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Record Request FD-125 (Rev. 4-1-93) Date b O A oO o7 O Birth C1 Credit BY Criminal O Death O INS OD Marriage* 0 Motor Vehicle “DO Other Buded File Number Retum to Ss ZEN 108062 et b7Cc -2 Name and aliases ofsubject, applicant, or employee, and spouse bé6 -3 b7c -3 Address b3 -1 Residence Business ‘ Fonner -. a . * Date and place ofmariage _ : (ifapplicable) . Birthplace b6 -3 - - b7c -3 Arrest Number Fingerprint classification Criminal specialty b3 -1 Social Security Number Divers License Number Ld Specific information desi N CLC Results of check O Other | D/L Photo 03956-8941 :