First Name:

Last Name:

Other Name:

Gender:

Marital status:

City:

Year of birth:

Sachio

Takeda

​

M

Single

Casa Blanca

1932

Entry Type:

DE

Entry Date:

​

Departure Type:

Term W/G

Departure Date:

​

Destination City:

Gallop

Destination State:

NM

Camp:

2-poston

Family #:

34124

Individual #:

34124H

Citizen Ship:

C

Camp Address:

1-13-10-D

Farline Id:

15895