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The verso of the form saying Josefa Oural was paid $90. The form is signed by Parker W. Buhrman, Foreign Service officer.
Americans Portugal, Buhrman, Parker W
 p. : ;
Americans; Buhrman, Parker W
University of South Florida
Spanish Civil War History Project
Spanish Civil War oral history project
United States. Consular Service, "Government form] - Dept. of state enclosure no. 1 [verso" (1936). Spanish Civil War History Project. 60.