◆ SpookStack

Photograph Album FD-432 (Rev. 3-29-73) 3. Date andPlace of Birth 4. Citizenship |6. Race 8. Weight mG ; (7) black ; - q C] white (_] oriental °. rer male (C) other: 10. Eyes C_} female 11. Build (C] small ([] medium ([) large (] thin ((] athletic : : [_] obese : ; 4 PHOTO : 12. Characteristics ("] glasses [_] dark glasses SS mustache [] beard (“| Afro clothes (_] Afro hairdo (cj bushy [7] short ([) long ; (CC) others: . 13. Scars and marks ALL INFORMATION CONTAINED ae — HESELN IS UNCLASSIFIER .* - on EXCEPT WHERE SHOWN 3” . Marital status TAERVWIS * : (7) single (() married [—} separated (7 divorced OTBERWISR i F 16. Education (check highest) . ° Co) elementary [(] junior high school [—} high school CO college CO other: ee ee a a er er rr 14. Tattoos . Military . C (CC) Amy (7) Navy () Marine Corps {) Coast Guard Date taken ————_______———__— 18. Residence 21. Relatives (list name and city) ( Father — tl-a-@-13 Trae ge #8. Qcoupation | woe en ascineo oY 7 — . c + e Spouse Bi. Baplover others ECLASSIFY CN: X__0.G . 22, Identifying Numbers Social Security Alien Registration . FBI No. Military No. No. No. Passport No. ——___—_————_—___ issued : Others . late) ; 23. Known to carry weapons (I No (J Yes Type a 94, Previous Felony Conviction ~ 7 CJ No (1) Yes Offense —— 26. (7) Extremist Activities Affiliated with ween ‘ rer "EC Pook 1135 if none, succinct characterizatio' C sfice of Origin File No. Date prepared *