First Name:

Last Name:

Other Name:

Gender:

Marital status:

City:

Year of birth:

Kiyomi

Takata

​

M

Single

Gilroy

1902

Entry Type:

SlAC

Entry Date:

​

Departure Type:

T

Departure Date:

​

Destination City:

Rohwer

Destination State:

AR

Family #:

30527

Individual #:

30527A

Citizenship:

A

Camp Address:

​

Farline Id:

15820