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65 HS1 101634279 100 DE 26505
Page 7
7 / 15
NW 90290
“Age”
Record Request | « ~
FD-125 (5-27-55) ~ *
: LJ Birth oS Credit Criminal [J Motor Vehicle
LC Death Loi Marriage* [0 INS
To:
Return to: 7
File number a
tvO -2bSoS |
Name and aliases of subject, applicant or employee & spouse
Addresses
Residence
Business
Former
"Date and place of marriage
(if pertinent)
Race
Docld:34714592 Page 7
~~ FOIA(b)(6)
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