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HEARNAP — Part 15
Page 170
170 / 900
as
wes eT Le eee Oe ee NE ee eee eee Eee O_O OEP
SF 100-76823 ®
SF 7-855
DSR/s jc
Name ;
Race:
Sex:
Date of birth:
Place of birth:
Social Security
Account Number:
Height:
Weight:
Hair:
Eyes:
Home address:
Wife:
Marital status:
Wife's address;
Wife's occupation:
_ Children:
Prior arrests:
Education:
Prior employment:
Distinguishing
characteristics:
180
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