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# SECTION XV MOTHER (Give same information for Stepmother on separate sheet)1. FULL NAME (Last-First-Middle)   Flores, Agustina5. STATE OTHER NAMES SHE HAS USED   None to my knowledge2. LIVING   YES X NO3. DATE OF DEATH   June 19394. CAUSE OF DEATH   UnknownINDICATE CIRCUMSTANCES (Including length of time) UNDER WHICH SHE HAS EVER USED THESE NAMES. IF LEGAL CHANGE, GIVE PARTICULARS (Where and by what authority). USE EXTRA SPACE PROVIDED ON PAGE 16 OF THIS FORM TO RECORD THIS INFORMATION.6. CURRENT ADDRESS - GIVE LAST ADDRESS, IF DECEASED (No., Street, City State, Country)   S. Austin and Lee Streets, San Marcos, Texas7. DATE OF BIRTH   September 20, 19038. PLACE OF BIRTH (City, State, Country)   Mier y Noriega, Nuevo Leon, Mexico9. CITIZENSHIP   Mexican10. IF BORN OUTSIDE U.S.- DATE OF ENTRY    Unknown11. PLACE OF ENTRY    Unknown12. FORMER CITIZENSHIP(S) [Country(ies)]    NA13. DATE U.S. CITIZENSHIP ACQUIRED    NA14. WHERE ACQUIRED (City, State, Country)    NA15. OCCUPATION    Housewife16. PRESENT EMPLOYER (Give last employer, if Mother is deceased or unemployed)    NA17. EMPLOYER'S BUSINESS ADDRESS OR MOTHER'S BUSINESS ADDRESS IF SELF EMPLOYED    NA18. DATES OF MILITARY SERVICE (From-and-To)    NA19. BRANCH OF SERVICE    NA20. COUNTRY    NA21. DETAILS OF OTHER GOVERNMENT SERVICE, U.S. OR FOREIGN    NA# SECTION XVI BROTHERS AND SISTERS (Including Half-, Step- and Adopted Brothers and Sisters)1. FULL NAME (Last-First-Middle)   Patlan, Frances4. CURRENT ADDRESS (No., Street, City, Zone, State, Country)   (631 S. River St. Seguin) Texas2. RELATIONSHIP   Sister3. CITIZENSHIP (Country)   U.S. of America5. LIVING   X YES NO6. AGE   411. FULL NAME (Last-First-Middle)   (Renteria, Rachel)4. CURRENT ADDRESS (No., Street, City, Zone, State, Country)   (311 Lambert St. San Antonio) Texas2. RELATIONSHIP   Sister3. CITIZENSHIP (Country)   U.S. of America5. LIVING   X YES NO6. AGE   391. FULL NAME (Last-First-Middle)   (Black, Rebecca Mary)4. CURRENT ADDRESS (No., Street, City, Zone, State, Country)   (501 S. Guadalupe St. San Marcos) Texas2. RELATIONSHIP   Sister3. CITIZENSHIP (Country)   U.S. of America5. LIVING   X YES NO6. AGE   341. FULL NAME (Last-First-Middle)   Flores, (Samuel)4. CURRENT ADDRESS (No., Street, City, Zone, State, Country)   (Rosemary and Chapman, Seguin) Texas2. RELATIONSHIP   Brother3. CITIZENSHIP (Country)   U.S. of America5. LIVING   X YES NO6. AGE   321. FULL NAME (Last-First-Middle)   Flores, (Joe)4. CURRENT ADDRESS (No., Street, City, Zone, State, Country)   Route 2, Box 320, San Marcos, Texas2. RELATIONSHIP   Brother3. CITIZENSHIP (Country)   U.S. of America5. LIVING   X YES NO6. AGE   291. FULL NAME (Last-First-Middle)   (Bruce, Esther)4. CURRENT ADDRESS (No., Street, City, Zone, State, Country)   (7252 Exmore St., Springfield) Virginia2. RELATIONSHIP   Sister3. CITIZENSHIP (Country)   U.S. of America5. LIVING   X YES NO6. AGE   271. FULL NAME (Last-First-Middle)   Flores, (Eleazar)4. CURRENT ADDRESS (No., Street, City, Zone, State, Country)   Deceased2. RELATIONSHIP   Brother3. CITIZENSHIP (Country)   U.S. of America5. LIVING   YES X NO6. AGE   71. FULL NAME (Last-First-Middle)   Flores, (Juan)4. CURRENT ADDRESS (No., Street, City, Zone, State, Country)   Deceased2. RELATIONSHIP   Brother3. CITIZENSHIP (Country)   U.S. of America5. LIVING   YES X NO6. AGE   NA