lection Page 1 of 7 m O V.S. Oepartrtnt of Sae APPLICATION FOR U.S. PASSPORT BY MAI' M1 228W0111 1 j STREET : RFD OR P 0 BOX N CARE OF irF APPLICA EnEe PLACE OF BIRTH C ty E State or City a CouertrEr APT. STATE ?IP CODE HEIGHT Feet kx.hes 5 8 HAIR COLOR COLOR HOME TELEPHONE Dark Br