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MORI DocID: 1451843

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The following were previously on the same request within O. Gill, Burke a thy
W.O.P.D., and Office Michael S. Aneville, Badge # 3170, H.P.D.C.D., also H.P.

3/4 | USSE-FID (Foreign Branch), was notified.

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8. SUSPECT AND/OR ARRESTED PERSONS. IDENTITY BY NAME, ADDRESS, SEX, RACE, SOCIAL SECURITY NUMBER, DOB, EYES, ETC.
N/A

(1)
LAST NAME | FIRST | MIDDLE | ADDRESS
RACE | SEX | HEIGHT | WEIGHT | HAIR | EYES | DATE OF BIRTH | SOCIAL SECURITY NO. | NATIONALITY

(2)
LAST NAME | FIRST | MIDDLE | ADDRESS
RACE | SEX | HEIGHT | WEIGHT | HAIR | EYES | DATE OF BIRTH | SOCIAL SECURITY NO. | NATIONALITY

9. ARREST PD | 10. ARREST NO. | 11. ARREST OFFICER (NAME & BADGE NO.) | 12. DATE | 13. HOUR

14. CURRENT CASE DISPOSITION

A OPEN | B CLOSED | C UNFOUNDED | D CLEARED BY ARREST | 15. USSS-ID CASE NO.

16. FINAL CASE DISPOSITION
N/A
OPEN                                                00377

17. REPORTING OFFICER (SIGNATURE) | 18. DATE | 19. APPROVED (SIGNATURE & TITLE) | 20. DATE
[Signature] | 05-15-72 | Captain Pete N. Xanthos | 05-15
Sergeant Stevens E. Butler | | FOR INTELLIGENCE |

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