Archive / Parts / Part 113 / Page 104 Form · FD-125 Record Request re NORJAK Sub 487 · 11 September 1972 · 1 page AI Type, title and date: machine-written — generated by an AI model from the transcripts, and it can be wrong. The scan is the source; the transcript is machine-generated from it.
fbi_form Legibility: medium
Part 113, page 104 Document date 11 September 1972 AI Dates: machine-written — generated by an AI model from the transcripts, and it can be wrong. The scan is the source; the transcript is machine-generated from it.
Transcript The scan is the source; the transcript is machine-generated from it.
Cred Bur 9/12/72
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[x] Credit [x] Criminal [ ] Death [ ] INS [ ] Marriage * [x] Motor Vehicle [ ] Other ______
[x] Driver's License
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To: SC
[REDACTED] O - 416
Return to:
SA
[REDACTED]
Buded
File number
164-81 SUB 487
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Name and aliases of subject, applicant, or employee, and spouse:
[REDACTED] [REDACTED]
aka [REDACTED] [guess: m.y] [illegible]
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Addresses
Residence 12/70 [guess: Pres-] 1/70
[REDACTED] [REDACTED]
Business 7/70 1/69
[REDACTED]
Former 7/68
4/69 8830 8/68 - [REDACTED]
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Race: MEX
Sex: [x] Male [ ] Female
Age: [REDACTED] Height: [REDACTED] Weight: [REDACTED] Hair: [REDACTED] Eyes: [REDACTED]
Birth date: [REDACTED] Birthplace: [REDACTED]
Arrest Number: Fingerprint classification: Criminal specialty:
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Specific information desired
N/< BACKGROUND The [guess: Location]
[guess: N/<] [illegible] 9/13/72 N [illegible]
Results of check 9/11/72
[REDACTED]
[guess: Join] 4/11
Record for [REDACTED]
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b6
b7C
b7D
AI notes AI These notes: machine-written — generated by an AI model from the transcripts, and it can be wrong. The scan is the source; the transcript is machine-generated from it. Commentary by the AI model that transcribed this page. It may bring in context the page itself does not state. The scan is the source; the transcript is machine-generated from it.
Handwritten notation indicating Credit Bureau check dated September 12, 1972.
Record request type checkboxes. Credit, Criminal, Motor Vehicle, and Driver's License are checked.
Routing block showing the request sent to SC (Sacramento), case file number 164-81 SUB 487, office code O-416. Specific addressee and return-to agent names are redacted.
Subject name, aliases, and spouse fields are fully redacted under b6/b7C/b7D privacy exemptions. An 'aka' alias line is partially visible but redacted.
Address history section with multiple dated entries. Residence, business, and former addresses are listed with dates ranging from 7/68 to 12/70. Actual street addresses are redacted. Number 8830 is partially visible, likely a street number.
Physical description block. Subject's race listed as MEX (Mexican), sex is male. Age, height, weight, hair, eyes, birth date, and birthplace are all redacted. Arrest number, fingerprint classification, and criminal specialty fields are blank.
Handwritten notes in the 'Specific information desired' section referencing a background check. Dates 9/13/72 and 9/11/72 appear. A cursive signature or stamp is present. Most details are redacted or illegible.
FOIA/Privacy Act exemption markings b6, b7C, and b7D appear along the right margin at multiple points, indicating redactions for personal privacy (b6), source-identifying information (b7D), and personal information in law enforcement records (b7C).
Handwritten entries throughout the form are partially legible Multiple fields redacted with black bars (b6, b7C, b7D exemptions) Some handwritten dates and addresses are faint or obscured Scan order ← p. 103 p. 105 →