EFTA00110595

| LEAVE BLANK | CRIMINAL |
| :--- | :--- |
| FD-249 (Rev. 3-1-10) | |

(STAPLE HERE)

STATE USAGE
NPP SECOND
SUBMISSION APPROXIMATE CLASS AMPUTATION SCAR

LAST NAME: FIRST NAME: MIDDLE NAME: SUFFIX

Epstein, Jeffrey Edward

SOCIAL SECURITY NO.

LEAVE BLANK

ALIASES MIDEN
LAST NAME: FIRST NAME: MIDDLE NAME: SUFFIX



LEAVE BLANK






76318-054 EPSTEIN


| FILM NO. | STATE GENTRIFICATION NO | TIME OF LIVING | MAY 30, 1953 | SEX M | RACE W | HEIGHT 6'00" | WEIGHT 185 | EVER BL | HAIN GY |
| :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- |

- **M. THUMB**
  - 2. N. MOORE
  - 3. R. MOORE

- **6. L. THUMB**
  - 7. L. MOORE
  - 8. L. MOORE

- **10. L. LITTLE**

- **11. L. LITTLE**

- **12. L. LITTLE**