EUGENICAL INVESTIGATION OF THE COMMITTEE ON IMMIGRATION AND NATURALIZATION OF THE HOUSE OF REPRESENTATIVES, WASHINGTON, D.C.
Special Subject: Racial descent of American Citizens who were granted Patents by the United States from January 1 to March 31, 1927.
1. Name of inventor [dashed line] (a) Sex [dashed line]
(b) Where born [dashed line]
(c ) Age when patent was granted [dashed line] (Age in years) (d) Occupation [dashed line]
2. Patent issued: (a) No. [dashed line] (b) Date [dashed line]
(c ) Class[dashed line] (d) Purpose of invention[dashed line]
3. Old World racial descent of inventor [dashed line](Especially important)
Do not use the term "American" but give descent by race. For example: English, Scotch, Bohemian, German, Swedish, Jewish, Italian, American Indian, or the like. When of several Old World bloods, name approximate fractional descent of each - thus: 1/2 English, 1/4 German, and 1/4 French, or the like.)
4. Number of generations in U.S.: Father's family [dashed line] Mother's [dashed line] (Approximate if exact unknown)
[dashed line](Signature of person who supplies the above facts)
Date [dashed line] [dashed line] (Address) 9-1214
(Kindly supply all facts called for above, and mail this self-addressed reply card, which requires no postage)
[full width dashed line]
COMMITTEE IN IMMIGRATION AND NATURALIZATION
HOUSE OF REPRESENTATIVES
MESSAGE CARD
[signed] Albert Johnson
M.C
[four long dashed lines, staggered to right]
[illegible]
[full width dashed line]
Subject: Racial descent of American Citizens who were granted Patents by the United States from January 1 to March 31, 1927.
Patent No. [dashed line]
Name [dashed line]
Address [dashed line]
Return [dashed line]
First follow up [dashed line]
Second follow up [dashed line]
Third follow up [dashed line]
Remarks: [dashed line]
9-1214
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