No. 9786, issued 27 Sep 1889, Sangamon County, Illinois.
Annie R. Hay swears she was born 2 Oct 1870 in Springfield, Illinois. She intends to travel abroad "in Germany and other Continental Countries."
Sworn 25 Sep 1889 before Clinton L. Conkling, Notary Public.
Charles E. Hay swears he is acquainted with Annie R. Hay and tdhat the facts she states are true.
Sworn 25 Sep 1889 before Clinton L. Conkling, Notary Public.
Description: 19 yrs, 5' 3", medium forehead, hazel eyes, retrousse nose, square mouth, round chin, light brown hair, light brunette complexion, round face.
Send passport to: Mrs. Mary R. Hay, c/o Stuyvesant House, New York City, New York.