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DATE: 10-21-2011 CLASSIFIED BY US 60322 LP/PJ/SZ REASON:1.4C DECLASSIFY 0N: 10-21-2036 ALL INFORMATION CONTAINED AAG HEREIN IS UNCLASSIFIED EXCEPT WHERE SHOWN OTHERWISE RECOD REEST LA-40^(Rev. 5-5-77) SOMTEIZEDISEORATIOS SHIES Resistered Loca) Sta:c SEIC State Conputerized Identifriag Trafric l'ehicle Criminal Cri-anal aanted/ Crininsl Crxins! DData DDsta DData DData LDas Dxissing Dhistcry Dlistoy() rersons OUTSIDE AGENCY CHECA Ostrth. Dcredit Dcrisinal ODeath DINS Karrsase Dotor Veticle Dother DDriver's License Teletype Room Buded eturnet File nu b1 b6 Kaae and slises o saods pug aaxiordra o b7C Vebiclelicerse. Vehicle identification Auber Addresses De Lic-# zd184276 Residence Busiaess FAAMK LlKiNSoN Foraer DoB: g|1c/!y Date and placs of.aarriage (r applicable) Race Age Height Aeight Hair Eyes Feaale Birth cate Birth place Socia) Security Nu=ber Arrest aumber Fingerpriat classification Crininal speciaity Specifsc Snfcrnatson desired. (incluciag Autoastet Firears Systeg yAFs) AutoastedProperty Systes(Aps) De. LiC 1MFs B Jehicles Identifying nuaber (FDl/rsU/ Selephons iretn Dat Stte NcIC) TC.) cria Brand Caiber Make Results of check b1 (61 SEP 07 i9c3 (use rererse site. It aecas`sary)