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- 10 -SECTION XII CONTINUED FROM PAGE 914. IF BORN OUTSIDE U.S. DATE OF ENTRYN.A.15. PLACE OF ENTRYN. A16. FORMER CITIZENSHIP(S) [Country (ies)]N.A.17. DATE U.S. CITIZENSHIP 18. WHERE ACQUIRED (City, State, Country)    ACQUIREDN.A.N.A.19. OCCUPATION20. PRESENT EMPLOYER (Also give former employer, or if spouse deceased or unemployed give last two employers)HOUSE WIFEN.A.21. EMPLOYER'S OR BUSINESS ADDRESS (No., Street, City, State, Country)N.A.22. DATES OF MILITARY SERVICE (From and to - By Mo. and Yr.)Ν.Α.23. BRANCH OF SERVICEN.A.24. COUNTRY WITH WHICH MILITARY SERVICE AFFILIATEDΝ.Α.25. DETAILS OF OTHER GOVERNMENT SERVICE, U.S. OR FOREIGNSECTION XIIIN.A.CHILDREN AND OTHER DEPENDENTS1. PROVIDE THE FOLLOWING INFORMATION FOR ALL CHILDREN AND DEPENDENTS| NAME                          | RELATIONSHIP | DATE AND PLACE OF BIRTH        | CITIZENSHIP | ADDRESS                           || ----------------------------- | ------------ | ------------------------------ | ----------- | --------------------------------- || EMILIO AMERICO RODRIGUEZ JR.) | SON          | SEPT. 18, 1951 New Orleans, LA | U.S.A.      | 9361 SW. 178 ST. PERRINE 57, FLA. || JOSEPH ROSS RODRIGUEZ         | SON          | MARCHI, 1953, New Orleans, LA. | 4. 5.A.     | 4361 SW. 1785 T. PERRINE 57, FLA. || PATTI MICHELLE RODRIGUEZ      | DAUG THER    | CT.23, 1954, HAVANA, Cuba      | 4.S.A.      | 9361 Sw. 78 ST. PERRINE 87, FLA.  || PAUL MARSHALL RODRIGUEZ       | SON          | NOV. 1, 1957, HAVANA CubA      | U.S.A.      | 9361 SW. 178 ST. PERRINE 57, FLA. |2. NUMBER OF CHILDREN (Including step-children and adopted children) WHO ARE UNMARRIED, UNDER 21 YRS OF AGE, AND NOT SELF-SUPPORTING.43. NUMBER OF OTHER DEPENDENTS (Including spouse, parente, step-parents, sister, etc.) WHO DEPEND ON YOU FOR AT LEAST 50% OF THEIR SUPPORT, OR CHILDREN OVER 21 OVER 21 YRS. OF AGE WHO ARE NOT SELF-SUPPORTING.SECTION XIVFATHER (Give same information, for Stepfather and/or Guardian on a separate sheet)1. FULL NAME (Last-First-Miale)RODRIGUEZ, ARNEST NAPOLEON2. LIVING☑ YESNO3. DATE OF DEATHN.A.4. CAUSE OF DEATHN.A.5. STATE OTHER NAMES HE HAS USEDN.4.INDICATE CIRCUMSTANCES (Including length of time) UNDER WHICH HE 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 stress, il deceased (No., Street, City, State, Country)The ORICANIAN Apt. wotel ST. CHARLES Ave., New Orleans, LA. U.S.A.7. DATE OF BIRTHTH August 1811!8. PLACE OF BIRTH (City, State, Country)HAVANA, CubA.9. CITIZENSHIPCuban10. IF BORN OUTSIDE U.S.-DATE OF ENTRYΝου. 196211. PLACE OF ENTRYNew Orleans, LA.12. FORMER CITIZENSHIP(S) Country (les)7N.A.13. DATE U.S. CITIZENSHIP ACQUIREDNA14. WHERE ACQUIRED (City, State, Country)N.A.15. OCCUPATION16. PRESENT EMPLOYER (Give last employer, if Father is deceased or unemployed)RETIREDSELF EMPLOYED Century Elect. Co.17. EMPLOYER'S BUSINESS DRESS OR FATHER'S BUSINESS ADDRESS IF SELF-EMPLOYED1806 PINE ST. ST. LOUIS, MO. 4.S.A.18. DATES OF MILITARY SERVOS (From-and-To) 19. BRANCH OF SERVICEN..20. COUNTRYN.A.N.A.21. DETAILS OF OTHER GOVERNMENT SERVICE, U.S. OR FOREIGN INTELLIGECE AGENT FOR 4.5. EMBASSY IN HAVANA CUBA DURING WORLD WAR I, WORLD WAR II, AND RECENT CASTRO REVOLUTION