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Jonestown — Part 1
Page 90
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- * nee?
BQ 89-495
Race
Sex \
Date of Birth
Place of Birth
Height
Weight
Build
Hair
Eyes
Residence Address
b7C | Name
Telephone
Occupation
a Employment
' Education
Marital Status
Relatives
Secial Security
Account Number
Passport Number
Arrests
-Destination Point
{
noe a a A ARN Ost are om a,
uent to the completion of the above
was photographed and fingerprinted
by personnel of the FBI at (YW
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