First Name:

Last Name:

Other Name:

Gender:

Marital status:

City:

Year of birth:

Tomoaki

Nakamine

Jack

M

Single

Anaheim

1920

Entry Type:

DE

Entry Date:

​

Departure Type:

Ind Invit

Departure Date:

​

Destination City:

Chicago

Destination State:

IL

Family #:

24107

Individual #:

24107A

Citizenship:

C

Camp Address:

1-38-7-B

Farline Id:

10123