◆ SpookStack

b2 b6 b7C Consumer Credit Clearance MPIC BLVD. LOS ANGELES, CALIFDO15 1543W. DUNKIRK 1-6211 Date & member no. fd/b1 FIRST MIDDLE BIRTH DATE OR AGE WIFE OR MARITA fOR Ccc use OnLy Hilr VA 0 /y RENT OWN 7F Oerrari Dh.Aery -resent residence HOWLONG i.7 F093 l REVIOUS RESIDENCE HOWLONG f- OCCUPATION EMPLOYER&ADDRESS HOW LONG /7 ineral wurl Preyious employer & aDDress HOW LONG OCIAL SECURITY NUMBER DRIVERS LICENSE NUMBER InQuIRIEs LEGALS i1-j6-bt- 6y8) (tp) 1ot db-57-7b51 (Apv 10y9) -4-6G-93y (sii Fug ) -6-179g -4-69-$44 3*-49-69-337 FORM WR 750