Form, Department of State Enclosure no. 1, November 30, 1936
Form filled out by Parker W. Buhrman, Foreign Service officer, in Lisbon, Portugal, Nov. 30, 1936. The form states that $90 was paid to Josefa Oural. The money was sent to the State Dept. by Josefa's husband to pay for the ocean voyage back to the U.S.