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Michael Jackson — Part 6
Page 15
15 / 199
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
Sex· MC\l~.
2. Street Address _
stateJ
I
3. City _
.b6
.b7C -
4. Place of Birth
Date of Birth
5., Occupation .
Date (Today) 1/,fp
.
6, Where Now Employed _
(Or where las t employed)
7. Name of Ne arest Relative
RAI~'l'inn
i-
8. Address of Nearest Relative
I---
I '
II !. I
.,
I
I
____
. _ _ _ _ _
----.::..":..........,' _ _ _ _ _ _ _ _ _ _ _ _ _
1
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