| 1. |
Today's date: January 8, 1994 |
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| 2. |
Your name: Josef Dillmann
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| 3. |
Present address: Available upon request to Michael
Miller
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| 4. |
Phone number with area code: Available upon request to Michael
Miller |
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| 5. |
Date of birth including month, day and year: July 3, 1926 |
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| 6. |
Place of birth: Schönfeld Kreis Landau, Ukraine |
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| 7. |
Father's name: Josef Dillman |
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| 8. |
Father's date of birth (including month, day and year) and
place of birth: February 11, 1897 - Lisabetergrad, Ukraine |
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| 9. |
Mother's name and maiden name: Catherina (Hummel) Dillmann |
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| 10. |
Mother's date of birth (including month, day and year) and
place of birth: November 23, 1888 - Schönfeld, Ukraine |
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| 11. |
Name of village in South Russia or Bessarabia of your father's
ancestors: Katharinental, Ukraine |
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| 12. |
Name of village in South Russia or Bessarabia of your mother's
ancestors: Schönfeld and Heinberg, Ukraine |
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| 13. |
Your occupation: Plumber and Pipefitter |
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| 14. |
Father's occupation: Farmer |
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| 15. |
Mother's occupation: Housewife |
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| 16. |
Other information you feel is important: My father died
August 9, 1954 in Berlin, Germany. My mother died in Nikolaijewka
Altain Krai, Russia November 13, 1963. |
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