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I
a
-
L
e
L.
el
18
ROSS
2
196
IMPORTAN
We request that you make application for passport immedi-
ately so that you may fill in the questions listed below and return
this blank in the attached envelope.
1 Name
Miss Lelia Halverson
2 Address c/o Miss May McCulloch, 419 S. 5th St., Grand Forks, N. D.
3
Place of birth mishicar manitawac 60., Nisconsu
4
Date of birth
august 25, 1883.
5
In emergency notify G.B. Halverson, Gilley, N.D.
6
Court or Agency of State Department at which application was
filed U.S.Anstrue Crut . Graud In to N.A.
7
Date application was filed Dec. 26th-1917
*8
Address prior to date of sailing How Dec. 27 to your 18
% miss baroline Vaw Blarcom
44 E 23nd St. new your City , nity
*If it is impossible to comply with the above at this
time we would request that you keep us informed by wire of any
changes in your address, as it may be very important that we
communicate with you regarding changes in date of sailing.
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"ocrText": "I\na\n-\nL\ne\nL.\nel\n18\nROSS\n2\n196\nIMPORTAN\nWe request that you make application for passport immedi-\nately so that you may fill in the questions listed below and return\nthis blank in the attached envelope.\n1 Name\nMiss Lelia Halverson\n2 Address c/o Miss May McCulloch, 419 S. 5th St., Grand Forks, N. D.\n3\nPlace of birth mishicar manitawac 60., Nisconsu\n4\nDate of birth\naugust 25, 1883.\n5\nIn emergency notify G.B. Halverson, Gilley, N.D.\n6\nCourt or Agency of State Department at which application was\nfiled U.S.Anstrue Crut . Graud In to N.A.\n7\nDate application was filed Dec. 26th-1917\n*8\nAddress prior to date of sailing How Dec. 27 to your 18\n% miss baroline Vaw Blarcom\n44 E 23nd St. new your City , nity\n*If it is impossible to comply with the above at this\ntime we would request that you keep us informed by wire of any\nchanges in your address, as it may be very important that we\ncommunicate with you regarding changes in date of sailing."
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