Kindex

SEC. 18. GIVE THREE NEIGHBORS AT YOUR LAST NORMAL RESIDENCE IN THE U.S. (Give residence and business addresses where possible.)

1. MR. FRANK DUHAMEL
BUS. ADD. "TIMOTHY'S" HARTFORD, CONN.
RES. ADD. 124 KELLY ST., HARTFORD, CONN.

2. MR. JAMES KNOT
BUS. ADD. 6 COL. ST., HARTFORD, CONN.
RES. ADD. SAME

3. MRS. LOUIS FRANKLIN
BUS. ADD. ALBERT STREET, HARTFORD, CONN.
RES. ADD. SAME

SEC. 19. FINANCIAL BACKGROUND
A. ARE YOU ENTIRELY DEPENDENT ON YOUR SALARY? YES. IF NOT, STATE SOURCES OF OTHER INCOME.

B. NAMES AND ADDRESSES OF BANKS WITH WHICH YOU HAVE ACCOUNTS:
BALTIMORE NATIONAL BANK, HIGHLANDTOWN BRANCH, BALTIMORE, MD.

C. HAVE YOU EVER BEEN IN OR PETITIONED FOR BANKRUPTCY? NO.
GIVE PARTICULARS, INCLUDING COURT:

D. GIVE THREE CREDIT REFERENCES IN THE U.S.:
1. NAME: LEES, H.L.
ADDRESS: 3141 EASTERN AVE., BALTIMORE, MD.
2. NAME: HOFFSTETTERLY WARD
ADDRESS: 1234 COLMAN ST., CAL.
3. NAME:
ADDRESS:

SEC. 20. RESIDENCES FOR THE PAST 15 YEARS
FROM 1923 TO 1931: PRESTON ST., BALTIMORE, MD., USA
FROM 1931 TO 1937: HAVANA AVE., MONTREAL, QUE., CANADA
FROM 1937 TO 1942: MOUNTAIN ST., MONTREAL, QUE., CANADA
FROM 1942 TO 1944: KELLY RD., HARTFORD, CONN., USA
FROM 1944 TO 1947: MILITARY SERVICE
FROM 1947 TO PRESENT: 3141 EASTERN AVE., BALTIMORE, MD., USA
FROM TO:
FROM TO:

SEC. 21. RESIDENCE OR TRAVEL OUTSIDE OF THE UNITED STATES
A. FROM NOV. 1931 TO SEPT. 1937: PARIS, FRANCE
B. FROM JULY 1940 TO JULY 1943: MONTREAL, CANADA
C. FROM SEPT. 1937 TO JULY 1940: MONTREAL, CANADA