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Hanns Eisler — Part 4
Page 37
37 / 79
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2 SRCRETARY OF BTATE, - G57 > + ve. . rare —-— -
Washington, D.C. YD 7
JOHANNES EISLER. FORHER. AUSTRin
adres 2 DRG, We PACT eICc Coagtl HY NAY PRC Pic PALI SAI,
(trent number, city or town, Btate or om ferrtiary | Acre
bereby apply for permission to depart from the United States and furnish the foliowing information for consideration”
1, Date of birth - eee my pd a - 18! 2 g..
2 Place of birth __.. _LE ft. PL _ : ee a ee
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r RQ Ay A a9 ia a ~ (Dimeriet} &
Licata) (Commer) .
8 Pachers fall name asi wationality . DR “RUDOLE. EISLER. AUSTRIAN,
4 Were you registered for Se PTE PE TETeTENP ETON CTT YM TOTTT ET
NEW eo qaRK. CO VT nace een net eee
‘S When and where did you last enter the United Ststes? (if yoo arrived ship,
ROMEVILEE.
WEP aba vues
* Thee re pms rae! 1888 I re Pac lai COAST RYWAY PATH fre Pairs
CounTy of Los. AMCELES CALS “FORME Ae _s GAL ‘
(Froriaw
7. Where have you resided, wat hs been you ecupatin, and who hae inca yo amplpery fa, <guring the past 10
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SE 2 ATTA He ge. “
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& Whare do you intend to go if you are now granted permistion to depart frome the United Su tas? 4am your destina-
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Rog bomen
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