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(5)
rs,
(sa s)
H
STATEMENT OF PUBLICATIONS AND ARTICLES OF WHICH EMPLOYEE IS AUTHOR: (30)
TITLES (30a)
PUBLISHER (30b)
DATE (30c)
(30)
(300)
5
(sap)
(30a)
(380)
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)
(sap)
RELATION (31a)
NAME IN FULL (31b) EWBI
($88)
ADDRESS (31c)
OCCUPATION (31d)
COUNTRY
E
WHERE BORN (31e)
(30c)
(116)
-
Husband
villion Hobert Day
Co..
(31)
(534)
ICE (sep)
U.S.Haval Operat. Jlase
United State
(sap)
clerk
+
Bermãa
(31a)
(21.0)
5
Nother
435 014 Rd.
(31b)
(300)
Male T. Banush
Joonton, N. J.
housewife
United Statep
(31c)
Father
George W. Junsh
425 014 Boonton Rd.
Boonton, N. J.
districk clerk United States
(se)
Brothers
De Ves Jr. & Panl
fame
toronautic Mech.
(50))
Unitel-It)
ates
1
(sep
STATEMENT OF MEMBERSHIP IN ORGANIZATIONS: (List all organizations of which you are or have been a member since
(31e)
u
1930-Organizations include military, athletic, vocational, musical, trade, professional, social, fraternal, political.) (32)
(sep)
(A
NAME (32a)
CHARACTER (32b)
ADDRESS OF
YEAR OR YEARS A MEMBER (32d)
(32)
(sep
5
3
PRINCIPAL OFFICE (32c) 50
(506)
(32a)
American Murses ABSn.
professional
hys. n.1.
5
(309)
Alunni Assn.
#
Orange, M.J.
5
(32b)
(sup)
MVA
ARE
District No. 1
*
N. J.
5
(507)
PGLG:
(32 C)
(32c)
OB n
BOKEICK
ILVBA VAD AVAVT KECOKD
to pasucp gug
1013
(sap)
(520)
(sep)
($29)
sure
WOINES
(3V0)
(sip)
(SVG)
(32d)
(300)
M
V
E
6r CE OL BIBLH
CLUSEM
(rep)
MOJE: Aon VIE VA VHD ou on anewill toun
(33)
(53Q)
(34)
(53 C)
STATEMENT OF ACTIVITIES FROM 1914 to 1918: (33)
(33 ))
2on SLG su STIGU sug pesu 9 rpg n 2 [OL PAG OL USAG not pecoure S mp) Aon
(34a)
(338)
(35)
STATEMENT OF VIOLATIONS OF THE LAW: (Do not include traffic violations; include all arrests) (34)
NOTH
(34b)
(SSG)
the anea.
OFFENSE FOR
CITY OR TOWN IN
STATE AND COUNTY
DATE (34b)
DISPOSITION
(SS C)
WHICH ARRESTED (34a)
1 WHICH ACTION (34c)
IN WHICH ACTION (34d)
OF CASE (34e)
(34c)
BEEM LUKEN
TOOK PLACE
TOOK PLACE
(ssp)
on LOE
I
(538)
BIVIRE-DO MOJ
(ssq) -
Cojor of (sso
(ssu)
(34d)
(sip)
(513)
2GX (x3#) 3
Cojor (ssp)
#
(sso)
(34e)
(SO)
6
(50)
cpnicp
byapol (sip)
(35)
(18m)
and
(ras)
Hours sqquea the
(35a)
(100)
(183)
(IBP)
STATEMENT OF FINGERPRINTING: (35)
(35b)
I
have (35a) or
(13)
havernot
been fingerprinted. If so, when?(35b) June 22, 2942 and where?(35c) Orange, N. J.
(35c)
(100)
If you have not been fingerprinted, are you willing to be, with full knowledge that such fingerprints will be forwarded to the Federal
(19P)
(35d)
Bureau of Investigation? (35d) LHE EOFFOMMA
(YES OR NO)
-3-
0
LOWW
EVIBTOXEE.2

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Document data

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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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        "logicalDate": "1946-07-30",
        "month": 7,
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Page context

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    "ocrText": "(5)\nrs,\n(sa s)\nH\nSTATEMENT OF PUBLICATIONS AND ARTICLES OF WHICH EMPLOYEE IS AUTHOR: (30)\nTITLES (30a)\nPUBLISHER (30b)\nDATE (30c)\n(30)\n(300)\n5\n(sap)\n(30a)\n(380)\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)\n(30b)\n(sap)\nRELATION (31a)\nNAME IN FULL (31b) EWBI\n($88)\nADDRESS (31c)\nOCCUPATION (31d)\nCOUNTRY\nE\nWHERE BORN (31e)\n(30c)\n(116)\n-\nHusband\nvillion Hobert Day\nCo..\n(31)\n(534)\nICE (sep)\nU.S.Haval Operat. Jlase\nUnited State\n(sap)\nclerk\n+\nBermãa\n(31a)\n(21.0)\n5\nNother\n435 014 Rd.\n(31b)\n(300)\nMale T. Banush\nJoonton, N. J.\nhousewife\nUnited Statep\n(31c)\nFather\nGeorge W. Junsh\n425 014 Boonton Rd.\nBoonton, N. J.\ndistrick clerk United States\n(se)\nBrothers\nDe Ves Jr. & Panl\nfame\ntoronautic Mech.\n(50))\nUnitel-It)\nates\n1\n(sep\nSTATEMENT OF MEMBERSHIP IN ORGANIZATIONS: (List all organizations of which you are or have been a member since\n(31e)\nu\n1930-Organizations include military, athletic, vocational, musical, trade, professional, social, fraternal, political.) (32)\n(sep)\n(A\nNAME (32a)\nCHARACTER (32b)\nADDRESS OF\nYEAR OR YEARS A MEMBER (32d)\n(32)\n(sep\n5\n3\nPRINCIPAL OFFICE (32c) 50\n(506)\n(32a)\nAmerican Murses ABSn.\nprofessional\nhys. n.1.\n5\n(309)\nAlunni Assn.\n#\nOrange, M.J.\n5\n(32b)\n(sup)\nMVA\nARE\nDistrict No. 1\n*\nN. J.\n5\n(507)\nPGLG:\n(32 C)\n(32c)\nOB n\nBOKEICK\nILVBA VAD AVAVT KECOKD\nto pasucp gug\n1013\n(sap)\n(520)\n(sep)\n($29)\nsure\nWOINES\n(3V0)\n(sip)\n(SVG)\n(32d)\n(300)\nM\nV\nE\n6r CE OL BIBLH\nCLUSEM\n(rep)\nMOJE: Aon VIE VA VHD ou on anewill toun\n(33)\n(53Q)\n(34)\n(53 C)\nSTATEMENT OF ACTIVITIES FROM 1914 to 1918: (33)\n(33 ))\n2on SLG su STIGU sug pesu 9 rpg n 2 [OL PAG OL USAG not pecoure S mp) Aon\n(34a)\n(338)\n(35)\nSTATEMENT OF VIOLATIONS OF THE LAW: (Do not include traffic violations; include all arrests) (34)\nNOTH\n(34b)\n(SSG)\nthe anea.\nOFFENSE FOR\nCITY OR TOWN IN\nSTATE AND COUNTY\nDATE (34b)\nDISPOSITION\n(SS C)\nWHICH ARRESTED (34a)\n1 WHICH ACTION (34c)\nIN WHICH ACTION (34d)\nOF CASE (34e)\n(34c)\nBEEM LUKEN\nTOOK PLACE\nTOOK PLACE\n(ssp)\non LOE\nI\n(538)\nBIVIRE-DO MOJ\n(ssq) -\nCojor of (sso\n(ssu)\n(34d)\n(sip)\n(513)\n2GX (x3#) 3\nCojor (ssp)\n#\n(sso)\n(34e)\n(SO)\n6\n(50)\ncpnicp\nbyapol (sip)\n(35)\n(18m)\nand\n(ras)\nHours sqquea the\n(35a)\n(100)\n(183)\n(IBP)\nSTATEMENT OF FINGERPRINTING: (35)\n(35b)\nI\nhave (35a) or\n(13)\nhavernot\nbeen fingerprinted. If so, when?(35b) June 22, 2942 and where?(35c) Orange, N. J.\n(35c)\n(100)\nIf you have not been fingerprinted, are you willing to be, with full knowledge that such fingerprints will be forwarded to the Federal\n(19P)\n(35d)\nBureau of Investigation? (35d) LHE EOFFOMMA\n(YES OR NO)\n-3-\n0\nLOWW\nEVIBTOXEE.2"
}

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