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First Name:

Last Name:

Other Name:

Gender:

Marital status:

City:

Year of birth:

Mary

Tanaka

(Nakamura)* married

F

Single

City

1990

Entry Type:

B

Entry Date:

Departure Type:

Term

Departure Date:

Destination City:

Destination State:

Family #:

0000

Individual #:

0000

Citizenship:

C

Camp Address:

-35-2-A

Farline Id:

id

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