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HomeMy WebLinkAboutBRASSART_KLEBERT_PET. 4574Family name BRASSART Address St. CertlRcate no,(or vol.and page) Pet.4574 Country of birth ll(allegiance Date and port of arrival in U.S. Names and addresses of .<;Inesses I Given name or names KI,EBERT Roscoe.Pa..ITitle and location of court IWhen born (or age) I Date of naturalization -------------- ---- - - - - - - - ------------------------ D.S.DEPARTMENT OF LABOR,Immigration and_ ---------------------~-----------------------..--.. Iizatlon Service.FOrlll No.1-lP.l(-3202 ADDITIONAL,INFOR N IN COURT RECORD Certl flcate cancel ed (date and courtl ----------------------------------------------------------------------- Why cancel ad----------_-_--_-----------------------------------------__-----_ Expatrlated---------------------------------------Deceased ------------------------------------------__-__ Other faels of record----------------------------------------------------------------------------------------- U,s.GOVERNMENT PRINTING OFFICE" I ~• 1(-3202