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First Name:
Last Name:
Other Name:
Gender:
Marital status:
City:
Year of birth:
Takezo
Shiota
correct dob -Chronicle
M
Single
City
1990
Entry Type:
B
Entry Date:
07/14/1943
Departure Type:
Term
Departure Date:
01/13/1944
Destination City:
---------
Destination State:
----
Family #:
0000
Individual #:
0000
Citizenship:
C
Camp Address:
3-326-12-D
Farline Id:
id
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