Complaint Form FD-71 (Rev. 4-13-92) NOTE: Hand print names legibly; handwriting amisfactory for remainder. Indite. O Neptive O See below Subjeeth name and alien» Character drue Present Soma Complaint received ErTelapboric Data ilmi Addl.«. of Subject Comilla ntlr address and telephone number (v,/,V6 *MAO/ \ Race sr. a Rene Sex O Male Height Hair Build 'N•., Birth Date and Birthplace Age D Female Weight Eyes Complexion • Social Security Number Scam marked other data Facts of complaint eXPA .41 QS Sr Cop,p\M;el '‘ ..k '5\,..0 't s A (-X & €'44 444.-\ DAN -k- a*. 4' rk ./t..1C42-5 A \" \ 42 r -Ses-arS. P. ....5, v.. (11-5 n 1-\..,- ,),....5 Pas..". -''...\ (14/ ..k. L". ,9cAs.- .*P 5}e:,,-1 544 ,2 .k. ?1,..1,,,,, ....„3,k Iksay..A-mLs <2,4 ;5Ac,,e,... \<2;.34. it, N.,..-..›,:t -stA. -Kt, , .,.„,,s. -t, f>z ,..k 6.1.,..,- , CI' s{ ' ',,‘ A..\ ,,,,, e k,.-,A,2_ •(-44.c.e-,>. \--.. •k-A„\S/2 ;(_\,,,sz'S (:)- (7 'SASS 4-\ -St,N;‘,..x-..‘ ,5, p.t.c( , ps4 E ins ;\ No lr, /GAO - A*1 6 ec._1,....t. LN "Sc \,,2 k.e.% 4,-,7›,,e. 4\.,.)k \',\g_. . • -p\...\-bs 1\.2 w;\\--- ‘,..,(..› -\,e_c.- \-\,,,se... 0 7 C —.'2° I — b p_ it)iiq -5,?\,- E. Do mt./rite in Mi. mom. ,i clia=1) - 3y 3 I /4/4' Complaint maimed by) 1.111CK STAMP EFTA00156622
