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Record Request F}-125 (Rev. 1-30-75) . .* rd) * Birth __ | Credit Ct Criminal T_] Death { INS Pi Marriage * Ta p. TtsButen - ALLECWEW y Coumry FT DEWT Ec arige Dien Date Ke { q ~ v9 “_” Motor Vehicle "> Other (__; Driver's License Buded Retum to FF BIT~ Cimsgured ATTELToy . File nuinber SA 317 Name and altases of subject, applicant, or employee, and spouse Addresses Residence Business Former * Date and place of marriage {if applicable) Height Weight 2790 Birth date Atre'st Number : | Fingerprint classification | Criminal specialty I Specific information desired Y Away RECaZD OF ARREST © Phore 1 AvAianee Results of check N oo) oe. , (Use reverse sidgiif Necessary) Social Security Number & US.GP.O.: 1986-491-505/54777 b6 b7C b6 b7C b6 b7c