[104-10162-10247.pdf — page 25]
# SECTION YIT CONTINUED FROM PAGE 126. SPECIAL REMARKS. IF ANY. CONCERNING RELATIVES NOTES IN SECTION XIX ABOVE# SECTION XX RELATIVES BY BLOOD, MARRIAGE OR ADOPTION WHO ARE IN THE MILITARY OR CIVIL SERVICE OF THE UNITED STATES1. NAME (Last-First-Middle)2. RELATIONSHIP 3. AGE 4. CITIZENSHIP3. ADDRESS (No., Street, City, State, Country) 6. TYPE AND LOCATION OF SERVICE (if known)1. NAME (Last-First-Middle)2. RELATIONSHIP 3. AGE 4. CITIZENSHIP3. ADDRESS (No., Street, City, State, Country) 6. TYPE AND LOCATION OF SERVICE (if known)1. NAME (Last-First-Middle)2. RELATIONSHIP 3. AGE 4. CITIZENSHIP3. ADDRESS (No., Street, City, State, Country) 6. TYPE AND LOCATION OF SERVICE (if known)# SECTION XXI REFERENCES, ACQUAINTANCES, AND NEIGHBORS1. LIST FIVE CHARACTER REFERENCES, NOT RELATIVES, IN THE U.S. WHO KNOW YOU INTIMATELY| NAME (Last-First-Middle) | BUSINESS ADDRESS (No., Street, City and State) | RESIDENCE ADDRESS (No., Street, City and State) || ------------------------ | ---------------------------------------------- | ----------------------------------------------- || Mrs. C. M. Arnold        | Dept. of City Planning, etc.                   | 214 Bay View 176., Belvedere, Calif.            || Lawrence Blum            | Blauvelt Engineering Co.                       | 200 Heath Ave., Bronx 63, N. Y.                 || Folzoll, Anore           | 79 Madison Ave., NYC                           | 34-23 109th st., Richmond Hills 13,N.Y.         || Tenzer, Milton           | Fort Monmouth                                  | 232 Lenox Ave., Long Branch, N. J.              || Staneiman, Laurence C.   | 404 Broadway Long Branch, N. J.                | 15 Park Ave., Elberon, N. J.                    |2. LIST FIVE PERSONS IN THE U.S. WHO KNOW YOU SOCIALLY - NOT RELATIVES, SUPERVISORS OR EMPLOYEES| NAME (Last-First-Middle) | BUSINESS ADDRESS (No., Street, City and State)                                  | RESIDENCE ADDRESS (No., Street, City and State) || ------------------------ | ------------------------------------------------------------------------------- | ----------------------------------------------- || Tucker, Jerome           | 141 Broadway Long Branch, N. J.                                                 | 241 Lenox Ave., Long Branch, N. J.              || Epstein, Stanley         | Unknown                                                                         | 23 Maryland Ave., West Long Branch, N. J.       || Lawn, Howard             | Unknown                                                                         | 274 Lenox Ave., Long Branch, N. J.              || Scher, J. F.             | EAI Eatontown, N. J.                                                            | 571 Loey Ave., Long Branch, N. J.               || Dingle, John G.          | Blauvelt Engineering Co. 34-25 150th Place 79 Madison Ave., NYC Flushing, N. Y. |                                                 |3. LIST THREE NEIGHBORS AT YOUR MOST RECENT NORMAL RESIDENCE IN THE U.S.| NAME (Last-First-Middle) | BUSINESS ADDRESS (No., Street, City and State) | RESIDENCE ADDRESS (No., Street, City and State) || ------------------------ | ---------------------------------------------- | ----------------------------------------------- || Seitelbaum, Sidney       | Fort Monmouth                                  | 4 Marshall Court Long Branch, N. J.             || Saxon, Alfred            | 157 Broad St., Red Bank, N. J.                 | 7 Marshall Court, Long Branch, N. J.            || Lehrer, H. S.            | Unknown                                        | 8 Marshall Court Long Branch, N. J.             |- 13 -