The presenter is Maria Anatolievna baroness von Riesenkampf

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18 years of age, will go overseas.

 

150 rubles were collected.

 

In order to prove this and for a free way this passport with the attached stamp is given. In Sevastopl, 19th of January, 1920.

 

Instead of city administrator – his assistant.

 

Chief of the department /signature/

 

Round stamp /City administrator of Sevastopl/

 

Secretary /signature/

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-Page No.5-

The form is filled by a person issuing the passport.

 

 

STUB

 

number 449 is issued by the city administrator of Sevastopol in 1920, January the 19th 
to Maria Anatolievna von Riesenkampf.

 

Place for a stamp about going overseas.

 

This stub is torn out by the border customhouse when the passport is presented.

 

 

STUB

 

number 449 is issued by the city administrator of Sevastopol in 1920, January the 19th 
to Maria Anatolievna von Riesenkampf.

 

Place for a stamp

 

about going overseas.         about coming back from overseas.

 

This stub is torn out by the border customhouse when the passport is presented.

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