DOJ-OGR-00029425.tif

' BE: Fe Record Request FD-125 (Rev. 4-1-93} Date b/ O% (A007 Buded O Birth O Credit AY Criminal O Death O INS Mariage* O Motor Vehicle O Other | File Number 2yewwwn-.1OosoGe 2. : b6 -3 b7C -3 b3 -1 Address | : b6 -2 Residence sosfo b7c -2 Business Former * Date and place of mariage Gfapplicable) Age Eyes Birth date Birthplace ; ; ; oe ; : bic -3 Arrest Number Fingerprint classification Criminal specialty 63 1 ¥ Fag Social Security Number Divers License Number Specific information desi N CEC Results of check 03956-6978 DOJ-OGR-00029425