Order number: A-5422
Name: George Kauntz
Address: 4526 Detroit Ave. Cleveland Cuyahoga Ohio
Age in years: 35
Date of birth: September 19, 1882
Present occupation: (unreadable)
Employer's name: American (unreadable)
Address: (unreadable) Cleveland Cuyahoga, Ohio
Nearest relative, Name: Theresa Kauntz (wife)
Nearest relative, Address: 4526 Detroit Ave. Cleveland Cuyahoga Ohio
Signature: George Kauntz
Color of Eyes: Blue
Color of Hair: Black
Signature: (none)
Date of registration: (none)
last update 2008.04.12