Part 113, page 29

Transcript

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Record Request FD-125 (Rev. 11-3-71)

[✓] Credit [✓] Criminal [ ] Birth [ ] Death [ ] INS [ ] Marriage * [ ] Motor Vehicle [ ] Other ______ [ ] Driver's License

To T 460 Buded [REDACTED b6/b7C] Return t[o] File number 164-81 [REDACTED b6/b7C] Name a[nd] [cant, or employee, and spo]use

Addresses Residence ———————————————————— Business ———————————————————— Former ————————————————————

* Date and place of marriage ———————————— (if applicable)

Race Sex Age Height Weight Hair Eyes W [✓] Male [ ] Female

Birth date Birthplace

Arrest Number Fingerprint classification Criminal specialty

Specific information desired current address

Results of check SEPD 3/12/73 cause attached ? Sea. [guess: Traffic] Bur. 3/12/73 N R KC DPS 3/12/73 N[/]R Credit Bur. 3/13/73 N R 164 81 SEARCHED _______ INDEXED_______ SERIALIZED___[✓]___FILED ___[✓]___ FBI — SEATTLE

(Use reverse side, if necessary) DB COOPER-51489