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rs,
STATEMENT OF PUBLICATIONS AND ARTICLES OF WHICH EMPLOYEE IS AUTHOR: (30)
TITLES (30a)
PUBLISHER (30b)
(30)
H
DATE (30c)
5
(30a)
(585)
STATEMENT OF RELATIVES: (List wife, husband, mother, father, brothers, sisters, sons, daughters, including all blood
relatives or by marriage living outside the U. S.)
(31)
CHVSVCLEB
Ote
MOMK
(sap)
(30b)
(sap)
(300)
RELATION (31a)
EWEW
NAME IN FULL (31b)
WEM
ADDRESS (31C) ED 2.LV.I
OCCUPATION (31d)
COUNTRY
WHERE BORN (31e)
(30c)
(516)
IT
(SAQ)
Husband
Williem Robert Day
F.H.McGraw Co.
(31)
(5)9)
-
I.S.Navel Operat. Base
ICE (sap)
clerk
United State
(sip)
Bermuda
(31a)
Mother
Adele s. Brush
425 Old Boonton Rd.
(500)
(31b)
or
201
Boonton, N. J.
housewife I SUnited State:
(30m)
(5010)
(31c)
Father
George W. Brush
425 Old Boonton Rd.
(se)
Boonton, N. J.
districk clerk United Stat
es
Aeronautic Mech.
(31d)
Brothers
d. Mas Jr. & Paul
Same
Student
United St
ates
(30))
(se)
STATEMENT OF MEMBERSHIP IN ORGANIZATIONS: (List all organizations of which you are or have been a member since
1
(31e)
(sep)
930-Organizations include military, athletic, vocational, musical, trade, professional, social, fraternal, political.) (a2)
(508)
ADDRESS OF
(32)
YEAR OR YEARS A MEMBER (32d)
(A
NAME (32a)
CHARACTER (32b)
(901)
(ser)
PRINCIPAL OFFICE (32c)
(586)
5
ny hy
(32a)
American Nurses Assn.
professional
Weshing
5
Alumni Assn.
Il
Trange, Ne J
to
5,
chairs
/
(32b)
sep)
we
IME
Newark, N.
Aver
5
seB)
(38)
(ses)
District No. 1
opeck pole:
is
(32c)
OL n is
WIFLIVEA VAD BECOKD: I speck çO sug IU
YOU
(tap)
(329)
(sap)
2300
(SRC)
WOLHES
o
.
(319)
(SIG)
(32d)
(31C)
n v
E
en
CE Ot
CLISE
(SVP)
(33)
MOAN: lis Aon VME VM VMD EMEVE to on os anewil MMI-105
(33 9)
(34)
STATEMENT OF ACTIVITIES FROM 1914 to 1918: (33).
(sap)
11 Aon SLG un 91160 sug JUAG poca 9 n 2 POL OL suq peas SI CILISGU" mpl
(34a)
(538)
(SSU)
STATEMENT OF VIOLATIONS OF THE LAW: (Do not include traffic violations; include all arrests). (34) NONE
(34b)
($36)
(539)
1.14
a
Oneer
OFFENSE FOR
CITY OR TOWN IN
STATE AND COUNTY
DISPOSITION
(53 C)
WHICH ARRESTED (34a)
LHV DATE (34b)
1.
WHICH ACTION (34c)
IN WHICH ACTION (34d)
OF CASE (34e)
(34c)
bH whel HVAS BEEA 14
CEM
TOOK PLACE
TOOK PLACE
(ssp)
ZWE QU MEAEHAZ
($31)
MOJ bVELE
(ssq)
COjOL of POTL (530
(34d)
Sil
I
HO.LOGHV6H
(319)
(319)
COPOL (ssp)
(34e)
I
A
($0)
($0)
(sim)
(sip)
(35)
(1ap)
6
(189)
Hours sqquesa
(35a)
(ISC)
(109)
STATEMENT OF FINGERPRINTING: (35)
(35b)
(186)
(11)
I havexrok have (35a) been fingerprinted. (is) If so, when?(35b). June 22, 1942 and where?(35c). Orange, N. J.
OL suse
(35c)
(104)
If you have not been fingerprinted, are you willing to be, with full knowledge that such fingerprints will be forwarded to the Federal
(rop)
(193)
(YES OR NO)
-3-
1
(35d)
Bureau of Investigation? (35d) IVKER LIE LOTTOMMO
LOUN
ENLTOAEE.2 DECI VBV.LION

Page data

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Document data

ID: 2661322
Core: doc
Type: document

DTO data

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Document identity

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Document source metadata

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Document source extras

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Page context

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    "ocrText": "(5)\nrs,\nSTATEMENT OF PUBLICATIONS AND ARTICLES OF WHICH EMPLOYEE IS AUTHOR: (30)\nTITLES (30a)\nPUBLISHER (30b)\n(30)\nH\nDATE (30c)\n5\n(30a)\n(585)\nSTATEMENT OF RELATIVES: (List wife, husband, mother, father, brothers, sisters, sons, daughters, including all blood\nrelatives or by marriage living outside the U. S.)\n(31)\nCHVSVCLEB\nOte\nMOMK\n(sap)\n(30b)\n(sap)\n(300)\nRELATION (31a)\nEWEW\nNAME IN FULL (31b)\nWEM\nADDRESS (31C) ED 2.LV.I\nOCCUPATION (31d)\nCOUNTRY\nWHERE BORN (31e)\n(30c)\n(516)\nIT\n(SAQ)\nHusband\nWilliem Robert Day\nF.H.McGraw Co.\n(31)\n(5)9)\n-\nI.S.Navel Operat. Base\nICE (sap)\nclerk\nUnited State\n(sip)\nBermuda\n(31a)\nMother\nAdele s. Brush\n425 Old Boonton Rd.\n(500)\n(31b)\nor\n201\nBoonton, N. J.\nhousewife I SUnited State:\n(30m)\n(5010)\n(31c)\nFather\nGeorge W. Brush\n425 Old Boonton Rd.\n(se)\nBoonton, N. J.\ndistrick clerk United Stat\nes\nAeronautic Mech.\n(31d)\nBrothers\nd. Mas Jr. & Paul\nSame\nStudent\nUnited St\nates\n(30))\n(se)\nSTATEMENT OF MEMBERSHIP IN ORGANIZATIONS: (List all organizations of which you are or have been a member since\n1\n(31e)\n(sep)\n930-Organizations include military, athletic, vocational, musical, trade, professional, social, fraternal, political.) (a2)\n(508)\nADDRESS OF\n(32)\nYEAR OR YEARS A MEMBER (32d)\n(A\nNAME (32a)\nCHARACTER (32b)\n(901)\n(ser)\nPRINCIPAL OFFICE (32c)\n(586)\n5\nny hy\n(32a)\nAmerican Nurses Assn.\nprofessional\nWeshing\n5\nAlumni Assn.\nIl\nTrange, Ne J\nto\n5,\nchairs\n/\n(32b)\nsep)\nwe\nIME\nNewark, N.\nAver\n5\nseB)\n(38)\n(ses)\nDistrict No. 1\nopeck pole:\nis\n(32c)\nOL n is\nWIFLIVEA VAD BECOKD: I speck çO sug IU\nYOU\n(tap)\n(329)\n(sap)\n2300\n(SRC)\nWOLHES\no\n.\n(319)\n(SIG)\n(32d)\n(31C)\nn v\nE\nen\nCE Ot\nCLISE\n(SVP)\n(33)\nMOAN: lis Aon VME VM VMD EMEVE to on os anewil MMI-105\n(33 9)\n(34)\nSTATEMENT OF ACTIVITIES FROM 1914 to 1918: (33).\n(sap)\n11 Aon SLG un 91160 sug JUAG poca 9 n 2 POL OL suq peas SI CILISGU\" mpl\n(34a)\n(538)\n(SSU)\nSTATEMENT OF VIOLATIONS OF THE LAW: (Do not include traffic violations; include all arrests). (34) NONE\n(34b)\n($36)\n(539)\n1.14\na\nOneer\nOFFENSE FOR\nCITY OR TOWN IN\nSTATE AND COUNTY\nDISPOSITION\n(53 C)\nWHICH ARRESTED (34a)\nLHV DATE (34b)\n1.\nWHICH ACTION (34c)\nIN WHICH ACTION (34d)\nOF CASE (34e)\n(34c)\nbH whel HVAS BEEA 14\nCEM\nTOOK PLACE\nTOOK PLACE\n(ssp)\nZWE QU MEAEHAZ\n($31)\nMOJ bVELE\n(ssq)\nCOjOL of POTL (530\n(34d)\nSil\nI\nHO.LOGHV6H\n(319)\n(319)\nCOPOL (ssp)\n(34e)\nI\nA\n($0)\n($0)\n(sim)\n(sip)\n(35)\n(1ap)\n6\n(189)\nHours sqquesa\n(35a)\n(ISC)\n(109)\nSTATEMENT OF FINGERPRINTING: (35)\n(35b)\n(186)\n(11)\nI havexrok have (35a) been fingerprinted. (is) If so, when?(35b). June 22, 1942 and where?(35c). Orange, N. J.\nOL suse\n(35c)\n(104)\nIf you have not been fingerprinted, are you willing to be, with full knowledge that such fingerprints will be forwarded to the Federal\n(rop)\n(193)\n(YES OR NO)\n-3-\n1\n(35d)\nBureau of Investigation? (35d) IVKER LIE LOTTOMMO\nLOUN\nENLTOAEE.2 DECI VBV.LION"
}

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