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Michael Jackson — Part 6
Page 169
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TTY-01
Computensed Record Request Form © @
(Revised July,1990)
Driver's License Driver's License Registered Loe Angeles CA State/NCIC
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istory (Ti1)° [ikegistration . ,
Name of Subject:
Alis(es):
‘ Previous Address:
Driver's License Number. _. _
Date of Birth (or wien) |
Vehicle License Number and State:
Sex: Pyare [Female
Social Security Number:
Height/Weight/Hair/Eyes:
Other Identifying Information (Specify):
Reason®: 7#/#L /KEPARAT/0 ( Sufi reer fo) CvS7>D y)
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*Per DOJ, a reasOn for the request and a file number are mandatory. \ wk ow,
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