EN00939_M
Facsimile
Transcription
Status: Complete
Applicant's Last Name: Miller
Applicant's First Name: Miriam Christine
Applicant's Place of Residence (City, State): North Carolina
Veteran's Last Name: Miller
Veteran's First Name: James E
Bonus Number: 710315
Serial Number: 6991056
Notes and Questions
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Form appears to have two applicant names and no address.
Leaving address as 'North Carolina.'
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