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Spiro Agnew — Part 20
Page 6
6 / 54
Becember 23, 1968, has set
‘felephone Number
a 175-53 .
“they. may. be. returned to the NYO for return, to the donor...
Th e application of. is being
. ‘furnished to. the FBI Laboratory. so that a sample of his hand-
writing may, be maintained at: the FBI Laboratory.
‘the application ot ee oun
also be raturned to the NYO.after ) aboratory |.
has completed the handprinting examination so that it may
be veturned to_ the e_ donor. . -
the American
dated
OWing inrormation
For the information ‘of New Orleans
Girl Service. application of.
Or
evidently in the handprints of
Name :
Brooklyn, New York
Social Security Number
Citizen of the United States
Date of Birthg
Height , | . . L
Weight. . — 165 pounds
Hair.’ Black.
on Shis application, [___] indicates that he.
is single; and that he has two children and that his.
nearest relative is No address ~
.is given for|
——- For: previous employment, Comhists from.
1965 -to.1966, J.C. Penney, wend and the reason
he left was to enter school and indicates four years
_of. high school and. two years of college at Southern University.
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