LAKE Nat Cards 326X_0043

Last Name: Surmik

First Name: Andy

Street Address: 321 Chicago Ave.

City of Residence: East Chicago

Date of Birth (MM/DD/YYYY): 4/15/1895

Place of Origin: Hazdlam, Austria

Book Number: 17

Page Number: 467

Document Number:

Date of Document (MM/DD/YYYY):