ittled Reaat 111).12$ (Rev.4.143) Date O 6/00 o07 0 Birth 0 Credit KCriminal 0 Death 0 INS 0 Marriages 0 Motor Vehicle Other TO -SS Buded Return to Name and aliases of subject, applicant, or emplo e, and spouse File Number E-mm o g o(* Address Residence Business Former ar Date and place of marriage (if applicable) Race OM Age Height Weight Hair Eyes is m Arrest Number Birthplace Fingerprint classification Criminal specialty , Spcial Security Number Divas License Number 0 D/L Photo 0 Other Specii N c information desired Q.I maribt.k.47 A cc14/,...c;(1+ Calhassz, A.Arcs e-Ls) Results of chcdc 1 rub liebeci_ss Sret 06.40- MM01-VICTIMS 14-19 BINDER-000327 EFTA_00046188 EFTA01250551