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T ay (5) Mrs. H STATEMENT OF PUBLICATIONS AND ARTICLES OF WHICH EMPLOYEE IS AUTHOR: (30) 5 TITLES (30a) PUBLISHER (30b) DATE (30c) (30) (rap) a querte (30a) (380) (580) 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) (30b) (TRP) (59%) E RELATION (31a) NAME IN FULL (31b) ADDRESS (31c) OCCUPATION (31d) COUNTRY WHERE BORN (31e) (30c) (330) - (534) Husband villiam Robert Day (31) (519) (sep) (380 U.S.Haval Operat. Base (sip) + clerk United State (318) Bennia (31a) (S3) e No ther Mele T. Jrush 425 01. Boonton Rd. (31b) (sein) Jeonton, N. J. housewife United States (31c) (30)) Father George V. Brush 425 014 Boonton Rd. Boonton, N. J. districk cleric United States Brothers Same Aeronautic Mech. (31d) G. Vas Jr. & Panl (30)) 1 United thtes (se) u STATEMENT OF MEMBERSHIP IN ORGANIZATIONS: (List all organizations of which you are (or) have been a member since (31e) (sep) 30-Organizations include military, athletic, vocational, musical, trade; professional, social, fraternal, political.) (32) s (seB) (32) (301) 5 NAME (32a) CHARACTER (32b) (sep) ADDRESS OF PRINCIPAL OFFICE (32c) YEAR OR YEARS A MEMBER (32d) (sée) (sem Vashing nhs ony nyo. (32a) American Hurses Assn. professional 5 (100) Alumni Assn. A # Orange. N. Je 5 DEMEL (32b) District No. 1 cpock pelo: Newark, N. J. 5 (T03) (129) DEOKEICA VMD IVAVE BECOKD: CUGCK to orge (32c) you (sap) ($29) (rep) (380) (sau) WOLHEN (308) (SEP) (32d) 11 E Ols (sep) AO whr VM Vr VMD EMOVOED on os anewia hom MMI-123 (33) (310) (34) (13 C) STATEMENT OF ACTIVITIES FROM 1914 to 1918: (33) (sap) Il Aon SLG su STIGU gug pesu 9 Leargeup of gpo a 2° [OL BAG ACSLA or LIOLG suq psag wor pecourg gr PESTG Aon (34a) (7) (133) STATEMENT OF VIOLATIONS OF THE LAW: (Do not include traffic violations; include all arrests) (34) (34b) (S$0) OFFENSE FOR CITY OR TOWN IN STATE AND COUNTY WHICH ARRESTED (34a) LHV DATE (34b) 10 DISPOSITION WHICH ACTION (34c): IN WHICH ACTION (34d) OF CASE (34e) (34c) oh HVAE BEEV IV CEA TOOK PLACE TOOK PLACE (stp) I OM a DE MOIL (ssq) (536 ($51) (34d) (sip) HO.LOCHVbH (515) COjOL (ssp) (sso) (34e) (so) (180) (30) OI brapot (sip) (35) (iap) (189) LAI) (Tap) sea Hond (35a) (104) developies (isp) STATEMENT OF FINGERPRINTING: (35) (35b) (199) (11) have (35a) I been fingerprinted. If so, when?(35b) June 22,1942 and where?(35c) Oxange, n. J. (10c) (35c) If you have not been fingerprinted, are you willing to be, with full knowledge that such fingerprints will be forwarded to the Federal (1ep) VIVKER .LHE (YES OR NO) 4 (35d) Bureau of Investigation? (35d)

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Context sent to Scholar

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Page context
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