◆ SpookStack

Recard Regist @ @ FD-125 (Rev. 1-30-75) Date A : (Birth (Credit ¢f>$Criminal (J Death COINS) = [)Marriage* [(]Motor Vehicle = (_] Other ___—— ((] Driver’s License Were File number Arh b- bY Retum to Name and aliases of subject, applicant, or employee, and spouse b6 b7C Addresses Residence Business Former * Date and place of marriage dif applicable) oe Race Sex Age Height Weight Hair Eyes S72 Male m™ tFemale Birth date Birthplace ; Arrest Num¥er Fingerprint classification Criminal specialty Specific information desired Social Security Number Results of check EI4- Xb L945 ~ SERIALIZED, Coa ND FILED, CH a APR 2 1 (998 (Use reverse side, if necessary) re EITISBURE a