First Name:

Last Name:

Other Name:

Gender:

Marital status:

City:

Year of birth:

Karoku

Nishikawa

​

M

Single

Visalia

1918

Entry Type:

DE

Entry Date:

​

Departure Type:

Term W/G

Departure Date:

​

Destination City:

Visalia

Destination State:

CA

Family #:

41595

Individual #:

41595A

Citizenship:

A

Camp Address:

3-317-14-H

Farline Id:

11111