First Name:

Last Name:

Other Name:

Gender:

Marital status:

City:

Year of birth:

Masaki

Nakayama

Michael

M

Single

Arlington

1921

Entry Type:

DE

Entry Date:

​

Departure Type:

-------------

Departure Date:

​

Destination City:

---------

Destination State:

​

Family #:

34009

Individual #:

34009H

Citizenship:

C

Camp Address:

1-16-6-C

Farline Id:

10743