◆ SpookStack

Form 05.07.0 (Rev. 6·22·51) Descent . Cauc. Mex. Neg. Other PHOTOGRAPHED LOS ANGELES POLICE DEPARTMENT Year Born Time M Surname Date Division Bkg. No. Charge By l.A. No. Serial No. 1. Name. ~ex IMle,. 2. Street Address ~ b6 - b7C 3. City State . 4. Place of Birth_ ~ Date of Birth _ 5. Occupation. Date (Today) 7/& [11.. 6. Where Now Employed _ (Or where last employed) 7. Name of Nearest Relative _ Relation _ t-- 8. Address of Nearest Relative