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«+PD-406 (Rév. 3-16-78) \ Po . L Ld AUTHORITY TO RELEASE INFORMATION TO WHOM IT MAY CONCERN: I hereby authorize any Special Agent or other authorized representative of the Federal Bureau of Investigation bearing this release, or copy thereof, within one year of its date, to obtain any information in your files pertaining to my employment, military, credit or educational records including, but not limited to, academic, achievement, attendance, athletic, personal history, and disciplinary records; medical records, and credit records. I hereby direct you to release such information upon request of the bearer. This release is executed with full knowledge and understanding that the information is for the official use of the Federal Bureau of Investigation. Consent is granted for the Federal Bureau of Investigation to furnish such information, as is described above, to third parties in the course of fulfilling its official responsibilities. I hereby release you, as the custodian of such records, and any school, college, university, or other educational institution, hospital, or other repository of medical records, credit bureau, lending institution, con- sumer reporting agency, or retail business establishment including its officers, employees, or related personnel, both individually and collectively, from any and all liability for damages of whatever kind, which may at any time result to me, my heirs, family or associates because of compliance with this authorization and request to release information, or any attempt to comply with it. I am furnishing my Social Security Account Number on a voluntary basis with the understanding such is not required by Federal statute or regulation. I have been advised the FBI will utilize this number only to facilitate the location of employment, military, credit, and educational records concerning me in connection with this application. Should there be any question as to the validity of this release, you may_contact me as, indicated below. Full Name: Full Name: Abner J. Mikva (Typed or Printed Name) Social Security Account Number: 394 16 5242 Parent or Guardian: (If re quired) Date: March 20, 1979) Current Address: L015 Sheridan Road Evanston, Il. 60202 312 864 6316 Telephone Number: b6 b7C Pecl gent) ———— Federal Bureau of Investigation FBI/DOJ +