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John Murtha — Part 14
Page 75
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6 =
Record Request
¥D-125 (Rev. 1-30-75)
Date f az B
- [7] Birth [oredit ACriminal []Death [J INS (c]Mariage* []Motor Vehicle (_] Other —__—
((] Driver's License
Retum to File number
FGA -Pbt- 64W0
Name and aliases of subject, applicant, or employee, and spouse D6
Addresses
Residence
Business
Former
* Date and place of marriage
(if applicable)
Race Sex Age Hair Byes
Male
bY rn] Female
Birth date . Birthplace
Arest Number Fingerprint classification Criminal specialty
Specific information desired Social Security Number
Results of check
FEB
FBI — PITTSBURGH
(Use reverse side, if necessary)
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