◆ SpookStack

NOTE: Submit ORIGINAL ond ONE COP BUNDY, THEODORE. RO {Lasi) (First) (Middle} Address (Number and Street) Nationality (State) Dace of Birth (imclude month, day, year) 11/24/46 Requesting Office Salt Lake City Date of request (incl. month, day, year} 6/10/77 Miscellaneous: Identifying Number (_] Passport ee American Type of request [7] Alien Registration —____-_————— (i) Other [wiF2 (\F3 Cancellation date (inel. month, year) Bond recommended $100,000 cash. bic (88-6895) FEDERAL BUREAU OF INVESTIGATION IN 5S Lookout Notice To. —> = Administration and Infermation Branch, a. —>, Re cor Immigration and Naturalization Service, FD-315 (Rev. 10-21-76) 425 “Eye” Street, N.W., Washington, D.C. 20536 £F-CBA— Mail FRI/DOJ af