◆ SpookStack

ee vee, eee vee tee arden S ae 2. (7) Extremist Activities e Photogreph Album on Cie mist Phetograph Album FD-432 (Rew %29-73) 1. Name 7% 2. Aliases 3. Date andPlace of Birth 4. Citizenship |6. Race (1D black [—) white (_] oriental 7. Height 8. Weight 5. rer male co other: 10. Eyes C] female 11. Build CU small ([j medium (7 lerge [1] thin ([) athletic (_} obese 12. Coe eeoee dark b glasses ([_] dark glasses mustache eard {C) Afro clothes (—) Afro Reinio. O [c} bushy (7) short (9 long (_) others: 13. Scars and marks 14. Tattoos 15. Marital status CC] single (_) married [} separated [7] divorced 16. Education (check highest) (cj elementary (—] junior high school [(] high school CJ college (C) other: }. Military [7] Army (7) Navy (1) Marine Corps {[] Coast Guard 18. Residence * 19. Occupation 2. Employer 92. Identifying Numbers ne i PHOTO [alas 7¢ CLASSIFIED BY: — REASON: 15 ( © }(d) ECLASSIEY ON: X_L_ © | LON CONTAINED L LNTORMAT weet wS UBCLASSILFIBR a Se OEPT REERE SHOR,” " OGRERRISE "7 - Date taken —_——————-~—__——____—— 21. Relatives (list name and city) Father ———_$_____ Mother nae Spouse —_—_____ Others _ i RS ———— oe Social Security Alien Registration FBI No. —.—___-______—- Military No. —————--_-_—_——- 8 No. Passport No. ————_—____________—— issued 23. Known to carry weapons ~ (INo (1) Yes Type —————_—_—————— 94. Previous Felony Conviction a EEEEDEnEnEtEt Others ________ (date) 25. Fingerprint Classification rd (C1No (7) Yes Offense Affiliated with if none, succinct characterization ——__-_—_____—_—— fice of Origin Official 3; Position 2) (use other side if necessary) Bufile No.