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Record Request FD-125 (Rev.1-30-75) Date Birth Credit Criminal Death INS Marriage* Motor Vehicle Other Driver's License To Buded b6 b7C Retum t File number 4 52 ~ 12.77 Name and aliases of subject, applicant, or employee, and spouse Pole Repnt - 79-270-335 Addresses U.s. Const evernstatlon Residence Business Seatlo. ... Wah Honnnr *Date and place of marriage (if applicable Race Sex Age Height Weight Hair Eyes Male Female Birth date Birthplace Arrest Number Fingerprint classification Criminal speciaity Specific information desired Social Security Number Results of check 79,d 70 335 Z.S. Cset-- Gusel Soti Leeille 52-12277 RCHE EXED b6 ALIZ ED b7C b7E (Use reverse side, if necessary)