First Name:

Last Name:

Other Name:

Gender:

Marital status:

City:

Year of birth:

Michitane

Nakadate

Glen

M

Single

Los Angeles

1935

Entry Type:

SaAC

Entry Date:

​

Departure Type:

Term W/G

Departure Date:

​

Destination City:

Los Angeles

Destination State:

CA

Family #:

18125

Individual #:

18125C

Citizenship:

C

Camp Address:

3-327-3-A

Farline Id:

9962