IMPORTANT 
The person to whom this passport is issued 
must sign his. hame on page three immediately 
on its receipt. The passport is NOT VALID 
unless it has-been signed. 
The bearer should also fill in blanks below as 
indicated. 
' Bearer’s address in m} c 
United States 
Should you desire to obtain a new passport 
after this passport shall have definitely expired, 
this passport should be presented with your 
application for a new passport. 
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