LAKE Nat Cards 312J_0687

Last Name: Domasica

First Name: Mike

Street Address: 1214 Melville Avenue

City of Residence: Whiting

Date of Birth (MM/DD/YYYY): 03/25/1903

Place of Origin: Vimna, Czecho-Slovakia

Book Number: 39

Page Number: 379

Document Number:

Date of Document (MM/DD/YYYY):