LAKE Nat Cards 328Z_0685

Last Name: Botr

First Name: John

Street Address: 1112 Broadway

City of Residence: Indiana Harbor, Indiana

Date of Birth (MM/DD/YYYY): 09/02/1977

Place of Origin: Erpatak, Hungary

Book Number: 44

Page Number: 303

Document Number: 19103

Date of Document (MM/DD/YYYY):