📄 Extracted Text (237 words)
Complaint Form
FD-71 (Rev. 4-13-92)
NOTE: Hand print names legibly; handwriting amisfactory for remainder.
Indite. O Neptive O See below
Subjeeth name and alien» Character drue
'belk6fc
(
pV
\
I
S
C'
•
C
L:
Present Soma
e:
nt
p
54
t
i.gr
43
Casat
-
---
Complaint received
ErTelapboric Data ilmi
Addl.«. ofSubject Comilla ntlr address and telephone number
(v,/,V6
*MAO/ Race sr.
\
Rene Sex Height Hair Build 'N•., Birth Date and Birthplace
O Male
Age Weight Eyes Complexion • Social Security Number
D Female
a Scam marked other data
Facts of complaint
Cop,p\M;el eXPA .41 QS '‘ Sr ..k '5\,..0 't s A (-X & €'44 444.-\ DAN -k- a*.
4' rk ./t..1C42-5 A \"\ 42 r -Ses-arS. P. ....5, v.. (1 1-5 n 1-\..,- ,),....5
Pas..". -''...\ (1
4
/ ..k. L". ,9cAs.- .*P 5}e:,,-1 544 ,2 .k. ?1,..1,,,,, ....„3,k Iksay..A-mLs
<2,4 ;5Ac,,e,...\<2;.34. it, N.,..-..›,:t -stA. -Kt, , .,.„,,s. -t, f>z ,..k 6.1.,..,- ,
CI' s{ ' ',,‘ A..\ ,,,,,, e k.,-,A,2_ •(-44.c.e-,>. \--.. •k-A„\S/2 ;(_\,,,sz'S
(:)- (7
/ GA O
'SASS 4-\ -St,N;‘,..x-..‘ ,5, p.t.c( , ps4E ins ;\ No lr,
A*1 6 ec._1,....t. -LN "Sc \,,2 k.e.% 4, -,7›,,e. 4\.,.)k \',\g_.
. •
-p\...\-bs 1\.2 w;\\--- ‘,..,(..› -\,e_c.- \-\,,,se... 0
Do mt./rite in Mi. mom.
,i clia=1) - 3y 3
C —.
7 '2°
I — b p_ it)iiq -5,?\,- E. I /4/4'
Complaint maimed by) 1.111 CK STAMP
EFTA00156622
ℹ️ Document Details
SHA-256
766370181eab3236609d78dcfaa73e05b8e95dea719e7ccb57bece0d423eb0ea
Bates Number
EFTA00156622
Dataset
DataSet-9
Document Type
document
Pages
1
Comments 0