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CONFIDENTIAL RECORD SHEET __ # # REGI3TFJVTICN,^l3SCRI?TION AND STATISTICAL SERVICE.APPENDIX A 30Y SCOOTS OF AiMSaiCA DATS SOCIAL SECURITY ■* FULL NAME a NUMBER — (No initials if you can possibly get full name) ADDRSSS| CITY STATE I VL ZIP CODE "!1! Z. a OATE OF 3IRTH (This is iEiDortant and should be exact) APPROXIMATE AGE _(To be used ONLY when date of birth is not known) _______________ NATIONALITY r\ ^ ^ t » ___________________ OCCUPATION r JsLL EDUCATION — RACE COLOR OF HAIR r^'C. COLOR OF EYES OUTSTANDING CHARACTERISTICS OR INTERESTS_ MARRIED OR SINGLE M J O —O r'7 c SPECIAL RECOGNITION SUSPENDED OR DENIED REGISTRATION FOR FOLLOWING REASONS: , j -w -v o . -■•J ^ . ,-j aJU i ^ ! ^ U- ' *u/ n> ■>
Antonio Martinez, Boy Scouts of America Termination File
