First Name:

Last Name:

Other Name:

Gender:

Marital status:

City:

Year of birth:

Sanjiro

Takeshita

James

M

Single

Stanton

1900

Entry Type:

DE

Entry Date:

​

Departure Type:

Term W/G

Departure Date:

​

Destination City:

Brawley

Destination State:

CA

Camp:

2-poston

Family #:

24124

Individual #:

24124A

Citizen Ship:

A

Camp Address:

1-27-14-A

Farline Id:

16111