00780_B

Status: Complete

Applicant's Last Name:

Applicant's First Name: Mary

Applicant's Place of Residence (City, State): La Porte, Indiana

Veteran's Last Name: Trace

Veteran's First Name: Edward F

Bonus Number: 707334

Serial Number: 6669009

Notes and Questions

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zsjoy over 3 years ago

I can't make out Applicant's Last Name

Unable to determine applicant's last name.