3hip:

P

on

Addr s:

Cor ora. on:

lndiv1du l:

T o phon
nd

'

·vi.c11ed:

'

c

e of

NUJt'bor:
robl .m:

___________.........,___________

Brc.noh

Ad\ll.t:
Uno:r:

Mln:

F mo.le: ~
Citi z ·il hip:

Dr

of last en

l''Y'

into Unit od Stat ~ :

-· .
Typ -

p

l" 0 1

i

T le lono
, cop

... __..___

"VJ '\ J

I~

of probl .. 1

\,

r

t

___ _

....__

r:
:

cl i

___

__........--.-._.......

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An los

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Ag n of the

F d
F

nciac

.....

a o

"

--:---\rill

y) _f__........._

Telophonn:
Int erv ew:

N m.e:

Add.1 e.

,

Adult:
finer:

1

thl · ;
F C'rtUl. :L :
Cit t zcn~hi

nl

o

l sl

ntry

r Tr
I

i11 ·.,

Uni c

ury L:l.c

210 ·

n )\'/

./l

Tl

nr

r

I

0CC A"

I enc rJ\ b r:

r

PM l

m1

Name:
f rl ,,. t !
?. J ,~~ :

Ad r sa:

l)a

or

o..m· 1t 'n
'I"11 ..?

lant
un

l.'Y into u·1it (
l

'·ro eury Lio

·~t.

,os:

U'l

p ' .0

)}

no scopo of probl

Aot tot

y

1

---·-- - - -

n t ot 1 st ont1y
Oµ

?

tin undf r 'l'ro

ur.v Lio r oo now?:
p

Of>

nd

__

__

._...;..._

.....,.

l ' '>l

co po

or

probl~m:

r~

J/

1

I
1

D to
Tolephon :
!ntcrvic.w1:

Adult:

Addr eei

Minor:

Malo:
Fama.le:

Citi2onship: .......,._ ___

])a

o!

l~at

ntry into Unit d St tes:

n1 r ting und r Troa .. ury 11.c ns

novt?:

Poraon.

Tel ophono Nun1h<)r:

rino pal p op r

r invc vod

wh r

nd scope of probl0m:

n

,.
Loe lineolco Branch
Fod ral Res

v B nk of

n Fr nci co

F. ecol Agent of the Unitod Stat s

I

Nam

(Print)

Addre

Adult:
Minor:

r

Ma.101

Fo.ma.le:
Citizenship:

t of l ot ontry into Unit d St t

J)

01
yp

n.till urid r Troasury Lio nso now?&
of Bu inosa:
I nrtnar hlp:
Propriotornh p:
Co' <:1ro. ion:
Ind~.v dua.1:

i'r1.nd pa

--..--.------------------------------

Forson I.11torv.Lowod:
Addrc~e'

'relophono Numbor:

prop rty invf.)lV 1 d and scope

or

problem~

Loa An~ l o Branch
ve B nk o:r S n Fr oisoo
Fod ral Ra
Ag nt of th Unit d states
F. ae

Name:

tJ)

tj

,
l

...._.

'

Addt-e a:

...

}) t

n

0

oi' lnot on ·yin o U1:1t ci
nt .

uni· fl

Tr o, ucy .ii o

''it, ',

UN

s:

no ·. ~ :
p

f\. r.lr

r;:

rl lephono

1

Prine pnl prop ·r y lnvolvod

nd

eop

Numbnr:

------·-------....--------

o' p oblem:

f

Loe /. ng loa Branch

• ·deral
Fiso

R rv Bank of San Fra ciaco
g nt 0£ th Unit d Sta.too

Nruna:

Addr e s:

'!'11

0

To ... ephono 1· ~ imbr r: - --- - --- - - - -··- - Prind p 1 pr o r ty involved and s.copo
cl

nr

pr oblom r

Loo An«a
l•'r dcr · R o~rv

Fi

1.

o Branch

B nl<: of l".'lan Frr.mcisb"

l Aacnt of the United

s

ateo

D·'lte) - - - - -

Telophon":
In (..lrviev :

I ome :

J\dul :
lti n r:

Address :

D ·~ of lno

Lal :
:tFClmal : ~
Cit izcMhip :

en ry inti) Unil<."d '"'ta ea :

)ng undor

'ro~sury

L c

n~

_____________

n01·1? :

Prr ;;on Il t

1/I I
:
r01 ,r i... o r Lld . 1

_____

.......,

l

viewed:

)

cIJt' [; I l' '

Add c . :

• Ql :

lncl r:i c ur1l :

1.r 1 p(tl pr I, ~r y · nvolv .d n. d ncor.10 of probl m:

Ar l Ir n

---- --.==---------

Teleph~no Hum l"'r : . .._.....__ _,.

Branch

. Loa An 1

Foder(l. Res rve B nk of

Fiocal Ag nt o

S~n

Fra.noiso

h Unit d States

Nam

Adult:
Minor:
Malt: :

·

£.,,-

FemAl o:
Citir.enahip:

D t,o of 1.not entry into United statoo:

___ __........._____

Or Jrn.iJin under 'frca ury Liccmso no ,, :
Tyre o Bu~~ eos:
Par norshl .. :
Proprietor h· p:
Corporalj on:
Ind v du l:

.

er on i.1t rviovred :
Add

1

0

s:

Tele phono Nw11bor:

r r nclp l propr r y involved , nd 1cop of robleuu

Ac~

1

l on Ilk .n: ·

no

cu r

.....__~_

___

..

Lo A
a

Add re ea:

·- OtiEP

•i

.1.l n

i.lt'lr:\ 1.

•

'l 'rc . ury-

leer. \,} n<.:il ·'( ;

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h ndtl • .0

I

p (;

\V}

l~umb1

t -

·- - - - - - - - - -..- - -

Nnm

nt

of lo.ot

t :.J

un::\1.

r1 y ·' to Una · d

:1t·, ', , :

·-·-

-- - _, _.. __,, ___ ~
_

(7)

' 'r .3 ury Lio· r. u nov:'r,

I'•

"1

\U I

:·i I

m

Pt
1

1'1 lophono Nun b r:

d. nc pal prop r y 1nvo v d nd s ope of probl u

0

.....................

,...........-

______

.......,._...........,

Na.m
Adu.l t : ,,,,--

Address:

'M ir\or: ·

nlo :
F no.le:
Citiz n hipt

Dat

ot last entry into United ut t e:

n1j ro.tin

of Businos

..

Pnr ner hj.p:
Proprio or·1h:tp1

Oot'por.'.l.tj on~

Ind v dual:
' rincip

~--------------·---------------------

und · r Tro aury Lio nse now?:

p op r y il volv d . nd

P rso
dr

it vi.
L"1

T 1 pho
cop

'

w d:

................... __..,
N\.unbur:

of l ro lonu

ll1

11

l

l Yt ...___.........

r
<U

.

,
gel

o

Branch

R s rve B nk of S n Fr

lC hco

t gent of the Unit d ta.ta

tj

Nrune:

w

"
.........

d tr ss1

nc.t
' 'ro aury Lie n ou
0

\l :' L I

'1

.1

'

Pr r t..1 ' "
Pro . ·:. .111 p1
Cw 1 · .•J.i n:
nd1.vidu.o.l:

rinc pa

A. 0

pr or1 r ty involved nd s

l rm ' ' k

t l'·

·- --··-- - - --1I) o" pr oblem:

Name:

t: ~
l . ' ·~ ' '

Addr

l

L,
(; '·.:.t.. r 11 .'.Jl1ip ~

]) t of laot en ·y into U1it
(~ l.-'e ,

T~o

n

UJ'\~ t

d .,

'l'r · e.su , Lie r ,JJ

1 1•

., > ·: (:

o

Tt lophon
1.nc p l prop r y involved

nd

copo

or

-~\lllLb <

r:

prob1 m:

rv
I

co

110

tat

Nrun

Addr

Dr.t

s:

of'

leot

11t1·

'1to. '.~

to U :it . ) d

tin un •. " 11r aau

ci

.;~)

~

Lio .ov no :?:

'•

·( ~

:· l

p:

Ad'

T
pro

r nc ip

'ty involv d

d

..4. ·

~Q:

phon

cope of

umb<·r: _

·-----------~-

r blom:

/

O

Otl

/)

Los An 1

~

Branch

ancisoo
rnl R s rv D rue of S n
. l• ioool Agent of th United St t a

Nu.m
Acldre s:

i l 'O

1 ~

'.•.. "

,(l ip:

· · ....~ 111 :
Indjvil 1 :

C<Jr p ~

Pr. .nr: 1pol p

0

Ts.!.. phon

rty 1.nvolvod nn s c 0

)C

or

: i r bl

JI\:

NM\

Adult:
finor:
mlo: Jr·

FBmnl · :

Citiz nehip:

)

or la

t

ntry into Unitod

~t

tes1

ury Lio n o now?:
I

.yp

Per on
J\ddrc

T·lephon Numbcr1
~r

prop rty :Lnvolv d nd scope of roblom :

nc p

<l

l.

"Q

1·:·
~

Na.mo:
p( \.t..i t:

Addre

)'" '•• ! n·L~

r·

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1

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of lo.

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to Un t

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1
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s:

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u

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f\ lt.lro ,

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p . pro ·r y lnvolvod ano

rin

I

Ot

lt n• .'

cope of pr bl . .

1:

(
Dr1

Telophon

e:

In ·rview : ......,
/\dult: lr-'-

Addt

CG

Uin t':
l!:Jlo I

Fim.alc:
Citizonoli1:

mt

of lno

)per
'.l'J]

on ry in

ing un 1

Tr

!'.)

nitcd 3t tern:
y L1

n'

no\'lr :

..... ._...._...,...,..... ...........

I

,

l

ddl

,,.~ :

------

l cphcne m.irnbnr:

( nco o f

J 1

r o 1 m:

___

en

Adult.:

Addr rs :

f n r:
Uol0:
F 10016:

Cit zon hi

- ·- ---...................

• · o 1 sL
0

1

und t'

rr

1

n\lr y L 'c

n·

.

....__...._. ........._..............

____

non':
r~

n Int

1v

w~d!

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fJ

ro...

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1 Jl n

tnch

\1h

l'

Numb1·r: - - - - -·- - - - - - - -

Nam

Cl>

Adclreaai

) t
f)

r

o! l. at · nt

:into Unit d Gtat

ornti:n und r Tre

'P

S\1

Lion

now?:

---

P r on lnt •vluw

0

pi

~op

rty invclv

/

l

C>

<
~D
di

dro~e:

Tel phon Numbi.rt
rinoipa

-

nd Doop

ot' probl nu

'/6 t

Na.ma:

On. e
()

or 1
l'\~

Clt

to U1 it \ d 4"' i·, ' s : ..........
unc ,, · 'l' e · sury · ioo ..,o O\', '( :
l1t1 y

.I

I

~~

............ .

..............................................
r

..of
I ~·
Ii

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.1., . ...)

I
t

pt
un1b1 rt

'r .n

.l nvolv
,..,

;

co

0

of pr obl

\:

Minor:
Malo: ....,

F·mnl

£ last

ntry in't o Unit d St t B:

und r Troe. ~ ury Lio ns

now?:

t\dtlr

Tel p ono Numb
P ino p

A

on

p op rty 1.nvc v d · .nd

co c

or

t

C;t iz nahip:

(state)
Dnt

,.

MuJ.t:

Addr ea:

l robl m:

Addr e

)) . t~ Of la.Gt

0

- -----·------·-----~-----

I

c

I

wh

Tnt i'' · "''.r..~r:

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·::ir nc

y lnvolvod

nd

copo

or

pr oblem:

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•

r

,.

Telephon

•

Nam :

Int 1J1 ·vicw:

Adu..lt:

Addr

ML. ore
Mo. '.C '
tr ri'\eile:
Ci iz nahip: ______

De.t ot

t entry- in o Unit. d St t e:
Lio nse no r?:

l'yp

0

Ad r •
T lephone Number:
Pr no p$.l ~o

Ao

ty involv d nd scop of probl m.:

t
Tolophono:
.ntcrviow:
Adult:

AddreB :

I1nor:

M le: J. ..
Female:

Citiz nship:

Da t

ot

la at nt ry i.l1t o United States:
sury Lie ns

1

~

p o.f Bu 1.no

P r son Int

a:rtncr h p:
Propri tor ohip:
Corporation:

p o) r y involved

viovrod:

A tlr

Indivi ualr
l :r1ncipa

now?: _ _ _ _ _ _._ _ _ _.......,...._.....,.__ _........_

T lephon

d

7

cope

or

Numbnr'

pro

nn'

Nrune:
Addr

ea:
l

'''tin, ,, · St

' I ',(

:

- ·- ·- - - ·-- --·- ·- -....

1

t" e sucy Lio

t

ou nuv.?. ... ,. ,...,......

,.,...... ....... . .. . . . . . ,.....,_

....... ............_. .... .-..- ...

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,

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dres

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Mnlo:
Femalo:
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ate
D

of last entry into Unit d Gt t s:

:r in und r Tl"<la ury Lio n no no tr t - - - - - -.......- - - - - - - - - - - 'l\yp of Bu inos
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R rv Bank o:t S n Frane ~
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Ma.lo;

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of last entry into Unit d states:

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l

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Les Angel o Sr nch

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Branch

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Lo An
.F deral Ros ~ve Bank of San Fr nciaco
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Fiso

D
Tolephcm : /
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or

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tin

1

last entry into Unit d St t e: - · - - - - - und r Tro sury l.. io n a now?:

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Address:

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F nw.1 :
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DA.

ot last ntry into United States:
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0por tin
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xincip .

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now?: .._____....._____~..._--~--..-------~------

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to An l
al Ro rv Ballk of s 1 r nc seo
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lo:
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Citiz nship:

nate of la t entry into tJnited t t a:
n orntin Ul").d
1
,

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pe of Businos :

:
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-----------------·-------------------

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incipal proper·t3r involved nd

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................. ........................,_______
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problem~

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Dat.

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I

in

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und

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inoss:

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n

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s:
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u

tea t

_________________________.,.______.._.,_

now'?:
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i.. :

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rv D nk of San Fr cis~o
oal. ent of the United ~tats
R

Nam

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of lat

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Male:
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(Ci y)
Dat

o:f last en

n undo

Ty

l"'Y

Citizen hip:

C.Jlato)
int

Unit d Stat fJ:

'rroa. .. ur:r Licon.i

novr'i':

o Bu in oo:

rson i ·

Par ne shi .. :
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rvJ. cvr cl:

nvol vod o.nd oco e of probl< m:

r

n

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gal

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of the Unlt d to. o

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sr

t:

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of problci \:

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Addree :

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Or or

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'l':rc aury Lie r.oo not·?.

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F,

ral Reserv B

n ·

of

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cop

n

o problom:

f.,05 Angaleo Br noh
nk of San Fra1 cbco
Fed ra..t Ros ve
iscal Agent of the United Sta.toe

ro

Adult:

ti.nor &

Mnlo:
For le!
C tiz nship:

Da.t

of le.ot ()ntry into Unit d States:

n1orlltin und r Tre -ury Lio n e now? c

P rson

' ypo of Buainoso.
Partner l tp:
Proprio or ohipi
on:
001· or
Individ b
Princ1.pa.

------------·-------------------------

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pro" r y involved and

uh

t r'V'iowod:

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cope of problont:

n c

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cope

or

probl m:

:

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Loa A~ l
F der l ossrv B nk of an Frtluc sco
~, ... seal A8ent of th United to.toe
J

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amo :
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F""' ~ . •-: ,

v.1.

1

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v

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':r nd.po.1 fJrorJ r

~

tnvolv d , nd scope of problom:

..........

- -............... ·-·------·----...

,,

.
n l e Br nch
J3 nk of s Frru oi~~o
th Unit d wta.t

Addr e :

l''i. '.t. :
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3:y

t:.z 11 li.8l\ p:

to Unit ct

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ty lnvolv d

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-

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.seo

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Address:

\

'l

WO

p:

Principal pr 01

I

0

1

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y lnvolv

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.id sco

o o problem:

Loe n J .o B:r nch
R e rve D nk 0£ Sa11 ti'

noinco
F. cal A1ent 0£ h United tato

d r

Adult: ;
Add re ea:

11t c

nJ

or

last ontry into United St tes :

1 ntin

'r.· p

'

Q
1.. 1 .

un · r Treasury Licenoe now?:

of Businoea :
n:rtnor h1p:
Proprietor h. p:
Cot po:ro.tion:

Person Interviewed:

Indiv dual:
.':r.inoipa

Minor:
Mal•J:
Fe \alee
Cit 2crish1p:

T lophono Numbql":

prop r Y. involved

J

cope

nd

or

-c;...-1~~~ .........

Ac

n

problem:

l a Br noh
rlk of s n Fr. ncbco

F

th Unit d

toe

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I

Ac dress:

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ury Lio r.oo nov.? .

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prop r y

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1

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or

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prop r-

A Lon tr \{ n: ·

nd

cope ol' pr.oblom:

I

Lo1 Angeles Branch
!e4eral Jl•NM• Bank ot San F~anoieco
". · ,lscal Aaent ot the United states

~· -

JiA b41ir+,

Name:

Addreeaz

f

:h'

lJ,
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/Pi!J. 1
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//,(!¢

tJ _

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~
ta

ne.te ot last entry. into United States:
'1perating under Treasury Lioense now? i

.ype ofPnrtnership:
Bueinese:

~·

Proprietor oh ips

Minor a

Malo:

"'1""""

Female:
Citimenehipt ...

'

~~ ~

~-_... r

Pe1•son Int.-Yioweds

Addreflte t

Corporatiom

I

Adult:~·

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t/J.J;- '

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a.&.I"
'

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flM._--~/"'-fl).w..4/~..--liw.~=azid:::li.._..CMlll.,

Individual: / ·
' rincipal property involved and scope of problem:

~
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Addr

Arlult:/.,

s:

J'°

Minors
Ma.lot
Femala:
Citizonahip:

Dat
0por

or J.a

t cnt

in under Tro

United St t
Lio ns

! :

now?:
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'r -1
rino pal pro r· y inv vod nd scope

h

phon Nun b1r :

or

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10

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Lo1 AnieJ.ea Branch

Federal R••fl'VI Bank ot San Francisco
Fiscal Arent ot the United States

Ml Jt: ~
)!'...1

01

ting und,_,r 'l'rea.eury Lioer so nov:?:

m
...

of Bur.L1t'li:JCi •
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........_.... ...................

AJdr 13 tJI!

Telephono N'Ulnbor:

taken: ~:·

h additional

pag

__ _____ ~
I
._ ,........._.._.,.

......
..

rincipal property involved and scope of probl!3mt

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'4":

a where

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'

Nrun :

Adult:
Hi.nor:
1!nl o :
Fem~.~le:

Citizenship :

D to Of la.ot en ry into Un tcd state s :
Or r

Ty

ing u1Ylcr Trc m.n'.,.
of Buojno rrn :

P r n r..,hl. :

Propr1 tor nhip:
Cor or. tion1
IndivJdu 11
rinc'lpF.tl p:rop rty imr

ns

nowl'l:

....... "' ....................

P·rson i ·

Addre

__ ______________
.

t"Viowed:

~:

Tclophon NuJ11bor:
robh1n:

--------------------------

1~ns

le

r nch

v Bank of San Francisco
nt 0£ th United · ~tatos

/'. . \.J t:
l i ... l0l":

Addrees1

r

' t

t

FO'" l n:
ui~ ,:.. ~ i 1sl1ipt

un

' 're · ury Lio .no nov.r:

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·r
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pro

ty involved

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~

T 1 phono Nun ' r :
nd

cope

or
J

I/

cld

problem:

••
F d

Loa In loo Br nch
nl Ree rv B nk of S n Fr-u1ei!lco

Fiaoa.1. Agent of th United

~tato

Nrun :

Addr a

ury Lio no nov, 'f:
'J.

of Bw· -l'~·h~

Prrt1 t-··· '·

'·
I.•

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Pr p .L ·1 '...·r· ·,

p:

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pvJ.'' 1.' , ,' m:
Ind~ .vi ual:

r nd p l prop r y .Lnvolvod

, c i n t: k n: H

0

T

1

ophono

l~un

br,r:

nd sco o of problem:

Feder 1

___ 2( ~f, l
D~

Telcphon
no :

Int EJrvi w:

Adult:
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Hinl"r:
Ual · 1
Female :

c·

a,~

of lao

c ry

in~

Uni

__...

· on It

P

C1

j,nvol

--.........................

Stn c · :

n d nc

i"vt ''red:

ph<"M tf\ b · r

re' of problrm:

l"

'

1

iz enshi

___________

toieeo
t

Telephon

~

Intorview:
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Addr eai

Minor:

Male:
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Citizenshipt

nat

Of

la.st ntey into Unit

St t

l.U

~--~......------................____________

now?a .......-............,_...__.___..___,________________
1
"

YP ot Bu1in s :
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Proprioto hip
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Individual:
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0 11

'J)ro rty involv d and

nt ~t

•

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oop

o

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t

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ty invo v d

dj

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opo

or

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;

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l )

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I

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FJP'

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, n·l 1 i· 'l"r . ury Lio
', l ' ,

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rin

po.l pro

rr 3lephono NuntlWt':

ty .lnvolvod nd co o of pr obl ..m:

,.

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0

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l. : •J ·~~ :

e:

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lS'lip:

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Int()rvfow:
Adult:

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finer:

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_____________________________

..._..._

Dat of JJl,at ntry into United Stat

J.

.

p of Busin e
'tnet' h .p:

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or ohipr

Addr

Co
ati on:
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r y

l'SOll

:1

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:

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nvrJlv · d nd

f.

cope of p oblem:

II

h

wh

Namo:

Addres

Dnt

or 1

t

.~

lY
'

oa ucy Lie

---

y '

T ] phono ll uubc.r :

n :> l.oD Br nch
nk of S n Fr 11oisco
n o th~ U ~ited Statos

N

e:

C-9
1

lr e ss:

h

d
( \)

...........

.

LOI Anfel.e• Branch

r

P8dera1 leHrVe Bank ot San Franoiaco
. Fiso&l. Acent of the United Statee
(b&ti}

.

Tcl"rhni 41:

Int ~1: v"'.<.:w: ~
}. ti~

t:

l'i.1 r I
l'"'. 1.t. t
Fo~ it ·.l":
(;i 1i:..~ ot.eltipt

_.....,.....,._

Dnh ot ls.at entry into Unitoct :Jta·~ ~e: - - - - - - - · -·-...._

Typl! of Butd..ll' ~s :
Pl'.t'tr'~
'·· p :
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Individual:

Addr.JH~

i
------- --------J

Telephone Nurnbor:

----~..,..)1,,...._i...._t. . . . . . . . . . . . . . . .

Principal property involved and scope of problem:

0

7rA

. /I

.1.1~........,,.-,.,IL. •

JI

7

'oY

I
·~

, lo Branch

n nk of an 1rro.nciaco
o th Unit d t tos
{Data
Tol phono:

Nrun

Jntcrvi w:
Adult:

J\ddr s :

Dnt

ir10r:
Malo:
Famnlo:
Citiz nehip:

0£ la5t

n ry into Unit d St te

i

()pFJrn in und r T oa ury Lio ns

now'?:

' YP(

P

:t.• 01

int 1•vlovrcd t

pt

'r l phon
Pr nc pa.

p o

IJ

h

r y involv d

nd

op

or

N1Jmb1

problem:

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Ne.me:
1 du.J..t :
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Acldrns.s 1

r n1r:i :

Fo11tr lJ 1

CH,;~.z~;noh1.p :

0 .. Lo of ln3t entry

to Unit od tnt cs :

-----

"'1) 't:· itine und .. l" 'rroacury Lioc1 o now;:

--· ·-------

I 01· son Intorvi

)\I

)nrtnu ' sh1 p:

Propx io oroh p:
Corpor\; ion:
I 1cl v dunl:

~

··-,---

l\ddt'OSCJ f

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llin. ... pnJ pr o er y :tnvolvoc.l anr scopo o

problem:

d:

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.........

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ddr

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l

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I

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n

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Malo:

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: _ .........,__..........,__.._...a-~-...............-.. _.........,..-...,____

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n.. r

ting und r Tr

ury

io n

P·

I

now? 1
r

01'\

lt ·vi wad :

T ophon N\1mbcr:
r no:1.p l p op r y involv d

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nd scope oC problem:

-.

I

Los An loo Br noh
F' d rltl. Re rv .D nk
S n Fr uciaco
. Pi cal Agent of th United eta.to a

or

Name:
f fl

.Addr est

nr.t

n

0
I

r

laot .. n

i,t.! ng un1•

'·

•

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in

0

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\l.ry"

I

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l~~s :

.so nuwrr:

'r~ :~. epho <:'

-'rind pa.. p:rop r y lnvolv d

n, s cop ~

1 tun\J1·r:

problem:

I ·~ I r

I •

i:.:

Jngeloa Br n.eh
· n r/lncisco
¥ D nk of
F d Nll R
. F ecol. Agent of the Unit d t tos

--

N

.A d~

~:

_
....

D

J

o t la ot .n r·y '
und 1..

.

~.

rin . pal prop r'ty involv

I

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cope o. problem:

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v .r,w:

trt
)

t~

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l , ~ .~ :

I·, \ II' ... 1.
Li':.· ... t sl ip:

en
~

~

(.,
....__

l
Branch
s v D nk of S n Fr nc co
nt o! th United Stat·

Name:
Ac1dre

D ta or 1 ct o

n ) !'"

· n)

y i.nto Un:1t d '1

-

s:

un . '- l 'l'ro .suey Lict nso no ( .

p;
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:

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n
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ucy Lio
p

~

( 11

/I. rlr r

'I' ""· ophono Nu.tnb1'r :

inc. p

I rop ·rty .llwolvod n.nu

l

cope of pr ob. on :

Lo An l · o B~anoh
F d ral Roserv B nk of San r ioiseo
Fi scal. Aeent o the Unit d ~ at es

,,.,,......

rune:

~
., !

A.cdr

f'

...

a:

1.:1

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tJ

t:
i.~

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:

r~ 1 ..• •

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p:

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1
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ni

: I

lr ndp

pr o

:r y lnvo .v od

n

cope o, pr o :l em :

;, j
t

l/ ~

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r

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I

c

0 11

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Lot Attcel•e Branch

.

.

.

ot

s.n Francieeo

ot la.st entr y :into

U11it r.td :Jta '~~ s:

Fede:rcl

Re~•

Bank

. Fbcal Apnt ot the United states

De.t e

Oper t ing
T"

J

un~. i) r

'l1r'3a.eury Lioenoo now? z

of Bur.t_H' ~s :

Pr.r t P·"' · ·~ · p :
Prop1 li(...:·r nips
Corpoi·::i:Ji :m :
Individual:

Addr ,,e:

--

Telephone

~urnb nrs

-- -

_ _..__......___...._..._______

I

fu l -~
LLJ'!.......,..._.

Act ion

~
~~

~ ,,.-,..,°"'""1~.>l...J

taken: ~

*Attach additional pages where n cesa-.ry

I

Lt?s n l n Branch
Federal Ro erv J3 nk of San Frru cisco
. F:tsco.l Agent of the Uni'tod 1..1tatcs

-----..-~
--~
n
tr;i

J<JN

Nrune:

Add?:"

Tol~phrn

)t

Tt1 t 1 ~'t if''. 1;Vf:

a:

ic

;:.iO

nu .'r :

A 1. r

Pr ind pal r>rOJ r ty :involved nd scope

~

or

probl.

JI\ :

r n h
r San Fr n i
Uni· M Sta er

~---·-....__
le hon :
IntGrvi w:

r a1 e:

Adult:
Hin r:

J\dd c ss :

UalG:

F malc1
Cit izcnship:

Da..,o

or

1 s

n ry

0 er U. ,., under Tr

n

11

"ur;,r

_....

Uni

Lie

n~

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r

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l

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I er y

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n

t•1k

n:

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f

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l

tl

r:

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r·

d

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n

T

Adul :
Uin r:

Lal :
Ft:rool :

Ci izcn:::ihir:

Dri

I

Of Ls

}per l n' u d

cm .i ry int,., United
t'

Tr .. nsury Lie en

Typ1,

!'"'
I

a es :

_

. . . . . . . . . . . . . . . . . . . . . .I . . . . . . . . . . . . . . .

---------~-------------

now71
P r ,.cm lnl i:nvl wed:

} ddl"~ s :

'f olr.iph<"'no tJumbor:

rine'

/)- I

n

!10

rn or

..

·-1

_

<D

I

rrobl rn:

L

Ar

I

No.me:

Adult:

Addr e

ru

MinOl':

Ma.lot

F mal :
Cit z nshipr

Date or last ontry into United States: _
.........._ ..._ _ _ _ _,_ _ __.......,._...,.....____
()p r n. tin
I~

und

Troa !'.:!ury Lie nae now?:

pe

·-~--··------------

p t on

r. nt .

Tol phon

rin.c pal pro

A ion

r y .Lnvclvod and

1< n r~:

wh

r

copo

or

vi

~ed ;

Numb<·1r:
problem:

_____...__________________

~,.......

Loe
Federal Re

An~

l a Branch

v Bank of S n Francisco

Fi scal. Ag nt of the United statos

Nn
J' 'l ~l t~
l "' ,.Jll .' !

Acldreea:

kt1,

~

I

l' . ,1 .' n.
Ui'.1:.z M3 11i p:

nt

of Jn.o t intt y

t o U1H r

no·:: .

____

..................................... ,
l?:r nc pa

prop r y involved n.nd sco

A to

Hh

Q

of' pr oblem:

~------

Nam
Addr ssr

Da
()

I

of last

nt1·y

ln unc
,f.

of

'l1.ro

Lio i .n1J

uri.~t'~H1·

Pr. ttr.r
Prop

p

} C)l SQh

'' l j :

· ... rd i.pi

Co ~p<) ·11., J ~n:
Indi v dual :
r n

ow?:

pro er y lnvolv · d nd

,
T lopl on

~\lll

be.r:

opo of pro bl m.

-

l

Branch
S n Franoiacc

nk of

h United

s

tcs

I

Do.

Tolaphono:

r run·:

Interview:

Adult:

Add.roes:

Mino'r :

Mal : .

Female:
Cib.z n h-4.

Dat

or 1

i:i

0 ra. in un e

novr?:

___ ____ __ __

------------..-..-------------.......----~-_,,,_,
_......_..
.......__.........

Typ

A dre s:
Ta. phone I .m1 r:
Principnl pro

y

involved 'ncl ·cop of rrobl m:

'

1

Lo Anr,ol

Branch

Foder l Foserv D nk of fr n l'rnncioco

Fiscal Agent of the United StAtoc

Nome :
Adul.t:

l(inor:
falo :

Femalcn

Citiz nship: ~

D t

oi' 1 ot en r

___________________..._______________

nto United <Jta.t a:

Oporating un or Trc su.cy Lie noo no-v1?:

p

'.l,ype of Bu inc
Pnr nor r1hi1 :
Proprl or .;hip:
Corpora. on :

on

n t. rviuvrod :

Addred

Indlvidual:
P inc:i nl pro

Ao .o

rty 'lnvolv d

~n

1

scope

or

problonu

· Lo An 1 n r nch
Foder al R rvo D nk 0£ San Frauc isco
iscal A ant of the United \;tatos

Nrun :
Add:r sa:

,If'• ...

" : 'J/.

..........

._..,....,

t, I.);

,,. ......

0

I'
~

~J

-

,', fJ

'rl3 .ophono
' r ncj.pa

prop r y lnvolv d

1~umb 1

r.

nd scope of problem:

---

..

~ · .......-..~·-----

Los l'l;'loo Branch
od ral Ra rvc B nk of an r nobco
Fiscal figent 0£ the United Statos

-

(
Tc ephone:

Name:

Intor11. ow:

Adult:

Ad.dre a 1

fi11or:
::lle:
Fcmal •

Citiz nship:

Dn e or last cntty j..nto tJtj.tod 3tatas:

nporn in under Tro su
po of Business:
Po.rt nor ship:
Propri. tornh i p:

Corpo a.

__ ________

__

,_........_

Lie n, o now'?:
Porson lt'J.t
Adr.1ro

l

vi.uvrod:

s~

jon1

Ind , v dual:
Prine pal p op rty inv.,lv d and scope

Ao 1 n

h

.

or

probl ·m:

.........._._

____

J~gol

Lo

Br nch

ve D nk 0£ San Fr 1cl$co
nt of the Unit d Statos

rune :
A dr

a:

D.te o lflot
'l'rea. ury

ic r.

1..

--·-----...... ,...,......................,....... .........................................

nov1? t

"c.~
I'•
., ~
(

l (l'

01

Adrlr

OJ

·r

,

~ ·vi

1.

T lophono Nu111\J1r:
'rinc j pal pro rty ilwolv d and scope

or

~;

wo · :

---·-----~------------

problem:

'/

on

ken•

I
{J

lo

wh r• n

do

ddre

__ ____
...

und1 r 1'ro

ury Lie

no no'\'i "r:

AJrlr \

T ophono Numh i

.Lnvo v ·

nd

co o o

robl m:

:

Ad

Dat

~

es:

o la.at

nt y in o Unit d Sto.t s:

O · :r t n under Tr

. ur:y Liconr.o;

· on
i

Tole hon
rincipo.1 prop

y

nv lv d n scop

l •

vi v l ~

'wl"b

o pt'o l m:

0

Nam
d r

t

0

0" .. t .h

1 ut <.'lnti·y into
un~1 .

'l'ro su

u jt

Jd

ic . u nov r:

j,

, ..
I

. )

·r
ir '-· p 1 pro rty :involv d

l

sco.

phono l~umb r:

I

.. .

Loa An le Branch

~

F

R a rve Bank of S n Franoisc
Aa nt of t
United State

Name:

Ad

1~

Adult: lir-

soi

Minor:
!a.le:
Fem:\l :
Citiz n hip:

~....___

Dn o of l~ot ·n ry into Unit d State!::

0 r
Ty

'lur r Licon.

of Bu i

so:
artn ral 1,, :
PropdAtor olr p:
Cor porn ti on :
IndJ v dur1.l:

rincip~l

pro rty involved and s

·--·--·-------on

now: :
l

..

Ad 11 e
Te. opho11

NUJl'l or 2

robl .m.:

Lo Angel

Braneh

F d r
Res rve Bank of s n Franei o
Fiacal Agant of th Un1ted Stat s

Nrune:

Adult:
Minor:
Mal :

t

'

~

FernAle:
Citiz n hip:

D , of last en ry into Unit d States s
0

_..,

-

now"':

Typ of Buoinoos:
Par neroh p:

______ ____........,______________________
--------------------~-------

r on i:1t rvic\ 1 cl:

Propri tor 1ip:

1

J\ddr

Cor por tj on:

ndivldual1
PrinclpaJ. prop r

A11L1nn

Telaphone Numb
vo ved and 'loo

of

l

~

----·-------

ro 1 m:

ak r : 1

I

n

r

Los An l

Branch

al Ro
rue or S n F:ranoi co
A nt o th United st t s

Adult:

ddreee:

l.11r1or:
Malo:
Fernaloz
Citizenship:

e ot la.st

ntry into Un tcd 3t te ;

-----------------------------------

)()r tin und r Troaaury Lio ns now?: _ .........__..___..__ _ _........,_..__ __..._ _ _~
of B einos :
a:r ner ship:

P rson tut

r\I"

r\Ved:

Propri torahip1

Addra~

Corporation:
Ind:tv dual:

T l phon Number:

incipa

prop rty involved and

capo

or

•

problem:

----t~~..-."t-__..._..._.

Da

Telephone:

N· e:

ntcrviow:
Adult:

Addi: s

liner :

Mal:~

Fer lo=~
Cit: zon hip:

or

·rro

sur

------

Licon.

T

r on i tt. rvj. · w d:
Adrh
T

Tincip 1 p:ro or y

I\

nvo vcd o.nd >eop

ot

ophon Nw11b . . r :
of

__

fl,'. •

Lo A l
Bran h
d ri\.l RGs rv Ba.nk of San Fra.noi c
Fiaca.l Agent of the Unit d States

e.

I

ddr

80 t

of laot

D

Or r tin

Type

C
r

0

_____________________..,______________

n·ry into Unit d Stat o:

und

'I'ro

ur r L:tccm

f Bus .neoo :
Partn rohl.:
Propr i · tornk p:
Cor or U on1
Jnd1 vldu 11 ~

ncipnl ro1j r y
)

nvolvod

4.#-V,,,.,..,.~

novr.:

..........._.......,_

P r son

Addre

-----

......~~·---- ....

'Vi \•reel :

-

I

Date
Telephone:

Intorviow:
Adult:
Minor:

---.....-·

Mn.lQ :
Female: ,,_,
Citiz nship:
I

D

of laot ontry into Unitod St te :

Op r

1-

7'yp

of Bu inoos t

lng unclot rrroa. ury Lie n::;

now?:
P r son Int rviowod:

Pn.r n r oh:Lp:
ProprJ otorohip:
Co1'poro.tion:
ndlvidua. :

T lophon Numb•r:
nvo. v · d

nd

cop

of 1 roblom:

__.,,.,.

Lo /,nt?eleo Branch

Feder 1 R
v D nk or San Fr tciaco
, .~
Fi ca.l Agent of the Un tod St toa

Name:

Adult:

Address:

Minor:
Ma lo : ;.,,--Fentale:
I
Citizenship: l......_'""'iii.--..

D te of lnot entry into

Unit~d

Statesr

Oporatirtg und r Treasury Liconoo nov1?:

1ypo of Bu ·ncss:

-----------------------------------

crson lnt rviowod:

P rtneroh p:

Proprl

orohip:

Corpor tion:
ndlv dual:
r nc pa

c

l"Jnn.

e:

----·- --

Tolephono Numb1i r:

pro arty invo v cd

dd .

/\ddrc

p

n 1 scope of problem:

---------------------------

s An le Dr noh
rv
nk r
n . r n.c c
en of h Uni ~d Sta s

e:
Adul t :
tinC'r 1

Address 1

l!~'l.l

:

,.,

Female : , __ r,...
Cit izon hi. :

D .~

)J

of l ~o t on ry intf) Unit d ,..t
nt ng und ., 'ron.l'.'ury Licen·

OYf :

rs 11

n

r Lc>wedt

Tel h n N bcr :
Id c

1

Lo An l

Branch

Fed rAl. Rea
B nk o! S n Fr a.no i c
Fi cal Agont of t ha United Dt to

Dt
Tolephono:
In orviow:

l.

Adult:

Minor:
Mal(':
F IMle:
Cit:lz011 hip:

Dt
0

of lA.O t

re, in undo

n i y in o Unit d ,., at s :
'fro

rlut' r

Ty o of Businoos:
Po:rtn r "hi. :
Prop:ri tor hip:
Cor ornti on:
Individual:
..- ·"

Ucon n. nov; i:

___ ________-----------___

-------·-----------"-""·-··......

- · .. -

Adelle s:

Tolcph n ,, Numb r;

rincipol rop r · y involved o d soop

o

-

robl ·m:

...._

......,...........

____ _____
._ ..._.

t

noisco
t

Addr e

nt

·.. )

r la t on

o

!

lI\

o Urd • ct '1 ·, '.. s :

nr .. t' '1~ •

.w

1-' l' r ··
1 11:
Propl ' ·'. r· ~.1 i pi

Coqx.>1 · ~.. :\ . n:
lnd1 v l.nl: },.
inc p · l prop rty .lnvolv d

i

d

irobl m:

J
(

F

1ci co
a.to

Nam

) t

o l \,Jt

ll'l
r ~

')1., .~~n

i·y into U·11. id

:

1

1' ·o sury Lie r. nu no·.'?

T '.)· o

.,l

p:

I

A.Jdr

f)l
ri

:

T 10phono Numb(
't' irL

.p

d

d<l

cope of pt obl m:

i

Lo Jin J J
P d- ra.1 Rosm

Branch

3 nk of S· n 11 o.uoi co

F'scal Agent 0£ th Unit d Statos

Adult:
Minor:
Malo:

'Fenmlo:
Citizenship: - - - - -

D te of last entry into Unitod States:

n) rn.tin und r Tro -ury Lio ns - now? :
I

·p

of

.

B noas:

-----·-------...---------

Per ·on I11t

1/iowod t

1

Pn.rtner h1 :
ropri torohi

Addre

Corpor tion:
lndtv dunl:

Telephone Nun bt r:

.> rind.pal :rop r y .Lnvolvod nd scopo or problem:

Ct!

Jin l o Rr noh
o rv Bank of S n

Lo
Pi

1

nt o.f th Unitod

~r

ioisco

to.t' s
Dt
Telephone:

Nam

Tn t'lrv:Lovr:
Adult:

{ddr.es

ltfino

t

Mo.lo:

Femnl :
Cit izon hip:

Dt

of last entry into Unit d St tes:
ing und r Tro sury Lio nso now?:
p

,, } l

l:.,~on

'r l phon

rinc p

invc v

rvi

wod1

Numb<r:

nd 5copo of problem:

/

n to.kt n t (·

:it

Lo An
d al R

Fiscal

o Br noh
B nk of S n Fr nc sco
of the Unit d tat s

Nam
cdr

J)

or

J.n.ot .r1t1 y :
n

IJ•!
(

: I
A r;lt• n

T l. phono Numb ·r•
d r

~

• opo oJ pr

l m:

.. .
UNITED STATES 0 PARTM NT OF AGRICULTURE
FARM S CURITY ADMINISTRATION

IN R

YR fl' A TO

r

Ad"ut:

Addres

(

<b

lOl" :

i~:i '·' :

Fv1 l.:i :

tatc

Dt

ot le.ot ntry into

()

U11

to

'1t ,

.I.

.._.....

-·

-~ --~---

un

T

0

ury Lio

o now'?:
f

Gi ~l.Z

- -·---

.l

A ctr •:
T·l pho o
}ri1c p

ll l1ip: - - - - - -

pro r y lnv lv · d nd cop

I

·F

Artult:

Addresai

Minor:
Mrilo:

Femal ;
C:i.tiz nship:

nat

or la.mt ntry

T rel.'tj

to UnitQd 3tiat

und r T oa ury Lio nso now?:

'l I .

P •son.

~t

rv owod;

-

Addr.

nd

n

I

n1 lt

cop

of probl m:

Name :
Acldr · e i

Dri t

o · J.e,ot c1nti·y ·

Typ

Po

~· ra~ 1

Al

l'

,t

.1. \

i . •101..· t

n

Te 1 phonn Nun b1 . r

r y lnvolv cl

1

c,I r

rl

n

11

t)

d ' copo

or

problem:

- - ·- -------..

J'

rt .. •":

,, )

1\tltlr ,,

'rnl phon
ri11 i.

I

cOJ

I

Q

Nun b1r:
)l'."0

l

J :

-

__

________

,..................

Cbati)

Telephon9:
Into1·v: ew:
/.1\lJ.t:

J.--

l!b·'lr:
=':· c:
F r"\f] ft:

Ci t:..zor1ahip1 ~

ne.te ot last ent17 into Unit od sta . . 4's:

..._

_________________·---·----------

Oper t:!ng under Treaa\11'1 License nO\'.'? z
Typ

or

-------~-------

Bu Li<' a:

Pl'.rt: "~'~ · '1 ip:
Propi 1 ~... .: " ~hipa
Corpol !.'. j ~n:

Individual:

Telephone Numb(:)r: ---..~------._.......~.,.

Prino1pal property involved and scope of problem:

I

Aot ion taken: *

* tt&Oh

dditional PICH where

•• arr

~·

.
o r nch

or s

F

n

Unit d

Name:

Adclr e :

}) t

or

J.n.ot

1l1t1y '

to
·, a

t

ou

nu~ '1 ;

............... -·-- ,_..... ...... .......... ~.............

-

..c;'..l

I•,:'·
~l>

I·

A

'r

phono

d scopo

or

umb1 i __ ,_._........_...,...._ _ _ ._ _............,

pr obl

1

•

lit :

IJt

A ·, I n

I

•

.....

Lo

F d rnl R
F.

cal

J\d lr · e

1

T" .· ~
A.drlr ,

Pt

'rl3~.0pl

on J Numh r:

-- ·--·---------

pr blcmi

001x· o

,

wh

1

n

tll

y

F

---

en

mo :
Adul :

Addr ass :

n rt
L~a l c :

F ma.lo:
Citizcmshi

, of lll.o

un ry nt.,., Unit cd St

OJ r,,t ing und ' 'fr

1yp1

l1

u.ry Lio on~

s:
nr.)\'/

:

r :.:ion
1\ dt

0

1· '

n:

rv

wo :

Los Anecleo Branch
Fedaral Rosrrv Dank of San Francisco

Fi cal Agent of th Unitod

~tat

a

Add r aac

,.u u

()I
I'I

'11,()\' , (;

'

~~ !

i)

'J:· p o·

Pt 'L' 1Y , ,..., 1.p:
Pro1 · ~·. ··' '"'i11.p:
Co p 'Jj, ·: ,: · n:

J\J.1

I

!'Al

1

----------

!nd:iv.tluuli
nd ·co

)C

0C probl . . m:

7.

I

I I
3,.

I

, ,.. '

Nruna:

Ac dr ea:

of lnot '. n ry .~to Urdt rJd '.1 ta,',o: - · · - -· -·----- _ .. - · -.. - · - - -

D

....
(,')

11.
,I

lU
i

1,

I)

1/.

3

pr 1 W>l

'I'elcphon,.

A<~ ,

o

l,\' Cl :

\m1b r; __ _ _

:

-·----.....---

'

I
'

101

Angel

D Branch

Fed al Reserv B nk of San ranoi co
Fiao Apnt ot the United tata

:'~,'I.

'j ' ' ·

(Ji 'i, .Zt l10 1lJ.p:

n unr

I, '

'l'ro

I

ury Lio t.

I

' .YP·· of B .u: l. . 1 · ~ ~-1 .1:

pt
T 1 phon N\J.n ber:
:d.ndp

A L.lr:m

pro

'ty :involved n.n

cope

or

probJ em:

Lo• Angeleo Branch
Federal le•trW Bank of S Franci

Fiscal. A,.nt ot the Unit

tate

o

/(U :01:~:r
_1tf=~~....__

Nome:
Address:

_ _ _....\

(j

.~,;ct,'C.:n:d~iii~~.._-...

D&te ot last entry into Unit 0d

~ta~~s:

T"J).3 of Bur .. H'~"" ~

Pr.rtr r. ~

1
.

1....1or1

' f't.f.( : ¥
Fu111, :lo ,V-Cit:..znrds'°lip:

_________

0perJ.ting un1'!'r 'l'reaem-y LioenDo nov:-'?:
• ••· i.p :

Prop1 :. ·:{. ~· r ~.h 1.p:

~ ts

I

Addr effe:

Co~po1 ~:~i ~n:

Individual:
Principal property involved and scope of problem:

ea Where neceoea1"1

........

Teleph(M'le:

Int rview:
Ad'1lt: t--

14'.il\or 1

Mal :

Femal i
Oitilenahipt .,..._.._._

n t

ot 1'et ntry into United statH: ....,..,.......,,....._~--..i.......,.--._..._..........~.,..._..__
eury Lioense nOtrt a .....,....._.,......,.._______.......,...__......_....__

':'yp

of Bu inee :

Partn r hip:
Propri tor hipi
Corpo tion:

Indiv dual:

n

nt ·

Per
Addr
T epn

dt

••
e tl

ors

Addr. e:

J)t...

of lv.ot '.rnt1·y
':ll"

•. .

o' Bu

to

Unit ~J d

'J 'roe, ury 1io

't,n \o :
01J

no ·: r

. 11 1 111•

Prr.t ,., · ·1p:

Prop1 ~ 1'.u :1h p1
Corr: U4 ·~ uJ ")h:
Indi.v1 11.0il:

r nc. pa

cl

prop r y lnvolvod

dd

A .r

l~

Tt1 phon N\.Jl'llb1r1
rid

scope o probl m:

Los An l

Hr nch

. F d rnl Ro
ve n nk 0£ s n Fr 1 ciaco
. Fi oaJ. A nt 0£ th Unit d t r)
(I)

.Adult:
1:1or:

:Malo:
Fomal :
Citiz nshit> r

D te of le.ct

f)p ro. ting und

ntcy into United S t t3:

Tro

....._.______

ury Lio n o now?i

1r,

p

t' 0

/\d

.t1C1 •

•11t 'V'iuwodt
t

Tl· hon Nwnb1r-:
=>r nc p

pro ·r y

---..

volv d

nd s

opo of roblom:

I

Nam :
Adult:

v-

Minor:
:Malo: J.. .. ·
F male:
Oitiz nehip:

) t

of last ntry fato United st t s: _ .._____..,.. . ..,._ .. _ _ ~_.,..~~...............--...-.~....._

n orn.tin und r Treasury Lio noo now?: - - - -..· - -... ---...........- - - - - 'ryp·

P·rson nt rvi
/\ dror:J t

W· dt

--

T l phon N JJub :ir:
t rino

' invclv d nd soopo

or

1 ro 1

----

----......

..........--~~...................

t:

I

A t n

r

I ,

Name:

.t

Add:r SS:

D

o t lo. t

l1 l.1;Y'

into U1

·

ci '

•......,__.._____ ............. ,......,........__,_ ......__

-- __
,,_

T ~ . · hon Numb1'
Pd n pa..

y involved

nd

oopo

or

1 r oblom:

-t j

..

_...._...._... ...........__

__...._ ..,...,_______

.__..

....

!Jot An 1 · Br nch

R serve J3 nk o! s n F 1c.l co
ool Agent of th United State~

(I)

Adult:

Minor:

Malo: ;.. .
Fe.male:
Citiz nshipt

Date ot laot

~ntry

into United States: _ .........._ __._ _ _._ _ _ _ _ _.....__.....,__

r)porn.tin und r T o sury Lio na · now?:
y

>

of Bue no :
nrtnor h p:
Propri to t· hi
Oorpora.M on:
Ii

P i· son
i

:tvidual:

fo.c p l pro

t i·vi vrad:

'T lephono Numb<.r

r y hlvl'.>lv d nd

t

oopo o problem:

u
)

4

I

N Jll

A

:

clN~

Dt

a:

o
io r:o
. . . . . 11

"""'

...,._ .

...

-

'

..

••

.....

-

---

......,

. .,

Y.
A dr n •

Pt

T1~

in ipn. . prop t. ·y . \Volv d

'c

n

. co)

phone
of p o

m:

n ,k n

J.

wh

1

Branch

Bank or s n Fr
nt of he Unit d

"'A*""1cl

ei

0

tos

D
Tolephorw:
In erv ew:

Ad

s

Adul :
Minor:
Male:

t

F mn.l :
Citi2 n hip: ..._..,_........_

D
0

of las
rt~tin

Ty

ntry in

Unit d stat

undor Tr sury 11.cen

Bu.Di

now,:

-

r on i..l

P rtn

Propr·
Cor or t on:
Individu 11
l rinolpr l prop

St

vi w d:

Adel

T l phon

ty involv d and · op

of

Num or:

ro

in:

I

b

I

Fd
I

F

Nnm
Adult:

Addl' e

ino :
~-......

ate
Dt

or

npor tin

t entry into Unit d Gt t

u.nd r Tro aury Lio n e now?:
P

l'

Mal :
oinnl :
Citiz nshipt ...........,~~.....

-

on.

pi

T·l ·pho
ri otpa.

0

r

Y 1JWt')lVod

Numb · :

-

probl mi

I

k n: 1t·

Tclephon

t

!nt rvi w:
Ad'llt:
Minor1

Addr ear

Male:

r mal

:

Citi1 nehip:

ate ot 1 st ntry into Unit d St t e:
Tre aury Lio n

now? 1
P

r no p

p op r y invclvod

ncl

i·

cop

_.....,,,.__,,.._ _ _.......,.._____..__...~.......- -

o Int

o

iowod: --..&::;;;....:....a.-...;-.._.....___._

probl mt

F

~T

.me:

Addre a:

Dn

o

J

t

11

·y

to tfo.it 1Jd ~
u.ry

io .o

1.j J
...

no\•r? t

~

1yp

lephono N mbi ri 1

Pr ncipnl rro1 r y .Lnvolvod

:~

l 'VlLWOu:

nd s op

o

probl mt

__ _,___
,.....

___

..............._

Los

ioderal R

n l · o Branch
;J

rv Bank or

~an

Fr io seo

Fiacol Agent of the Unit d tat

Nnm
Addr ea:

JL
t .lng unr

I•

'l'rc. ury Lio

t ,(]\,)

p

... ••t· - _,_ , -

p op r y involved

_ _.... . _

---·---

nd '· copo

lJ

~I

l f''>l

Tl)lephono
P'.d nc po.

(~)

....I,,

novr ( .

or

y

problem:

-

.
"'~

Los Ang·loo Bra.nch

~'1 µ .

f1, der l Ro erv

D nk of San

r nci co

Fi cAl Ag nt of the Unitod State

Nam
Adu1t: /Minor:

Addi:'· e1

Mn.lo:
Fernalo:
Citizcnahipr

Da

of laot entry into Unitf)d St t e:

-··-·-------

Opornt:U1g un · r Tre · sury Lioon:Jv novr?:

P rson Int rviuwod:

'l'yp

A dreRe :

T lophon

Pr , nc1 pal pro

rty i.nv lvr;cl

A

Pr

r

wl

nd

cope of

Numb1~ r:

robJ.om:

j

Dt
Tolephon· :

No.me:

Into1 v:t w:
1

nate ot last

nt1'y into Unit

d

st t

r.sJ:

nrnro.ting und r Tre sury Lio no now?:
' 'J' p

)rino p

pro

r y .lnvrJlvod and

of problem:

,. •

•

JI

Lo Angel o Bra.nc l
F d rnl Ro erv B nk of San Fr iolsco
F1. soal. A nt of the Unit d a.tos

Nruno:
ftrt J t:

A dr

Dnt

}' JOt":
! ,·,,. ~

0£

1 ot

011 l

y .

y into Ul it )ci

1

l

'Jll
(I

•

'r J ophon

or

.,.

'1t '., s:

Addr.

d.n.c po.1 p

v

r · y .1.nvo v d nd • cope

or

.............
p

0

lont:

._._...--...:---- ---

.

......_..

Los tn l o Br nch
Clorttl Ros rv D nk of S n Francisco
Fisoa.l Pig nt of th United tatos
Dt
Tolephonot
T.ntcrv:t<Jw:

NOllle:

Adult.:

Addr

M or:

Ma.le:
Famaler
Cit z ·nohip:

Dn t

0£ la.et

npo n ing und

entry into United St tee:
ury 1 o n o now? 1

Tro

----------· ------· -"'----·--------~---

I
r

/P

Buaino 0
Pnrtnor h:l.p:
Propr:1.otorohip:

P

Of

r y 11 volvo

!nt l.'Vi.uwod i

'r lophon

nd victual:
pro

o

Adr roa :

Co~pora.tioni

r nc po.

l'

nd

aop

Numh1

of prob1om:

/I

I

i

[
<t>

Nam
Ad tl :
{ino:r ~
,{ l e :
Fenul
Citiz ish p:

Add! oss:

Dat ..

or

las

ln un

-----------------

ntry into Uni d stat oi
r 'rr

.. ur r Lice ~

noH

Pr
Addi

1 r tn lpril prop r y

nvolvcd nn

cop

il1

t

vi w d:

"':

of

roblt. ut i

co

Na.ma:
J.

A dr se:

1.11

l "L101~:
'

'\. :
,;

~· :

n

o J.a.ot onti·y

to Un:1.t rJci
Lie

..

T•

o Bur Ll "'M •
l t't
Propl . f'. . • r' ~ ·h'Lp:
Coiipv .,;\J:\ u:
Ind:! v clu 1:

r nc p l pro

t:

r y :llwol.v d

i

.

-·-

v nu\'.'"r :

Wllitil

A tlr 1;) ri

T ·lophono Nun lwr:
n seep

(

o ' pro 1 m:

..........

..........

-~ · ---_,

_ __

.l

1 r ... 1-1

d

\j:

}1

~I\ .. ~%

J!

•' :

f '

· '··

,j
·1

.~ '
11
\\)

r I

A lr.lr .

phono
r y J.l v o

~v od

nd

\llltb1

co o o{' })robJow

:

I

Adult:
Minor:
M l ('I :
F nuil.o:

C tJ.ZCrl hip:

Dn. o of la

or

re Ln

n ry into Unit ed Statoos
dor 'rr

ur,r Lico

Typo

J

nov11 : -,. - - - - - - - - - - - rson i 1 :rvlo\·1 cl:
Addi

-·---------rtn

invol vod

11

d uccp

1.. llt 1

I
/

Lo1 Angeles Branch
· Ffderal Re1trve Bank of San trancieco
. Fiscal Apnt ot the United Statea

)

r

;2.~ -

(Date)
Telephone:
Intorview:

n

Adulti
Minors
MaJ.e.z ---Female:

Citizenahip1 ~

Date ot last entry into United Statee:

nperating under Treasury License now?:
ype of Business:

Partnership:
Proprietorohip:

Corporation: . __,,,,.,,,,
Individual:

~

Principal property involved and scopo of problem:

Action

taken:~~

*Att&Oh &ddition&l

Pill•• where necessary

Lo 1~n l o Branch
d ral R rv B nk of San Franc sco
Fisoa.1. Ag nt o th Unit d tat a

AduJ.t : '-

U1nor:

Mnlo:
F mnlo1
Cit izcn hip:

1t

of 1 at

np rntin

ntry into Unitod St

und

Tr

au

1 on

t~

_,,__
_....,...._______

_____

..........

no\'f :

'l po of Bus nose:
nr n r hj.p :

Proprietor !Mp:
Corpora. :l on i
lnd~.v

l rinoipa

p

' l phon

dunli

or

Numb1~rt

ol' roblomt

wh

ry

_ . _..................._......_._ _ _ __

Na.me:
A dr

f rt, ! t ~
l 1 LJ:';. :
H" .' l ~

at

I

!\ '•

(I

)
;

.ln uw·

'J'ro · ury Llcoi oo nov/(:

1· • •

- ........

..............

....

.

,....._~

-- ·~ ·

.......

----

,>

,..,.... .......... ~

J.., ..

,.------..---

..........-~~ .............

:r1.nd pa.

pror

'Ly lnvo

)

V 'ld

rid

i.;OJ 0

o

probJ om:

If:'·
l

11

Tolephonea
Intervi.ewr

~

Adult: ~

Minor:
Mal :

f") ,

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f ri'-J.t: """"
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additional pages

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Date of la.at entry into Unit.,d :>ta·~P.e; - - -·- - - - - - - - - - - -

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Feder-1. R••8"1 Bank of San Franc iaco
Fiscal Agent ot t ha United States

a a)
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l.!inor :·
Malo:~
Female:
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Citizenship: ~

Date of last entry into United statess
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Jo Branch

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Fieoll.l Agent of th United at

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of problem:

Lo• An,eles Branch

Federal Rea.rve Bank o! San Francisco

Fiscal Agent of the United States

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TY:J~

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