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I
T.
rb
7
0
Cop is
e
THE 4 goos
7
IMPORTANT
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.
Berrie
1 Name
Miss Hessie R. Porter.
R.,
2 Address
Southampton Hospital, Southampton, N. Y.
3
Place of birth Indericlan n.B. Canada
is
4
5 In emergency notify Mrs Hamiltru Woods Induction B.
Date of birth april 27th 1887
Court or Agency of State Department at which application was
559 King st.
6
filed British Consultate new york City
7
Date application was filed Jan 544, 9988
*8 Address prior to date of sailing
14 East 16th st.
New york City
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\nT.\nrb\n7\n0\nCop is\ne\nTHE 4 goos\n7\nIMPORTANT\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.\nBerrie\n1 Name\nMiss Hessie R. Porter.\nR.,\n2 Address\nSouthampton Hospital, Southampton, N. Y.\n3\nPlace of birth Indericlan n.B. Canada\nis\n4\n5 In emergency notify Mrs Hamiltru Woods Induction B.\nDate of birth april 27th 1887\nCourt or Agency of State Department at which application was\n559 King st.\n6\nfiled British Consultate new york City\n7\nDate application was filed Jan 544, 9988\n*8 Address prior to date of sailing\n14 East 16th st.\nNew york City\nIf 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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