SECTION 3. MARITAL STATUS
MARRIED [ ] SINGLE [ ] SEPARATED [ ] DIVORCED [X] DATE OF SEPARATION OR DIVORCE PLACE
NOTE: IF YOU HAVE BEEN MARRIED MORE THAN ONCE, USE A SEPARATE SHEET FOR FORMER WIFE OR HUSBAND AND GIVE DATA REQUESTED BELOW FOR ALL PREVIOUS MARRIAGES.
NAME OF PRESENT WIFE OR HUSBAND (If Maiden) LAST FIRST MIDDLE INITIAL DATE OF MARRIAGE PLACE OF MARRIAGE STREET AND NUMBER CITY STATE COUNTRY
Illion Roberta Noel 29 September 1934 San Diego California U.S.A.
NAME OF FORMER WIFE OR HUSBAND (If Maiden) LAST FIRST MIDDLE INITIAL DATE OF MARRIAGE PLACE OF MARRIAGE STREET AND NUMBER CITY STATE COUNTRY
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DATE OF DECEASE PRESENT ADDRESS STREET AND NUMBER CITY STATE COUNTRY
Chalet Sylvie, 28. Av. y la Calle de Sta. Clara, Guatemala City
DATE OF BIRTH PLACE OF BIRTH CITY STATE COUNTRY
12 January 1911 Colorado Springs Colorado U.S.A.
CITIZENSHIP BY BIRTH [X] NATURALIZATION [ ] CERTIFICATE NO. DATE COURT CITY STATE COUNTRY
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OCCUPATION LAST EMPLOYER
Housewife San Diego Board of Education
EMPLOYER'S ADDRESS STREET AND NUMBER CITY STATE COUNTRY
Board of Education San Diego California U.S.A.
BRANCH OF SERVICE COUNTRY
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MILITARY OR GOVERNMENT SERVICE, OR INFORMATION (GIVE DETAILS)
U.S. Consulate, Ensenada, Baja California, Mexico, from 1936 to 1937
SECTION 4. CHILDREN OR DEPENDENTS (INCLUDE PARTIAL DEPENDENTS)
NAME RELATIONSHIP AGE
none --- ---
CITIZENSHIP ADDRESS STREET AND NUMBER CITY STATE COUNTRY
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CITIZENSHIP ADDRESS STREET AND NUMBER CITY STATE COUNTRY
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NAME RELATIONSHIP AGE
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ADDRESS STREET AND NUMBER CITY STATE COUNTRY
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SECTION 5. PARENTS
NAME OF FATHER (STEPFATHER AND/OR GUARDIAN, GIVE THE SAME INFORMATION AS REQUIRED BELOW ON SEPARATE SHEET)
NAME OF FATHER FIRST MIDDLE INITIAL LAST DECEASED
Alfred Noel
DATE OF BIRTH PLACE OF BIRTH CITY STATE COUNTRY
May 1886 Plainfield New Jersey U.S.A.
PRESENT ADDRESS STREET AND NUMBER CITY STATE COUNTRY
1724 Dale Street San Diego 5 California U.S.A.
CITIZENSHIP ACQUIRED BY BIRTH [X] NATURALIZATION [ ] CERTIFICATE NO. DATE COURT CITY STATE COUNTRY
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OCCUPATION LAST EMPLOYER
Supervisor Curtis Publishing Company
EMPLOYER'S ADDRESS STREET AND NUMBER CITY STATE COUNTRY
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NOTE: IF PARENTS ARE DECEASED, GIVE NAME AND ADDRESS OF NEAREST RELATIVE OR RELATIVE ABROAD TO BE NOTIFIED IN CASE OF EMERGENCY.
Re-married, but I have no information concerning my prospective stepmother.