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Record Request J “~) 40-125 (Rev. 6-1-93) Date 7—l oO TS Criminat Death oO INS CJ Marriage* = Motor Vehicle | Other iN Ove i) Buded Return tg a- NY ~ pJew! Name and aliases of subject, applicant, or employee, and spouse " ae Addresses . fl Residence i] Business I Wa Former DY 41 *Date and place of marriage (if applicable) Race Sex ale emate Birthplace Birth date asrest Number Fingerprint classification Criminal specialty Secial Security Number Drivers License Number |G O/L Photo oO Other Specific information desired Results of check toss anes ea