SECTION IV
MOTHER
1. FULL NAME (First-Middle-Last) (Maiden name in parentheses)
SARAH ISAAKOV
2. ALIAS(ES) AND/OR NAME(S) SHE HAS USED
None
3. DATE OF BIRTH
1893
4. PLACE OF BIRTH (City, Town, Province, Country)
Shechlin, Minsk Province, Russia
5. DATE OF DEATH
6. CAUSE OF DEATH
7. CITIZENSHIP (Country)
Stateless
8. CURRENT ADDRESS (Give last address, if deceased)
1412 6th Drive, Apt. 11, Miami, Fla.
9. OCCUPATION (Commercial)
Housewife
10. PRESENT OCCUPATION
Housewife
11. EMPLOYER'S BUSINESS ADDRESS OR LOCATION (City, Town, State, Country)
N/A
12. DATES OF MILITARY SERVICE (From/To)
N/A
13. BRANCH OF SERVICE
N/A
14. RANK
N/A
15. SERIAL OR SERVICE NUMBER
N/A
16. IF FALLEN OR OTHER GOVERNMENT SERVICE, LIST ORGANIZATION
N/A
SECTION XVI
BROTHERS AND SISTERS (Natural half, step and adopted brothers and sisters)
1. FULL NAME (First-Middle-Last) (Maiden name in parentheses)
ABRAHAM ISAAKOV
2. RELATIONSHIP
Brother
3. CURRENT ADDRESS (Street, City, Town, State, Country)
102 County Drive, West Long Branch, New Jersey
4. CITIZENSHIP (Country)
U.S.A.
5. IS LIVING
Yes
6. AGE
62
7. FULL NAME (First-Middle-Last) (Maiden name in parentheses)
8. RELATIONSHIP
9. CURRENT ADDRESS (Street, City, Town, State, Country)
10. CITIZENSHIP (Country)
11. IS LIVING
12. AGE
13. FULL NAME (First-Middle-Last) (Maiden name in parentheses)
14. RELATIONSHIP
15. CURRENT ADDRESS (Street, City, Town, State, Country)
16. CITIZENSHIP (Country)
17. IS LIVING
18. AGE
19. FULL NAME (First-Middle-Last) (Maiden name in parentheses)
20. RELATIONSHIP
21. CURRENT ADDRESS (Street, City, Town, State, Country)
22. CITIZENSHIP (Country)
23. IS LIVING
24. AGE
25. FULL NAME (First-Middle-Last) (Maiden name in parentheses)
26. RELATIONSHIP
27. CURRENT ADDRESS (Street, City, Town, State, Country)
28. CITIZENSHIP (Country)
29. IS LIVING
30. AGE
31. FULL NAME (First-Middle-Last) (Maiden name in parentheses)
32. RELATIONSHIP
33. CURRENT ADDRESS (Street, City, Town, State, Country)
34. CITIZENSHIP (Country)
35. IS LIVING
36. AGE