First Name:

Last Name:

Other Name:

Gender:

Marital status:

City:

Year of birth:

Masaru

Takeda

David

M

Single

​

1945

Entry Type:

B

Entry Date:

​

Departure Type:

Term W/G

Departure Date:

​

Destination City:

Gallop

Destination State:

NM

Family #:

34123

Individual #:

34123D

Citizenship:

C

Camp Address:

1-13-10-C

Farline Id:

15887