◆ SpookStack

1, Name 2. Aliases ¢ | ee . - , PHOTO diye large [7] thin [_) athletic : ; é i Ally, [7] obese ? a t TS eoinde giasses [_] mustache (—] bear o845° . Cio bse LASSIFIED BY: SPX 13. Scars and magks 3 REASON: 1.5 { @® Ney 14. Tattoos ASSIFY ON: XL a 15. Marital status aay TEVMALASSIFIB Cc] single (_] married (1) separated [—] divorced HEP EIA 18 CLASS TBD 16. Education (check highest) EXCEPT WHGHS OHVn [cl elementary [_) junior high school [—j high school QTHESWISE ~~ re [_] college L_] other: oe eee ee ee Se - a r¢ 17. Military . (-] Army [_] Navy T™ Marine Corps [ad ast Guard 18. Residence ~ 3. Date andPlace of Birth 4. Citizenship |6. Race (1) black C__] white (_] oriental 5. Sex [] other: [7 male [} female 11. Build C7) small [_] me 12. Charactesties” ( glasses [} Date taken ———_-—____—_—_ 21. Relatives (list name and city) Father ______— 19. Occupation ; * Mployer , . J gh its 992. Identifying Numbers Mother ———___———___ Spouse ——_—____———__———___————_ Others —————~____—_ ne i Social Security Alien Registration FBI No, ————__—_—___——- Military No. _____— No. No. issued Others Passport No. ‘ (date) 25. Fingerprint Classification 23. Known to carry weapons CO No (Yes Type ——————————————— 24. Previous Felony Conviction [No [() Yes Offense 2. Official Afiieted with ___—___——+_ Position ; Doty _ if none, succinct characterization ———_— (use other side if necessary) Bufile No. Office of Origin Date prepared DOCUMENT /37 | FBI/DOJ