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Loi Angeleo Branch
Federal Ree.rve Dank ot San Francisco
Fiscal A1ent of the United States
A
'
f
Telephones
Intorviovux
Names
Adults
Minors
Malo:
Ad.dreeet
Faraale: k'
' .-.......~
Citiztnshipt 111oo1~..-
Dnte ot laot entry into Unitod Statee:
Oporo.ting under 'rreaeury Lio nae novT? s _ _.....,__._ __.,........_........,._ _ _ _ __
'I'ype
ot
Bueineae:
Partnerehip:
Proprietorohips
Addre•••
Oorporationr
T J.ephono Nwnb 1or i
Individual:
Principal proporty :lnvolvod
~nd
scope of problo11u
*
_ _ _ ,._ ......__ ___._................,_
co
A
Adult:
r
{ilora
Malo:
F male:
C1.t izcmehip: .....__ __.._
l at ontr,
l)nte o
into United utatee:
Op rn. in und r rrro aury Lio· nso now?:
Ty1) · Of Bu· inoo :
Pm~ ner ah1 p:
re on
Propri tor oh ipi
A dr H
Corpo tlcn:
d v ( u l:
T 1 phone
Pri 1olp
pro
copo
or
& ................
1 umbr~r s
problemr
________
,.........,..,.___,_
Adult:
Mino c
Mal. :
Fomala:
Oitiz nehipr
Dn
o 1
t ont
y into Unit d St t
:
Ty
A dr
l'Jlt
'r l phone Num.b<-J 1 _____ ,.._ _ _ _ _....._........._
I
r e
~eo
dr.
A<iult:
{ir\Ol" :
S
Wt.lo:
Fomo.l :
CitbJ n hip:
nt
()1
Ty
i
ot ln.ot ontl
into Unit d Gt t s:
r.i.ting und r T
now?:
P
~son
f\ .
,,.,
T l phon
p obl m:
Nnrn
~
Ac\ult: ,.
Addr
Minot:
Mnl :
Fomnl :
Citizon hipt
Dnt
of laot ent 'Y into Unit d •3to.t
Op· rnt:ln
und
a, ury Lio ns
n r? ~
Typ
A ctr
rinc p l pro ol:' y invc:> v ct . nd
cop
0£ pr bl tu
Nrun· •
Adult:
Addr es:
Dt
Minot•2
Mnlo:
Fa.rnala:
Citiz nohip.
o
into Uni d
Op rll. in un
Typ
of B\1ain a :
Pnrtnersh p:
Pro iotor ul p:
Oo:t'l oro.tlon ·
l 1.vid l:
dd
"'t7)
Troaou.ry Lio noo novr?: _........_
t.
0
P r
I '•
Ol'l
T l phono
------------------------
Nom
Adult:
inor1
tmlo:
A 1r
F rno.l :
OHiz n hip:
Dn.t
o lo.at ntry into Unit d St t
Op ro.tin
und
r Tr suey Lio no · novr?:
---------·-------·-----------------
1'yp '
T l phon
Nuntb ·1 t
Nnm :
Addr e
Adult:
t
inori
Mfllo:
Fomal :
Citizonehi,pt ~-....--•
Da.t
Op r
ot l ct n ry into Unitod Stat
in und
T e aury Lio n
1: .....,........,......,......_.....,......_...,............,._.........,.................._........~
novr?; ............,.....,. _ _,____..-,_...._..........,..,__.......,._
"'' - - - Ad
T 1 phono Numb, ~ r i
. pro er
r
ihvo
V'O
nd cop
c{' p obl mt
Lo Anp, 1 Br nch
Fod ral Ro erve D nk or . :> n · rm c oco
F j sen.I. Agont of the Uni d St t a
--r,rfo.t13)
Tol phone:
Tntorviow:
Mo.mo:
;
Adult:
M
Minor:
Mnlo:
Femn.lc i
Citiz nship:
ss:
)) Le of II.L ot <Jnt 'Y .n o Vn t 1Jcl rite.to a r
() rn' Lt.in,g un .l ryr ' r
ic <JMiO novl?:
Pov s ~n
Ad.Ll ro n
r .r cipnl pro ;orty . vol vcd
ntorviLrue:
1
-
Na.m.G:
Adult:
inort
Mnlo:
Fornale:
Citiz 1 h1p1
Dt
of
et ent17 into Unitod Gt te : ._..______...__ _ __...__......_...............~....
uncl r T e , ury Lio M · novt? ~ .................._...__
P·rso1·ji
ps
/\
r n1 a
T 1 phone
~
:r1..n
/u
um.b~ri
fJCO
D
Adul.t:
Addre
tinol":
lwtnlo:
Fomalo:
Ci.tiz ruship:
of l o cntl'y
Dn
Opo
r.i.
to Ur..i
i.ng un.d r T o eury L c nD
st te .
--....-..
.........
now?: .........,......,.......,_ - - - - - - - . -.........--.-,......-
Ad lre
'r
lophono Numb
1
l':
----------------------....
Nn.rn :
Adult:
Acdress:
tinor:
! rtl :
Fornalo:
Oi j.z n~ hip: r_uLcfc:!;~C
e of lo..,t r.mtry jni:,o Unit ,,d · tat <:
00
,,
'
novr?:
! ~)
} n• son Int :rvi r·ro :
111 Ip
Aclr r o1
t
..
.tnV OlV( d
) t k n. : ,'
n ...
8 COp
Of
pr obl
l1H
t '
- - ;J I
'! I
___
, ._.
.................
,
_____
Ac\ult:
Dt
0
1
t n y int 0 Uni
T.
'l'y
G
'
t
t
io ns n°' .
r
Adult:
Minorz
Ye.lo a
Fomalo:
Citi1cmahip r ,..._.__...,._
Date ot l&et ontry into United Stat11t ~i.......,
......-........,.......~--.............-......~......,.~-
Op r ting under Tr ae\.lrY Lioenae nortr 1 _.......,.~_....,._ _ _ _......,~.......,.._...........~~Typo of Bus1n ~e :
Pnrtnersh:i.p:
Propri~orahip1
Corporation:
Ix\dividua.l
T lephono
Prinoj.pal ~operty involvod and sco
Numb~rs
F
un r T e aury Lio no now? s _ .....................,
P
rson
T l · phon Numb'·' .. ,
Nrun :
Adult:
it oi•:
·'
Melo:
lo:
C t iz UDhip: ....._....__...
#'
Fo
nt
0
.
J at ntry into Un t d ('It t
u.nd
TX
1
ury Li.o n
'llyp
-
n01't? t
P·rso
lr
T
nd
co
ono Nurnb'· .. :
0
of probl
1 t
Nrun
Adult:
rino :
A r e
Malo:
F male:
Citiz ·11ehip:
Dt
o J.G.at entry into Unit d 't t$ :
Opo • ing un r T easury Lie not) now?: --·_.._._..,_ .....,.___....,.._______.........,_ _..,..."'!""\'
'l'.Y'l
rr 1 phon Ni..unbt· ., 1
eo
Nnm
i
Adult: ,
Addr
inox c
Melo;
Fomnl~:
c .ti~
Dn
Op r
or
la.a
ntry in o Unitod 0tatee:
in und r Tre
G,.
------......
-~---- ~------...--_.....__,__
____
io no now?:
T l phon
l :r no .pa
u hip:,...,.__ _
opor y involv d nd
.....
...-
4'----~----------
Loe An loo Bra.noh
F d al R ' ' V' D nk n£ San li'rFinc1 .sco
Ag nt o th· Unit d tat
F .. so
D "
Tolephon · 1
:r.ntorvi w:
AciuJ.t:
M1nor1
Mnlo~
F mo.let
Ci iz nohipr
Da e o
O
1
t ont1"Y into Un tod 't t
n. Jin und ·
T o au.ry . •io no novr? J
Tyy
p l Ol'I
'r1 l phon
P:r nc pa. property :trrvolvod
nc
001
of pr bl m1
oiaoo
to
Adult:
A lr ss t
Mino :
Mnlos
Fo.mal · i
Citizen~hip:
Dt
0
la t
Opo
n 17 in 10 nit
T
d e>t
-
t
no novt?:
'ryp
POl'SOrl
t:nt ..,
·--
W
1
A <r
T J. phon
nr
I \{ I t I
--
~·'·
~
@
de
.........,...,__...........,... ..........
'\.Unhr
co po of prob.
l"l
...........__._,,..................
"Q
_
Adult:
A dr
Uinora
lo:
Fomnl :
Citiz rl hip: .,...._.....,._
D te o lAot
Cpor
ntry into U itod
t te : .......,.........,.._.......,....,_
1n un
Addr "''
T l phone Numbr· s
blomt
_.........._____.,...............,_._..__~
I
Cl)
co
Adult:
Addr s :
finOl I
Mlllo;
Fcmmlo:
c t 1 · n5hipt
Dt
o la.st ont y into Unit()d ctat
Op r tin und r Tre
__ ____ __
......_.........._..
ry Lio noo now1:
T 1 phon
rty invo vcd
nd
N\m\b1· s
.
.
____
...._.........,...._.,
co
Nruno:
·-
Adult:
Hinor:
Hu.lot
FemalG:
Citiz
}) t. or laot
!\ .. it.tn
1
nt3•y
to \J
un .at" 'fM·· :.. try Li
d
nship~
ct t a:
t ~o
'r,)
nov?:
I •'
''.'
/ 1 I
Vi 'WO
I
le
l'
$:
----
~-- ............. ..............,
·mt
----·- ---·---
co
Adult:
ddr
Oat
Minor: J
Mnlo:
Fomnloc
Oit:t.z nehipt
o t la t ontry into United State :
O ro.t in und r T e aury Lio ns now? 1
P
rl
--------·...-.------~
................_.........._....._...
__,,,___
l"S\JO
Addr Hl
T l ph ono Numb1: • i
r .nc pa
pro
ty involved
nd sqopo
or problorn t
r
. --· -·-----~--
co
Adult:
Minors
M lo:
Fomnlo:
Citiz nehi
Dnt
Op r
o l
t
ntry into U t d St t
in und r T
t ........__..--.i.___ _,.___ _ _ _,._._____
Lio n
Typ
Numl.:i1
invo v
t
t. •
D
0
J
t
nt y into U ted St t
0 ro. :lng un r T
Ty
sury
--
:
n u nOW1 i
Por r-o 1
Ad
T l ·pho
Nun1lH 1.. 1
-I
nmcn
..
r
Adult:
dd ee :
M \Ol:
1ltloi
Femal ·:
C:tt:tz nahip:
.t
or
in
J.. ot entry into Ul :1
d St
t
- - ,................________
..
un
Ty
'r
l ·phon NumbH" 1
.__._~---
e
Telephoner
Interview:
Adult:
Minor a
Male:
Female:
Oitilenehip: .....,_......,_
Dnt
ot lat ntry into U ted St te :
...-....,,.._.....,,__j_________....~----
Op ratin uni r T
Typ·
Addre
T l phono Numb r l ________________.._...,...
I rinci
pro rty involv d
nd
oopo o prob em:
~ar:~ ... \;J:J
Br nc h
0£ S n r
ciaeo
ho Uni:t d ... t toa
Adult:
Ad ' r
Minor:
Malo:
Fomnlo:
Qjti2<m hipt
Dt
of l ot on
Opr r l.tin unc\
into Uni d Gtatee:
a a ey Lio ncr novr?:
--------~-------
Typ
Ader
'r J.oph o Nun br •t· t
pro" r y· involvod
AoL , 01
t
d
cope o
problont
eo
Nrun '
Adult:
A dr es:
Mino1'1
Mnle~
Fomnloi
Citiz n hip:
Dn
ot
l.aot ont y
Opera.ting und ·
into Unit
d
3tate
~
T e , ury Lio noe now'?:
VT·
A
--...-·--------------------------
T l ephono Nurnl.J1
Pri n. 1pa
p!'O
r y J..nvolvod
nd
copo
dt
or
11
••
problotnt
1
·-----
L~
An ele Branch
Fr deral Re!3erv B nk of O n ~ranc:i c
Fiscal A nt of th Unit d ui;,a
J .. ,
Adult:
Minori
Mnlo:
Fernal :
Citiz n hip: ...,...__......._..,..Pl'
Da.
of le.at
ntry into Uni ed St t s:
0]'.XJra ina under 'rronaury L • ccnQ
of Buoin a :
Pa.rtn rohip:
ropri ·tor hip:
now?:
Addr uo:
Cor JOr Lion:
Indi vj.du · l i
rinc' ul pro
rty invo v d and
T lophon Humb·r:
cop
of
rrol lun:
Foder
Fi o
..
Mrun
Ad\llt:
Uinor:
fo.lo i
Addr a
Fomala1
Citizenship1
lao
Or. r
in
n ry into Unit d State ,
undor •rrc, surjr Licon.. · now-:i:
Tolophon
~f\unb
r:
Cl>
Adult:
U.nOl":
Mnlo:
Fomnle:
CU:lzeruship:
D t
o J. t entry :1.n o \Jn
1 n.c
invo v d l\d
i
Cb
CD
Adult:
inor1
A 1 e
Mnlo:
Fornn.1 ~
Cl.t:lz · J'!Bhipt
Dn
o la
t ontry :into U t, d 't t
T e aury Li
:
------~...-...--,___
_
_.._..._~---.-...----·----
ns novr? :
..,__,,a
p} .ono
Tl
r no p
pro r y lnvolv
nd
co
0
or
Numbr, : --..-.-·-·----------
probJ.eJ\t
1Jo• n loo ranch
41 e erv(') Bank 0£ S n ranci eo
F. soo.1. g nt 0£ th Uhitod tat
cl
(D t )
T lepho
Jntarv:low:
-~-..-
A
Adult:
r ea,
Minot
Mnlo;
t
Fomnlo:
0:5.tizonehipt
o.t o laot ontry into Unitod Gt tee:
Op« 1 n
1
'ryp
g un<:l r. T o uey Lio n
l
...-.....-.--·- -------------
novr?:
P rscm
t v-.1. w·d:
Lo An l
rn.noh
F d r l R rvo l3 nk of S n r ane i co
.J
F'sea.l Agent o tho Unitod stato
Nnmo1
Adult:
Minert
MnJ.o:
Fom l :
CHizenahip:
D
of lo.at;, on r
into Un.it d
Op< r
1y
~t t~
:
cy Lio no n0\ 1? :
1
,__.__,,
_________ _____
of Bu inoo :
Pnrtin r hl I
Propr
1
torohipi
Co ~l or io :
I ld vid 1:
f,.Jj~~~
T l. phono MumlJtr:
..........._,_
•
F d .al
co
·F. ecaJ..
Adult~
Minor i
Mnl '
omalo:
Citb ntshi.pr - - - -
Do.
0
laot ntry into Unit d Gt t
in un
.........
~
,.J,
r T eaoury Lio ns n ·r? t
Typ
p
l
w dt
OU
AddrG
z
T l phon Nun1b1· l s
nd
oopo
or
problornt
a Ir nch
nk o.£ n .n 1r11noi ~o
th Unit ct t t ·
c\ ·l r
(I)
Adult:
s:
Minol" :
Mnlo:
Fomalo:
Citizaruship :
Dt
_____ ____.....,...______
......_
of 1 ot ntry
ucy Lie ·n o now? t
YP
_.,......_~~-
o
Phone Numb1. . r t
ivo vecl nd
----
____ _ __.__
__,...__ _
Name:
Adult: /
Minor1
Malo:
rams.J. :
Oitiz nehipt - - - -...
Da
o
J~a
t
nt1~y
into Unit d St t e:
r 'rr a ur:r Lio ns now? t
Tyr
P l'
Ol)
A tlr
•1
T l ph ono Numb1· r
co
0
or
problomt
i
Actult:
MiI~or a
Mnlo:
Fonm.l
~
Citiz · n"hipt
Dt
: .....,____.,.. ___..._..........,_ _............,,........,....__ _
o J. st ntry into United Stat
Oporo.
Typ
P
x aon
Ad r
llJ
T 1 phon
prop r ·y invo ved
nd
Numb1~l" •
(Dat )
Tolephonot
In
Cl'VfoW:
Ad\11 :
Minor:
MalL"' :
Addr ao:
Li Inl.10 :
Citiz n hip:
Du ' of 1>1.0
· n ry into Un
Or r tlu , under
d S
--------·------------·
- -- ··---------·----
'rroa~ ur' r
:
A dre
l phon
J rinc ipnl prop
-----
.............
Ty
of
If\m1 b
rroblc.~J!l l
1'
ophon
of pro J
in;
Adult:
Mino 1
Mn.lo:
F
lo:
c~. iz nohil't
Dt
o
ot ()ntry
pro
·1\
y
St t
o Ut itl
nvo v d
nd
c op
------ ~ --"
or
1 o l omt
________,__.
....___..........'-"'_
......
I>
N e:
I
Adult:
inor;
ddr
Mnle:
Fomnl :
C1ti2 nDhi
Dnt
o
....._,...._____ .____.....________ ________
J at ontl:y into U it cl Gt t
Ope1, in und r rr e ury Lio
Ty
t.)
t
.........
novr? :
p
l' "01
·-------ino i.p
'
(
-"""!'-
-...."'!""M~~........
D
t11
Tol~phon 2
!nt'1:rvi w:,.
Adult:
Ac\ lre
M:il'io:r:
Mo.J.o:
1
enu J.o:
01 tiz ·r1 hip:
D
of la " ntry into Unit d st te :
in. und
1y
r. TrG .s ry Lio no
...,;
of Bu nos.:
Vi
Pn.1 n r ohlp:
Prop~
Co1 po
~torr h
,tj on:
Is
V/Odt
p:
nd .v tu 1:
Prine pe.l proper y involve
T .1 phone tJumb't'l.'' 1
and
cop
or
p oblomt
Nnm
es:
dI
o J ot
D
Op ro.tin
und r T e suey .10 · rrn · nm'1?:
Typ
n r h' :
Prop1"iotot uhipt
Co por t on:
P rso
ni<\
1
IncUv-i
):r
t
1:
c po. . prop r y lnvolv d rtd
'l\11 phono Numbi•.l":
oop
or
problemt
)
Tolepho i
!nt,,rvi w:
Adult:
Minor&
Mo.lot
Fomnl :
Citizen hi : - - - -
D
o lo.at · ntry into Unit d Gt te
0 r tin und r Tt' naury Lio ns nOW'?: ..............,___....___
Typ
Addr
co
t
Tolephoh
~
tnt,,rv:t w:
Adult:
e:
Addr
Minors
Malo:
Famnlor
c,.t z nehip t
ot laat nt 'Y into U'nited nt te
Dn.
Op r
1'y
in un
0
uey Lioens , na\f? :
Bu in · s :
P rtn r ehj.p:
Propri torohipt
Co poration:
Incl v d
Pr
11
pa.
i
prop rty invo v od
P<w
on
llW
Addr n t
rr l phon
no oopo
Numbr11l"t
o.r probler1u
de
Adult:
Addr ea:
Minor:
Ma.lo:
l~omnla:
Citizcnohip:
Da
01•
4ot ontry into Un
t d
ot t1 : __
.....__...._ ........_ _,..__-...-'--.--........- - . . _ -
Op ·ro.ting und r Tre sury Lio ns now?:
'l'yp .
Arlr. re
T.
rinoi.pa
)
t.1
pro
n . cop
wh
au
or hono
or
Nwnb1: r:
problomt
- ..· - ·--.........---....--
Fom a:
Citiz nshipt
o laat ntry into U1it d
.........
_,_.....,____,_........._,____
0
Typ
\"i '~ d
Addro,
1
r l phone
un1b1 · 1
. cope of l robl mt
~-----
Nrun
A ult:
A.ddr
Mino :
n.lo:
omnl ·
C1 iz r1 hip.
· Dnte o J.not ontr
to Un t d St t
io n
:
novr?:
'r l phono
tr
.ti
.p
nd cope
or
p
umb1· l" s
OS
Adult:
J\ddr as:
Mil101 I
Mnl t
F rnn.l · t
C:It:lz n hipt
Dt
ot' la.at
O r n in und
ntry-
to Unitod ~t t
__
.......,_.
Lio ·n
'lj p
T l phon Nun b•·l
r n l.pa..
:
__ _______
._..._....._
__..
AcNl.ta
Minor a
Kal.11
r..ies
Oitil•ahipt
.cl..._......_,_.
Date of la.at entry into Uaited Statt1t .............._~....,.~-.........................................,......-.;
Operating under TreuUl'S' License nawta ..-......-..........................................._.--:-~--...._....
Typ ot Bua1nese:
Partner1hip1
Proprietorehip1
Cox-poration:
lnd1v1dualc .
Ptraca ~ .......................__.........,..............
A.ddl'e. . ...-......;...;..;.-....,..ifll-i;...&.o~--~..-..........._
Principe.]. propertf involved and scopo ot problemt
Adults
Minor a
MAlos
Female:
Citilenehipr ...J,_.,_,..
Date ot laat entry into Urdted StatM: ,....._.,......,......,...., ___.~........,.......~~~-----Oper1.t1n1 Ur¥l r Tr aeury Lioen~
nOWT1 ..._...........,.....................__............,......_________..,._~
Typ of Business;
Partner hip:
Proprietorship a
Oorporationc
!ndividual.
rinoipa.l p~op rty illvolv d nd
T lephone
Nwnb~rs
----------------------..-...--
0
~·
Adult:
U.nor:
M.
:
Famal :
CHiz ·nehipt
D te or l at entry into Unit d 8t t
Op
'l'
1
ting und
Tro ury Lio ns now?: _..,.......,......,_..._..__.........,.... __..,._.......~----
r
Addr
T l phon N\.Unb1·.l :
rin pa.
Ao
n
l
op r y :Lnvo v ·d nd
l nc
cop
o pr bl mt
m
Neun :
Adult:
cl r s z
Mil'lO:t" J
Mnlo:
F
mnl
Cttiz ne ip:
Dnt of J.a t
Op
NJ.
in und
n ry
Troas
to United Stat
:
---............
Lio· so novr?; ..,..._..,..__.......____.................,._ _ _-._____
Typ-
vi•w
T ·. phon
umb · .. 1
-----------------------
J
(
Jh'anch
Lo.
Pederal Re1..w Bank of S&n Francisco
Fieoal ~t ot the Unite~ States
ae
Tolephonet
!ntarviowa
Adults
Addreesi
Minors
Males
Fon~or
Oitizcnahipt
Drit
-
ot 4st ontry into United ntattei
Operating under 'l'roasury Lio no\l now? 1
..,..
ot Buainose:
Pnrtner ahip:
nowade
Proprietornhip1
001,porati.on:
Addre"
Individual:
T le!'hono
r noipal property involvod and
1\ t, i.on 'i
i
-----·--~----...,_....,..._.._
....
,')
~ 11
~
M\
Da.t
O
o l. st
into Un t
ntin und
t
e .sury ,uio n
t'tai
novr? :
...........
_._.._..,__ ------------
'I l
__
pi
..............._
T J phon · Num ,.. :
k n:
I
,
Nnrn
Adult.x
dd. e :
Mil ~o
·:
Mnlci:
'tomnlo:
C:i.ti2 n hip:
Dn
Opr
o J
t ontt'Y into Unit d
--------------·-------------------
!'.l
T.YP
p1
/\de • It
T 1 phone Nun br·r· t
l r . nc i.p
f\ddr
A ult:
St
Dat o l
Minor a
Mn.lo:
remal t
Citiz nehip: .__.......,_
t ontry into United ~t tee: ......,............__...,.....
auey Lio no n
T,yp
A dr
Ai;
01
ti
---------
Adult a
Minor a
M!lo:
Femal
Citi1 nehipr ...."'"'"-........-
Da. e ot ls.st
ntry into U t d
!Jam •
Adult:
Addr H:
Da.t
Minor 1
Mn.lo;
Fomaler
Citb n hipr ......,_-._;.....
ot la t ntey into
O rn. in Und
Unit d
T aauey Lio n
n
T l phon
Mum.bi·
t
Br nch
Nrune
Anult;
Addr es1
Dt
o la t
Mil ort
Malo: , /
Fomal :
Oitil nehipt ..,.'__..........,......_
nt1,y into Ur.it
T · oury Lie ns now?:
~..,......,.....,_
Ty
T ephon
umb~ t 1
Adult:
ifinorc
Mnlo: ,.
Fomal :
O~tizonnh1pt
D
o l ot
nt1:·y into United 8t
un
r Tre oury Lio n
•
n
IJ•
~~
.
Typ · of Busines •
Pr
...,.._...._..,.
rGh:i.p:
i tor 1h p:
Corpor tion:
Ind .v ·ual:
Auer
T
I
phon Numb1i1 •
~--- .
I
(
0
Nrun :
\ddre
Adult:
tJi
Mi.narc
M~lo:
malo:
z 1·1ehipt ._....._...._..........
Qjt
Dt
o la.at ntry into Unit d Gtat
Op r tin und
Tr
aury Lio nso novr? a .................,......,....._ _ __.....,.__ _....,_....._,__,_....~-
v1 d a
Typ
A rlr '
'r
rinc
pro or y nvolvod . nd
1 ph ono Num 1'lr
t
-...6.:::;;;..-.......ri;:.::;"'-'~;..;;;;.;.-.::;;...,...,...
____________......._...__...__ ...
~
cope o I rob.
. J/i
Nrune:
r
Adult:
Minors
J\dd
Mnlo:
Forno.lo:
Cjti~
ot le.et
D
Op
l
in un
o Unit d Gt
ttr
'll'Y Lio ns
t e;
now?:
P
----------·-----------------...-.-----
i~son
Adr r
nehip:
nt
·, ~
T l phone Mum\,) r:
---------·---------...-.....~---
Name:
Ad
Adult:
Minori
r
Mnl.o:
Fonuues
Citizen8h f't ..........____....
Dnt ot J..nst ntry into United Stat e:
O rait'in
Und. r T . sury I ie no
'ryp
now? l
P rso
Ad r " t
T l ph on
P no p
d
~lum\.H. r 1
______ __ ______________
,,
........
N
l\(H
Adult:
f\dlref;!
or:
lo;
orual :
Citiz riehip:
Dt
o la t onti·;v into Unit
Op rnt:tng und r Tr
St t1 :
eucy Lio nae now?: .....,........,,..._.,..__.__.._ __..._____-.-______~
Typ
Addr
1a
T l ph on
r y involved nd soopo
or
N'um
l·Jl" t
probl.etnt
,,
I
0
Adult:
Addressr
Mil or;
Mnlo:
Fom lo=
C:t i~ mJhipt
Dn
of l at ontry into United st t
Oporllting under '£ oaoury L.ioano
_
...,Mt........,_ _
: ,.........__....,__......,_..,.._.,
now? t
----~--------~
Typ .
---·--·----·--~---
T 1 . phono
Pr n :1.pa.
prop r .y involv d
I
oopo
or
Num1' 1·~
probl
'•s
11u
..
---·----·.-......------
Adult:
Minor :
Acl.dre
MnJ. :
FernaJ o :
_.,
Citizcnah.ipt
1)
.0
u.
d
"t te :
,
.· it .U g undr ,. 'Iro ·· Sllt'Y Li c r no now?:
()
P r
01
Iut
v i~
·rod:
Achh. a.
l'
nc .pnl p, ope ty ·hwo v cl
~
,I
l,>
'.', p
I
cop oe p obl m:
I
·)
I
I
z
Nn.m. :
clclr s
f
1
Adult:
ino :
~
(
M lo:
Fontal :
Ci iz ' ehip:
Dt
ot laot ontry into Unit d 3tn.t
sury Lio ns novt?:
Adr. r
, .~ .
1
h
1i
T. lophon Nu.ml 1·.J:·:
;):ri nc Jpa
prop r ~' involvo9.
nd
copo of problem:
Adult:
Iino r
Mn.lo:
Forn l :
C
Dt
Op r
zet1
hipt
o laot ntry into Unit<ld St te :
,,.
in unc r T a.oury Lio na now? t ....,.........,~._.__....._....._.._.._~.....,,.............__.___ _
Typ
Addr
flJI•
T 1 · phono Numb Pt
i
run
1
Adult:
Minor:
Addr
ltt\lo:
Fomnle:
OUizoniship:
Dn
Op r
ot la t
ntry into Unit d St t
ing und
'l'j p
T~e
aury Lions· now?s
p
op
:
-----------------·--""---------------.-
l' 0
y lnvolvod nd oopo o problom:
Adult:
Addr a
,,
Minor:
Malo:
Fame.lo:
C tizonehip:
D
ot J. r.ist ont1-y into United GtatH:
'l'yp
Of
p
1:3\l
in· GS:
n r hip:
Propl." oto1• ohip:
Co:t'por
P
rsor,
Addt'O 1;
ont
Ind v· d l: '
T · l phono Nurub1; l" s
I
(t)
0
Nruno:
A iult:
I U.n or :
M lo:
F' male:
Citiz nship:
Ad lross:
D tt
() r
of la ot . ntry · n o
ornt.lng unc er Tr
1yp
r •
Un t d
f tat
I
'lry .Lic ono0 now :
---------·---------.-......-----------~......... ,.
(, )
I ,1
' 1
~ \)
Bu~~i ·
0
[ i •:) :
tr r • • h: r :
Pi op~ '
' h·l p:
Cor )~. 1 •• io11:
I i cl .v l L .l:
p
Pc r rm lll
ivi
t
I
I.I
Ald1·
rr
Lopl onl Nu b r :
I
11
I
.I
co
(I)
Nam·:
J\dul t ~
ltinor:
A.dd,r so:
Mnlo ;
F mnl 1
C t:tz nship:
Dn Lc o t lo. ot
n
_____
o Un t d nt t
,
p1
'r J 0pl on
A Lien
wl
(I
ll
~t
(
.
I
Hom._:
Adult:
Minor:
Mnl:
Fomal :
01tiz ·tlohip:
of
D
o
tt
l~ot
en l~y 1.nt o U11~.t d Gtat e:
in un
A ir
T ·l phon
A
o \ L1 k
i:
---....-----------------------umb"n :
~
Adult:
D te
ot la t ntry into United st tee: ........__.....,........,......__..........__..........~_,.....,..........._.......
Addr(!
'I' 1 phon Numb•· s
I
co
<0
AduJ.t:
A cl
e
D
of l at ont1iy into Unit ad Gt tee:
t
Opor tin
un r rrre
Typ
T lephono Nuntb 1»·• t
Pri n.cj.p
pro1 r y invo v d
d
cope o
p o l enn
'
Adult:
inor:
M le:
Fornnlo:
Citiz l hip:
D
o laot
ont~y
into Unit
d
ury Lio ns
St tee:
____________________.......,.____........____
nOW'? :
T.l phon
-··---------
Tam s
Adult:
<U
rinor:
fnlo:
Fornol
Ci.t:lz
D
o ln.ot
hip~
nt y into Unit d 't t• :
A d:r
T
·phone Nun\b 11
i
I
Adult:
Addr es:
Minor:
Malo:
F mal :
Citiz nehip:
...
Dt
ot• le. t
ntl'y into U1 tod 3t t
:
Op rAting undor 'rr a ury Lio nso now?·: _...........,...,...._
Typ
tU<lt
T
phon lfaro.bor:
co o of probl m:
A ult:
Min l 1
dd
M lo: '
Fol al :
C:ttizen~hip~
Dt
of J ot nt1y into U~ tod 0t t
:l.r1
un
T~e
sury l.io ns now?:
-·--------------..------...._
____
Ty
.........,
:rin
pa
pro
()X
,
involvod
l\c
pr bl· mi
I
.
(l)
D o
Tol1'phono:
.ntorv w:
Nrun
Actult:
Adclr ea:
inort
Mn.lo:
Forno.l :
01.tiz n hip:
Dn.t o lo.st
o United Ct t
Gury J..ia n s
Ty
o Bu n
P rtn
h:i.p:
Pro pr to >h pi
Co po o.tlon:
In v· dual:
... ·-----------------------
.......~~--novrr a _,___...,.,
Nun :
Adult:
tinox :
A dr
Malo:
F·mnl :
aitiz md1i :
D
t
o J. ot ntry into Ut it d ~.>t t
OpJr tin und r T
Typ
i
~------.-
ou
P r on
Numb1·l 1
rin :\p
p
lonu
____
_____
........,_........,
d ral
F ec
Nrune:
Adult:
Minorr
Ader
Mn.lo:
omo.l :
nehi r.a
ci.t iz
Da t
o
l ot <Jntry in o Unit cd Gtnte :
Opor tin un
1':yp
..,_........._........ . .
r. Tr
,~.
Lio ns novr? 1
P r on
Addr
11
pro lomt
Adult:
il'lor:
MnJ.o:
Fomnlo:
CUiz nehip: _.._....__._
ot 1n t ontry into United
Dt
Op
lo.
in
___ ____________
~t t
r Tro u.ry Lio nao n
.
..... .,
• ...
,
....._.......,._
*"
l phone Numbi·) · i
___ __ _____________
.,..._...,
.........,
t
Tolephono:
Tnto "tiow:
Nruna:
Adult:
Ad lr
Mirier:
Mt\lo:
Femn.1(.):
C:ltizarl,,hipi _ ..____
D
0
o la t
ntr:y- into Unitod Stat
:
now?:
Tro .oury Lio ns
_
_____________________
__ ___
'1'.yp
.
___
1'
no pe.l prop r y :Lnvo
v od
co o oi 1r blom :
1
1
__,,_.
._.
...._.
P'
Nrun. :
Adult;
Mino 1
Addr s :
Mnl ;
Famal •
CUiz nshipt
Dn.te
or
lo.at ontry into Unitod Gt t
()p rlltin un er T ·A. ry Lions
novr?: ...................,. _ _,_ _ _ _ _ _.........._ __...,__,,,,....._
1yp ·
P l'
Tl
fo.c .pal p o rty
on
hon NJJn\J1:
•• t
m.un~:
Adult:
Minorz
Ac clr ·
Mnlo;
Fomnlo;
Ci· izen hip:
o la
Opo
1
ent1'y into Ut'1it od
in
Ty
Porao •
_________
vi wod:
,
Ad r
'r ·lephono
r .nc .p
pror, rty
~Ln:v olvo
Nurnbm·· i
co o of problr nu
_.....
_____
--------·----------------
Adult:
inor:
M1'llo:
Fomnlat
Citiz
Dat
Opor
Ty
o la.ot ntry into United Stateen -.--............__
in und r Tre su.ey Lie n s nO\'r? :
o Buainoo :
Pllr n r shj_p:
opri tor hipi
Oot'por t i on:
lnclivi unl =
'r no
1
c ion
e.
pro or y i.nvo vod
A dr
ea
T l phon
Numbe:. · :
l
hip: ..............__
I
Nruno.
Adult: ,
(
inor1
Mnlo:
Fomnl. :
01tiz ·tlDhip:
Oat o laot ()ntry into Unit d St t
: _,......
Op' ro.ting und r T a ttry Lio ns nO\'t?: ._...._...~.,.,,__.._ __
rl',y p ) of Bu in - s :
P l' n r chi.p:
Prop1 i ') or oh p1
Oot~po t on:
1
!n 11vt · ual:
..,._.. ...........,
T l phono
.lnvolv 3(
nd c opo
or
I
~Iurnbr·
·· r
..................
-----......
Mrun ,
AduJ~t:
Acdre
Minor:
M
J~o:
Fomo.lo t
Oiti~
Dt
o last entry irl o Unit d Gt to •
--._......._
___
io nso now?: ................................
Typ of BusineBa:
Partner obj.Ji:
Propt
Oo •po
P
l.'
on
tor::;h p•
t on1
Indlv d
l~
copo
or
problol u
r11shipt
__..__
~--------·-------..................
A<iults
Mino ·1
MnJ.o:
P'o.mal :
CUiz
D
t
o J.a t
ntry into Un t d St te ; - .-
1
hipt
........--...---....-----......-..--.------
Op ro.ting un r T eaa ey Lio noo novr?: ........,,........,.......,._,.....,_,....___............_ ........._ ........______
Typ
P r on
T ·1 phon
r:\.nc .p
pror> r y involve
r1d
VI · dr
N\lmbr~ ·•i
______....._.____..........,.__________
Nrun· :
Adult:
Minor:
Ad lr
Mn.lo:
Fom le:
Citiz rushipt
Op r tin unc\ · r Tr .Bury Lio ns
A. drl3
-----···~-----------~__...
r y involv
n
oopca
or
problomt
_____
A ult:
ddr .. et
Minor:
( treat and Nur~!3r j
·le:
FGmalo:
a tizenehipt
(City)
D
( Stt.t }
o J at ontry into Ur.it d Gt t
T
0
v
Ut"/
L oen
~
n rt:
P r on
T
Ad re"
1
T l · phon NUJnbc : _.._...._......__._ _ ___..._ _ __
r no pa.
prop r y in.volv ci nd
oo o
or
probl<!l
..,.
I
am
~
I
Adult:
d ea
il o:r t
M lo:
L'
---Dn
of la.et ont y into Unite
0 r tin un
~"'ornal<l:
Ci iz n!hip:
L.ta.t e: - - -........-----~.....,_..__ _~..,._--
r T. oa ury Lio ns n
Ty p·
P r on
pt
T 1 phone Num.l.Ht r i
r ncip
-----·------------....-..-----...
i
l
Ad lt:
.finor:
?_nlc:
Female:
......_....."'-i~·
Ci i2 n hip: ~
0~
r
undor Tr
Nt.tin
f.
~
ury Lie ens
of Buain a :
Pnrtn ·:rship:
Pr pri· or hip:
Corpor
ion;
Indiv.idu~li
:rinc i
1
rop :r y .nvo v
now?t
___
------.--~------------------.........--_,,,
r on i .1 rv oH ct 1
A r:lr · :
Tol phon Num or:
nd , op of robl m:
'
(I)
D
Tolephon ~
Intorvi w:
ffo.m :
Adult:
Addr a
I
!Liner:
~lo:
Fomnl :
Ci iz nchi
o l ot ntry int, o U t d St t
Dt
:
O oratin un r T c , ury io no noVI?:
P inc .p
o
J
n
t
--------------
--~--------·------...........
<o
M\
Adult:
Addre
Minor:
J.o I
Fomal :
Ci.tiz nehipr
D
Opor
Typ ·
of J st ontry into United ~tat
in und r Treasury Lio · ns · n r?
F
t
oor1
er
'£ l pl ono
-~------
Numb 1 ~·
·· :
Ct)
Adult:
Mil or&
M. lo:
Fo.nuU.o c
Citiz n hip:
Da e o t 1 ot ontr
into Unit od ~t t.e ;
0 r ing under T a u
Ty
Lio nso novr?:
p l O&l
Jilt
Add.r 1111
'r
J. phon Numbm-- 1
________
.
1
________
.._,
AduJ.t:
il~or i
Mo.lo:
Fo.mfll :
c~.tiz t1ehi t
Dn
o
ot on ry into Unit
d
Gtat
·--------
T l phon
....... · ~-----------------..-.----~
~ wnbt· · i
d r
lCl 00
to
Adult:
Minor:
M('. lo:
Femnl :
Citizon~hipt
D
t o la t nt :1 into Unit
e
eury- Lio to
Typ ·
nm~?:
p
Pt
l'SOn
ddr
11
T l phone Numb<·~t :
0
n.m :
Adult:
!.inorz
Mnlo:
Fotnalo t
Oitiz n~hi r
y into United L1tat e; ...,...,...__...,._
Typ
T l phone
lld
copo
or
umb ~11
probl..m:
Add e
Dn
o 1.tiot ent '":{ into Unit d St te
Ty
a:
p
A dr
'.ont
lt
r y invo vod
____ _______ __
w cit
.
T 1 pho1 o Numb1·• 1" J
lld
(I
o .l r t 1 n: :·
l 001
0
or or
problem r
_.....,
Lo• An891eo Branch
Federal Re•trve Bsrtk of San Francisco
Fi scal A11nt ot the United States
- rna~t'ik
Tolephon0:
tnt'lrv:tow:
Nrun.e:
Adult:
Addreasi
Minors
M4lo:
Femalec
CUizenahipr .......................
Dn.te ot J.aot entry into Unit od 'tatee:
Opera.ting under Tree.Bury Lioensa now? s ..,........,_,, _ _ _ _.......,_ _ _ _.....,....................,....,
Type of Bueinessr
Partnerahtp:
Propri tC)t' Shipt
Corporo.tjon:
Individuali
Pereor. r.twri.owedc
0
•
Nrun
A
Actult:
Mino :
r
Mnlot
Fomnl :
c~. i~
or
Dn
l ,,
J
ntry into Un t d Stat
;
_________ ___________________..........
ing un~ r T ea
Op r
:r
l st
o
pa
pro rty :lnvolv
\ · n 1 ~:
nehip:
co o ot' 1robl <:U11 t
...._
0
t
01
Adult:
o:
dr
of l
tin
t ·ntry i to Unit d
und •
~'r
asury Li.a na
t
a:
I '•
now?:
rn
ti
'l'y
s:
p ..
·on Int rvi w
d:
Addr
T l phon Num
rop r ·y
c
i volv d and soop
0
pro
I :
m:
01
cl
r nc co
OB
Cl>
no..rnc:
Adult:
A dree
Minor:
t
lo:
Fantnlot
Citiz nehipi
Dn.
Op r
1y1
o la.at ont17 into Unitod St t
in
under T e oury Lie
Mt)
____ _ ____
_..,.. .
........
..._...._.,.....
_______
novt?:
of Bu noss:
Pnrtn r l j p:
Pro j_ toroh p:
Cor11oration:
A ctr
---··- -----·---
ndividual:
rino i.pn
J')'rO
10r y involved nd
cope o.f probl
llU
Br nc
Loe An _, l
serv D nk of s n r.ru10 ipeo
Fieclll Ag nt o th Unitod tat a
F d ral R
1
)
Tolephon
.nt'lrviow~
Adule:
Mino :
M lo:
Forno.l :
CUi~
Dt
o J a.at ontry
1l
Opornting und r Tr a
nehipt
----
o United Gtate :
ry
Lio ns
....
Typ
Adilre
Tril phon
---·-----------
.nvolv d . nd
I
Ac
on t . l< n • ~'
Br nch
0£ ~ n rnnc
~co
,.
h United t to•
I
A<iult I
j.
( "\O ':
/lJ.O:
omnlo:
Cttiz
of 1 et on ry into Unit d Gt te :
__ _
tl
hip:
~..._........iii
.......-----~------·------------------...... ., Lio ·no now1: _..,....__
r in . und r Tre .on~
of Buain 05:
o.r t.ner c;h .p:
Propr to ·hipt
Oo p rn.t .en:
In · viduo.1 : ~ -
P
l' Ol'l
v w d:
Tol phono N mlH:l :
N
Adtil.t
Fomnl •
c ti~ nsnipt
a
....
D
.......,...IP _ __,..__ •-••
T . · phono Numb111 r t
r
.:1.C
p
cop
~
'P oblomt
-- ·-....-~--·--
D
ToJ.ephono:
Jnhrvi w:
Adult:
c\dr-
Opr r Jin un
Ty
Minor a
Mnlo:
Fomnlet •
C:ttiz uship:
r T ·a ury Lie ·ns novr?: ____________.__.......,___.......,_____........._._
VIC S
J
T 1 phono
oopo
or
N\.lm\,) 1~ • s
problemt
Lo
Aneol
Br nc h
l R ervo Dank or s n r 1.0 i co
cal A nt of th Unitod Statoo
Adel
;
.
Adult:
!inor:
ai
Mnlo :
Fomu.le:
C1.ti. ~ nnhip:
Dn.
o t J.not ont y into Unit d 't te
in und ·r T
Typ
ry Lio nso novr?:
o Bu inooa:
--....-.·----~·-----------------------
- ----------------.-------
Vi W·d:
Pa · nor d1:i p:
Propr:L tor. h. p1
Oo po aU on:
Indl.vid
r nc
.pa. rJrop r
·----
71 lnvo vod
nd oopo
vher
n
or problotnt
Nn.m
Ad.ult:
J\cldr soi
~
inor:
1l :
Female:
-
Citiz n hip!
D
L c ' oo novr?:
Jor on '11t
vie o :
/uldr oss:
T 3lophon.c
fam (' :
Arlult:
Ad
~·
Mi.nor.a
Mnl.o:
Fontal
c tiz
D
0
Typ
of las
tltJhip: """""'.................
nt:ry into Unit d St t e
T
sury Lio
n 1?:
Pr on
dr
T l pht)l'l Nun 1·'r i
-
en
D
Tolaphon ·
Tntorv ow:
Adult:
d tr ea:
MiJ'\or z
Mlo:
Fomnl · :
CU:lz nehipt
D o of 1 at ontx•y- into United Stat
tin
Ty
0
uni
r 'rt'e oury Lie rm
Bus
now?:
P
---------~-~---------------........----~
i~ ~on
Pn:r ne
Pro pr
Oo por
Ind1v d
rit
pa.
Pl
T 1 phon. Numbm
nd oopo
or
problom:
_____,_......................._____________
nk o
h
D n 11 nno 1Dc. o
Unito~
,tato
-
run :
,dd e
Adult:
s:
Mino
MnJ.o i
Fomal. i
Oitiz r1 hip:
--Dn
o Unit d st t
in u.nd r 'r e ury Lio no novr? t
Op(Jl
-----r---·-·----------
-----
v
T,y p
l p 1 '.[)
t~l'.' :\.
C
Ac
ot
OJ.1
or
r.
\th
n
t
w l:
prob. amt
;
(
(/)
e,
J
f'
J\(h\J.t:
Minor :
n.lo:
Female:
Citizenship:
or
l "'
lnot, ontry .. nto \J n.it0d
,,
unr or 'l' o.
I
,
tes:
')t
iiry
()
,•
Lio nno now,:
;~ I
I
Person
)
..ic;.'-...i.-,..:~~e-.--....--------
Acl<lt·
·r
n p1.l pr po ty frwolv.cl
t
l
scop
Ji}
on
or
lJuml ' r:
prc>l:>l
11\:
l< n t I'·
Hr 11 1l l 1 ,'/
l
eo
Nrun :
Adult:
Mino :
Mnl :
Famnl
i
Citiz 11ahip:
Dn
o · J.
t
nt 'I :into Unit
Gt t
-------------------------------Typ
P l.
cm
Add re
T lephon
Numb1· "t
nd ( copo Of pr b
OJJ\t
Nam·:
.Adult:
ti.nor i
/\ dres :
M lo:
Fornnl :
CJ.tizenehipt
D
ot 1 ot entry intro Unit
d
0 ,ro in unc\ r T o cmry Lio ns novr?:
A dr
..-...-------~-------·----------------
ll
T · l phone Numb•·
· rty involved
h
cop of problomr
Adult:
inori
nlot
Fomalei
Ct h !UJhip: ..._.-..........,
D e o laot nt1y
Op r tin
und
Typo of Bu ino o ,
Pnr n r sld.p;
Propri torr·hip:
Co poro,tion:
I
:rino i.pa
:l.vi ual:
proper y
o United St
tt :
L1o noo now? i
_..........~_.....__ _ _ _ _ __...~.........- - - - - - -
p 1'50"
.tJWedt
Ader
T l phon
or
~lurnb1~1 i
p oblomt
Nrune:
Adult:
~ddres
Minors
Mnlo:
l"or al :
O:!tiz r1 hip:
D
ontry into United Gta.tea:
0
T 'o ,o ry Lio· no - now?:
orsor~
T J. phone Numbr· s
Pr nc .pa
nd copo oi' problomt
A/A~Jr.liiliQ.;"•'·
Nnm :
Addr
Dnte o
:
into Unit d Gt t
st ont
_____
-------------.....---.--~----..-..........
ury Lio ns
Typ
p.
1
.L
r
~I'
l. phon
:i..nvo .v d nd cop
or
~ untb,11
p:ro 1. m1
:
..__.
__________...______
~--
N
t
Ad r s
Adult:
Minor:
t
Malo:
ramaJ. •'
C tizonehipt
Dt
ot l st ontry in o Unit d st t
unc\ r T
Lio ·ns
Ty)
:
DO'Vt'? I
-
p
w dt
Num,b1i·1
1.no pa . . ro
r y invol
nd
co
0
f prob.
01\:
--
--
Nnm
Adult:
Ad reeai
Mir10rt
Mnlo:
Foninlo:
Cj :lz · w:ihip:
Dt
o
into U 1 od Stateer
..............._.
Opor
_____________ _______
.
........,
Typ
Ti
r y :lnvolv d nd
oopo
phone Numl>< r: ________..._ _.............,..........._......
or
prob
JtH
0
Nrun :
Adult:
Ad tr es:
Minari
Mn.lo:
Fomal :
C:! tiz r1.ehip:
Dt
o J. at ntry into Unit d Gta.t
~~-----· ----------------------~-
Op r tin und r Treasury Lio n D · now?: ___....._..__....,.....___ _,_.......,..._.........~...,_--.,...__
Typ
Adl r
It
rr l phone
rinc :1 p
on
proper ~r involv d nd
k
ni~l
oop
or
wnb1
problOtlH
i
--------
Adult:
Minor:
Mlllo:
ddr .. ea:
Fomnl :
Citiz nehip:
into Uni d St te :
su
...
L:i.o ns · now?:
Typ
P r ol
A dr Ht
T
volvod
nd
copo
phon
or
__________.. __________
w de
.-;..
Numbi· , ,
p1 obl m·
_________________........._____
f
(I)
e
Telephonet
tnterviewy'
Nam :
Adult:
inora
Males
Famal :
Citizenehipr .....,..............
Addr
Da
ot 1 et ntey into United Stat
~~--~~--~-
e ...-..........-...-................
0 r tin UM r Tre ury Lio nse nowta ..._.......,.__..-i-.. . . .----..-:.-...r-........----..._...,._~
Typ
Addr
T l phon Numbe t __.__._...__ __,........,~.........._....,
Prinoip
00
tat s
Adul.t:
ti.no1• r
nlo:
Fomnle;
m.tiz r1ahip:
Date o
laot ontry into Ul1it d 3tatee~
Op r ting und r T o sury Lio
tHl
ow?~
Typ
Addx·
T · lophono
incjpa.
_,
_____ _________
Mi.unb1~)
...........
rnnoh
.........,_r--..r""
B. nk o! D n
ici eo
o th United '"'ta o
Adult:
ch ees1
Hino •:
Malo:
l~orno.l
c .tiz
Dn
o laot ontry into Un t c Gt te :
Oy or ,in
un
T a
p
'GO
v1 w d:
lr
:l nhono Nun Pl·• " I
pr lomt
:
JU3hip:
o Br nch
n ~ nc
th Unitod t
nk 0£
o
Adult:
Addr
Dn
Minor 1
Mn.lo:
F ma.l :
C:!tiz nehip:
o lll.o
r
~rr
.ouey io n
novr? i
lr
T l · phono Numb1., .. :
Adult:
Minor:
Mr.lo:
Fomal :
Citizcmahip: ......._~--
D
Op r
o la ·t
nt 7 into Unit d
in und r T a oury Lie no
n
Typ
_.....,...
A dr
______________
phone Numb11' .. i
Pr1n.c pa
pro r y involved nd
o
or
probl me
(ti
;
Nnm :
Actult:
tino1 t
Mnlo;
Fo uU.ot
Qj,t, iz Tlt.Jhipt
Da e
or
Op r
laot nt y into United Gtnt8 :
in
und r '£.reasuey Lio ns now? 1
__
...,...
V'
Add
1:
?1incl.pa
Ac
ot
I
pro orty inVQlVod
1:
.,_,..
........................_.._
_____
...,.._~----
WO C
----------·----
'I' 1 · phono N\unb1·)l" 1
nc copo of problomt
----------------~------
(U
Los
F d ral R
F. eoal
Nnma:
Adult:
Minors
Mnlo:
Femn.lo:
Cj.tizcn:)hip: .......................
D
Op r
o 1 ot ont
int,o Unit d Ut .. t
in un l r Tr aury Lie
WJ
:
now? :
i.uwod;
A dr
'r -lophonc
Pr1.no .pal pro r y invo vod
---------------·----------·-------_______________......_...._.........,._
umb · · :
n 1 scopo of prob. orn1
F
Adult: ~
Adlr e
ino
i
M lo:
Famal t
C:Ltiz nehipt _.)(_ __
Dt
Op r
ot
le. t
nt1'y into Unit d St te i
in un r T aoury Lio na · now?:
Typ
--
--,...-..............
---~----
T . l phon
Pr no :1.pa.l pro
Nuntb1·
"1
.._.--____........__________
........
en
Adult:
Add
Iino1·1
Mnlo:
Famn.l :
o:tt:\.z ·nehip:
D
o
Jaat
n l'Y :into lJnit d St t e;
oury Lio n c
Typ
navr?
--~--------~--------
p r on
Addr
t1
T·l phono N'um
Pr c1p
1tr
----·-·---
------------
..........
(l>
Name:
Adult:
Minor:
Ma.lo:
Addr. e :
Fomalo:
CU:lionehip:
to Unit
Ott o laot ntry
Op 'r
Stat
io ns novn:
ing u.nd r T
~.,..._.
._ _ ________
__
__
___
...
.............
.......
_...,.
c;:>
~.J •
(t)
p ·l"SOll
p:
A d:t
'r
1 phone
unibr~r· 1
Adult:
Mli\01·:
Mnlo;
Fental :
Oitizonehipt
Dt
o la.st ontry into Unitod G·t te :
...o.o.i,_,-
·-
.....· ·- - - - -
Op ro. in., und r T e sucy Lio ns · nO\lr'?:
Typ
T · l phon
r no p
pro r y invc
Vt
d
nd
copo
or
Numl>1:
p obl
hH
1
<t>
NMto:
Addt a
Adult:
t
Mino1~:
Ml:
Fomnl :
C ti~ r1ehip:
0 ro.ting ur cl r T e .au.ry Lio noo novr?:
Typ·
Aiitlr ns 1
T
~
r nc pa
pro·p r y invol.v d
phono Nun b<:')l'.' i
m1 oo o of pr blomt
Dt
Tolephon 2
T.nt,,rv:tow:
No.met:
Adult:
Mir\or a
Mtilot
tornal :
Oitiz neh1tn
De.t of la t
Op ro. ing u.nd
ntry into Uni
Tr aou
L
d Gt t
nso novr?:
'ry p
Adr r
-
.
;
I2
T J phon
Num
1· i :
Nnme:
Adult:
inori
Ad lr
Mnlo:
Fomale:
Citizorrnhip: _____._
D · o 1 ot ontty into Unitod Gt te :
rn. in un
T
ury Lio n
Typ
novr?:
P
on
-----------------.-------dt
Yi. W
Aich n •
rr l. phono Numl.>1 1 :
1
Pr . nc
pro r y .Lnvo v d . nc
cope of
---·,--------------
Nrun
Adult:
.t\ . dree :
{inOl"Z
Malo:
Fomal :
crtiz ·n:lhip: .............___
Da. e
or
J.nst ontry into Un1.tod 'tate
i
_______,___________ ____________
,
'l,Y'P
p
p:
l' l".'Ol'
~v
OW·
r y involvod n
~_
:
-------'rd. phone NuntbPr
-----·-------1
i>r1 nc i po.l
..._.
oopo
p
obl~nt
co
Na.me:
Adul.t:
i\ddre a:
'
Minor:
Me.lo: ...
Fomal.o: )(
Cit :l:zonehip t
Dnte of 1 ot
Ope r
ntr;r into Unit d 3t te :
in u.nd r T easury io
tHH
novr? i
_....._.,........_,...
A cr
T lopho1
Pr1.no pa
Numb'~ "I
problom:
-- --·----------
ne loo Branch
v B t1k ot S n 1
nt of th Unit d
A
ro
Adult:
r
inor1
r
<I>
Malo:
Fo
o:
Citiz uehip: ..................
D
0
0
last ont y into Unit
13ur;y Lio
Ty
Gt te .
.......
P
l,
~"'·
"
~
on
T 1 phon
r. nc1.pa.l p op r y lnvolv d nd
0
navr?: ......
Mumbr· i
1
·•
oopo of pr blorne
-----------------------
0
Nrun :
Adult:
Minor:
Adr.lr
Malo;
~omal.o:
Citizcm hip: ..,..........,...._.,_
Dnt ot laot cntcy into United St t
Op r
'ryp·
_r_. . . . . . . . .
...
: ,..
ing und r Tro ou.ry Lie nse now1: _....,...._
of
Bu~inoo
:
P r n rahtp:
Propr~. torL h p:
Corpo o.t .on:
!nd:i.v idt 1:
Pri.no p
property involved
______...._._.___.____.........________
P rsoa
A cl:r
T lephono Numb" 1" 1
~_
F
Nruna:
Adult·
i\dc\r · st
r:Lnor:
Mn.lt) t .
Fomnl
1
C:ttiz -nshipr ~----
Da.t
Op r
ot l at ontry into U itod Ltate ;
ir1
un ·r 'rrc ury Lio
nDll
_,_ _____ _____
__,,
...........
.......,.__
'
novr?:
A d.r
a:
T·l phone
Num\J ~ l"l
_______
_____________,__..'-----............
o
l~rnno
UU.J.,'1Vll.l
"'ta
0
Nrun :
Adult:
Addr s •
Dt
Op
Minor a
Mnlo:
Foma.l :
Oitiz n hipt
oi' la.et ontr, into
t'
utad Gtat
ing und r Tro
novtr:
Typ
P
l'
cm
Ad ctr
T l phone Numbi· l" 1
r1.nc po.
pro r t.y :l.nvo v
1d
i
(
·'
Bra.nett
B nk of Snn Francis
he Unjt d & at .,
Name:
Adult:
Uinor:
Malo:
Fomal t
C tiz nahip: ._.,....._.........
Addr as:
D·':\t
of la at
ntry into Unit d
Or.cratlne undor
Troa~ur
Licon~
now~'t
r:on int rv· err. cl:
'fyp
Pr n' .,. i "· ~ 1 i:- , '1t. p:
Coe ... :" V :in:
lt d V' 1.d.\Jill :
Principal propGr y nvolv· an
I
Ac~
s2
r.-t~t
L..o \ t k. n :
I
i\ddr s.
Tel
t
hon
Numl. or :
cope of probl -m:
·Los An ele Brunch
Federal R erve Bank of .. An Franc 1.sco
Fiscal Aa nt 0£ the Unit d Gt t
I
n.t
Telcphono:
Interview:
Nrun
Addraes:
Dnt of laot ntry in o Unit·d stat s:
O rntir1e Ul'\dor 'rro
~ ur.r
Ti· conn
now :
'typo
'rV
cmod:
Addr '3:1 t
lumber:
Prlncip 1 pro
r y
n rolvr d
an seep of ro J<!ln:
(
I
h
d
I
I
Adult:
~l
Jinor:
Addr ss:
Mtl :
'F 11 l · !
C:Ltizenship:
of
Or. .r
Ty
___ ____ __
st n ry in o United Stntao i
of Dt r,. n t'I ·J 11 :
Pnr•t · 'H' r:h:r •) :
p c1r l ( •• ( 1/ • d p:
.
....._
ine under- 'rro r \.try' Jiccm, · now 1 :
•r oh
:S
n.t rv:1 " · ocl :
,,...._
_.,.......,.,... 1.........
_..............
,,,..
'')
~..I·
Adclr
·'ctl
si
i
I-
Co.r:· ·· ,.. ·i t n:
lnd :l v .C!U~l :
'l' lo rho·
1
Prinoi :.t.l prop rty involv d nd
v
l
4
!
op
or
.NUJn
r:
:ro l( m:
'
A. · i r n L k n d'
II td .t c \ y ~
Loe An ele Brun
Federal R s rv Bank or ~n.n F'r no sco
Fiscal Aa nt of the Unit, d fi llt
(Date)
Tolephono:
In orvi w:
Adul :
.finors
Mc.le:
iii
Fom 1 :
Citi2 nshi
D
of laot
n ry into Unit d Sto.t
01 . . - . . . . - - - - - · - · - - -
110 (' t
r Jon 11
Typ
Addr
rv· . uccl:
o~:
T.clC3 phon • Num 0r:
Trine· r.11 prop0 ·y involv
nd
copo of probl Int
Bro.nob
D~
te;
Tol phono:
t
In orvi vr:
I
Adult:
Uinor:
Addr os:
(ti
.......
Uetl · :
F()Jrta.
:
Cit:lz nship:
D + .. of last
n ry in.to Un:i:
O r tincr undor 'rroa.: ury
Ty.
Pr·
d Stntes 1
Lfoan~,
of D1 .9inr.;i ·J~ t
Po.1' i"n 1r ') 1 pt
Pr(')p.,.l.(;· n ~1M p~
Oor iJnr· . nn:
nd1. v lcl unl i
i Ll proper Jy in rolv
novr? t
I
rt~1
n :l t rvloHo :
Adclr on :
l .hon· NUJnh
an
sco
?:':
of pro 1 m:
LCt\ A olG Brunch
Federal R
rve Bank of
~
n Fr, nc sc
Fiscal A~ nt of th Unit d
sn
c
Adult:
Uinor:
Add.r os:
Dnte of las
0 r
'ry
Ualot
Female:
Citiz nehip:
ntry int10 Uni
ina under 'rroar rr3r icon.,
of Dus in on :
Pa.r Y\Or u .p:
Prnl "J.c or rhl p:
CO.I:' ;~or . i lt :
lnd v l 1 un.l:
Princlp 1 proper y involv d
At~ t
d ,.ta
on t' k
l
a:
ow" :
"er:; on n
i\ddr tHH
rv~
cy1 d:
----
--,--------~- ..............
Tolophon. Num r:
ncJ o op
of probl m:
t ' I'
ridl .r
N n
Adult:
Unor:
Addr oa:
Hol
F male:
Ci iz n hip:
D
oi' l st
0
rat n undo
n ry into Unit· d stat s1
·rr
no.,,.,:
am.ll\ r Li onr:,
r
r 1 n i n:L rv.. u cl 1
G
Prlnc :L l
o
nd
f
Ai t l n t k
11
n
phon Numh
of
ro lum:
Lo An ola Bro.nch
ci o
Bank of ti n F
d ral R
Fiaeal Afl nt of th Unit d
r
to
at
Tc o]!t ono:
I
In erviow:
nI
Adult:
1Jinor:
Add.r SS:
Halo:
Fon l :
Citizenuhi~
or
Dnt
t1£.e under Tr .. 'ury
O ra.
Typ
r~ ic
-----···---
----------
...........-~-
nr,
of' Duoineon:
Pl:\l' .1 nr5 L
:
Pro fl i< rn ~,hJ p:
Car po r. ~ n 1
1ndi V' Ldw1l t
Prine i
AL
sta.t as
n ry in o Un:i
as
t
1.
ot
l
re par y in vol v
< t1
~ 01 r l
I I
J\.dclro o:; ~
Tolo . hon· NUJnbor:
nd ocop
or
rob m:
@FedFRASER