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last entry into United State

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Type

or

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Principal property involved a.nd scope o! problem:

/

Act. ion t,a.k n: *

*At.taoh additiono.l pag e Where nee soary

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Branoh
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t

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ury Lio no · now?;

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nt

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o:

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t o the United State

(Date)
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,;

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I

.

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0

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ur
T

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r

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Addr

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X

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R rv Bank o San Franc iao~
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ni t

, ..

Loe Angel n Branch

R rv Bank or San Franciso~
A19nt of the Unit d St~ o

17
[Dat )

T lephono:
Int rview:

N.mo:
Adci:r

l)1

J

AdUlt:

o lo.

X

llinor 1
Ualo: X
Fama.Io:
Ci izonshi

$

on ry in

Uni u 3t

U
-------.-...

o:

P x

on

Ade

"

T le hon(\ Ntunbcr :
c )("

or

pr 'olom:

I

AoL

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N me:
Adult :1
llincr t
lla.1 I
Fem.ale:
Citizenship:

)) · i' of t.i.at ont1ry i.n

ni

mdov 1rr a. ury Lio n· . now? :

P rson
Atldr

Tol(\ph no Uurob r:
rln 1 p, l prop r ·y 1nv lv l

Aa , ot

i

ht , ch

1k

n oc p o!. problem:

-------·-------------~

Name:

Adult:
Minor :

X
fnl
F ma.lo:
Citiz nsh p:

Dn.t

of

.!lt ont y into Unit d St t s:

Opot 1n.ting undor T

u.ry Lio trno now?:

Typ

P • on I

p:

Addr

~

..

~

'rol ph n

Ntm1

'r:

('3copo o p oblomt

c

h

]

m

Adul

I

lliMrl

T

Ad
Tol ph<"'n ll

Prit c p 1 pr

I

I

/\ c , i.01

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I

1

,.,r :

Lo1 Ariplt Dranoh

r.ii11aNt.1..

a....,,. Bank ot San Francisco

Pieoil

A.-.t ot the United Statee

S-1

1

{Dat.e)

,,..

Telephone:

X

Interview:
Adult:
llinor:
J

Uale:
Female:
(}
Citizenship: _ __

Date of last entry into United States:

Operating under Treasury License nett?:
Typ . of Bu sine::; s :
Par nership:

Person f.ftttirftcwed:

Proprietorohip:
AddreBS& -----------------------------.-

Corporation:
Individual: X

Telephone

Principal property involved and scope

I

Act.ion t k n: ~~

I

or

Numb~r:
I

problem:

'l :;

I

-Tno.to)
T lephono:

N e.

Intorviaw:

X

Adul : )(
lli.nC'r:
Ualo:
Femal :
Cit izonship:

lJ

of

·ntry int U1

l.ld

~.:ft

11' .

(:)

t

now?:

~

I
Tol h'"'n
ncop o!'

1·1

Nui:nbcr:

r oblem:

I

Nt1.m "

_,

'rr

ury Lie

i n.

T

______
_..

now? 1
p

l'

J\d

n
00

I

lcaphrno Nu.m nr:
r r y involv cl nn
I i ,r

, r. t•.

on

n:

,

no ,o

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

leo B anch

'-/

--Tnu-t-e)_......___ _
N.m :

)1f2

T lephono :
Interview:

-

Adult: )(
Minor 1

Addr .

Ul:
Fem.a.lo:
Oitizon~hip:

D.
Op~r

in und

~

'rr

(), · tU'.'~'

ic

Typ

1

•

--

no\·r?:
p

1~

BIH

l phon NUJt\br r,
r ;\nc1 p l propo:r y

~nvolv ·

probl m:

l o Branch
d

~tatoa

Adu.1 : ,,

llinor:
Ual : ,
F ru.alo:

Citiz nship: _.__...,.._._....._

b L1 of lo a
0

m ry in ,., Un od 3t

-

.
C'.l

,.J•

Address:

'fol phcno Num.b0r 1
I. r i

problom1

u

•

l

0

e/d

...

Lo An, 1 Dra.nch
erv- Dank or Sart 'Fr noise~
Agent o! the Unit d t tep

R

N mo
AddrGs

Adul :

~

Mint"r :
Un.lo:

Female :

Ci

Do.Lo

or

lo.rt on -ry in ,, Unit·1. d ''ti1.r :; :
n und r

r

IL

ury Uc l

no\'T?:

Tel

ph~n .

or

At.L

Numbr.r1

robl mt

izon~hip:

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CJ)

N mot

Adul · !
llin r:
l!alc:

Addr eat

F'emnlo:

Ci

b t

of 1 at en ry int

Opr-:i: t

~ta: ,e :

tJrd t
I

n. undor 'r r

i ~3

now?:

T

p;

00

l

or

robl mt

j

zon hip:

u.

1 o Branoh

M' Bank of s Fr ciao
A nt of th Uni od St t o

(/)

Adult:
lliMr I
ll 101 .

F male:
Ci

b

J

of 1 ot on ry n ,., Unit 13
\tndo

'rr o. \rty L c nr.

izan~hip:

St

now?:
P rt;

n

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

Tel I hC'lnc
o.t' problenu

7

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T lephon
Interview:

Adult:
llinC'r:

Mal ;
F ma.lo:
C izonship: ..__.___ _

l) l

of lo.at ontry intr:> Uni

Typ

a

Du. Ln Rn t

rt,n rsMp:
Propd1 toroh:lp1
on :
Corpor
ln vidun.l:

I

T l .ph no Mumb r.r: _ _ _ _...___._,..._.___........,

or

) It, 0 \

t obl m:

_,,

Adult:
il.n<'.'r i
l!F .l :

Add.r er i

F

ma.lo:

C iz nsh p: ,;.....;..........,_""""-"'

D,
OJ Pr.

Of 1 t ·n ry

in

sury Lie

l

1.

n

w?:

w :

rt.nor s
Propi"i

Co11 por n
JncUvid
fr

0I

T l

hem Nurn

t l~:

pr bl mt

~

m :

dd

9r

Adul I
in<='r:
tfal . :

t

.

F roa.l · :

Clt izon hip:

. st ontry in·

ting undor
1 .

rr

1

Unit<.;d "tn

nsury Li.c n .. c- now?:

P r

n

T l phon · Nu.rn 0r :

or

rob

nu

-------~-----·---------

l
Ba.nk
~!

Br neh
or s n Frs.nc so

the Unit d Stat

-

(Date )

I

TelephoM:
ntorv1.ew:

Adul

1

hlint1r:

llal

2

Fe.mal :
Oi bonship1

)) t~

Op r

o:r lo.
in. und

· nt y

n o Uni

a ury

io n

l'\ r? :

T
es1

Ad

'r
r y 1nvolv d

l'\

1 phC'no NUl?lb r :

noop

f probl mt
(

N .rn :
Adul :

Addr

J\

Minor 1
ld l : '>(
F nial · :

A
J t· _
·t _
· -~-Ci iz nah:ip: ""

On, o

aot
undor 'rr a.om y Lie

t ~

n ·r?:
('m d:
d

t..J •

~

o~

t

--......----...-.·----------------------

ol ph('lno Nuinbcr :

r

Q

o! problem:

Add:r.

Dai,

or

lo.at en ry int,., Un:lt od Gtn
ne und ot' 'I'r o oury 1 c e1 l

'ly

of nu in rl' :
P r tn r- ,, 1 i p :
Propd ,orahi1 i
Corpo:rnt on:

P

rs

Addr cs a:

Jnriividunl:
f rJ 1 c1 pal pr~ . :r y

now? :

____________

____

..........

,

ro1 phono Num rr 1

1

i.nv v d

n

OCC"ll

o.r problcmt
1,,

r o

y

N nt

1

Adult I
Minor 1
U.'lla1
F emnlo:

I

Ci izonship:

Da.

J

of laat1 ont ry in

TJni

1,,

Opo:re. 1.ng undor 'rr noury L c n
' yp

:

n '''?:

Partn rnhip!
P:ropri tor nhip t
Corporni:.ion:

A ell"

__ ____

Individun.J.:

T 1 hon Nt.un or :

.

Of 81 , in

tlO I

Pr ncipnl p. ~por y inv lv d

I

~tat

P x· n

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

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

___

..........

,,_....,.;

Loe ~le Branch
R rv Blink or San Frtanciso~
A nt or the Unitod St s

'

<1l

r~

me:
Adult:

Addre

X

lliMr l

?.!a.lo:
Female!
Ci izonship:

na ~

of lo.st untry into Uni od Stats
ng undot· 'rr aaury Lio ns

Ty}• o

usln As:

now?:
P rs

artn rol p:

Pl'op.rio ,oral ip:
Corpor 1 on :
1nd.i vidun.l:
r .n

Add.roe '

'fol· phoM Nurn r :

nn ncop o!' prc'o em1

L/

I .l/
(Date)

Telephone:
Interview: K

Adult: '/(.
llinor:
Uale: X
Female:
/.
Citizsnship: c._--<',_(.....
. ___~

l>ate of la.st "ntry into United States: .._.._............,...
Opera.ting under Treasury Lie ense now?: ~.-..---~~~-...-...----~~------­

Typ

or

Business:
Partnershi :
Proprietor ~ hip:

Addross i

Corporation:

Individual:

Telephone Number:

Principal pr perty involved and scope

or

problem:
I

Atta.ch additional pa

s whe

nee

3&17

1( t