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 | | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- |¶
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M. THUMB
- 2. N. MOORE
-
- R. MOORE
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6. L. THUMB
- 7. L. MOORE
-
- L. MOORE
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10. L. LITTLE
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11. L. LITTLE
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12. L. LITTLE