CI 0000025874 LID C-0000000741;,.., Sax 14 Net 72 to DOB I/20/1953 W0t 4 Hair CRY Eyes B1,0 ot i Class A Blood Type 0 JM. Allergies No51 EndCrsemeilts Restrictions ry : 1 .111 fixo ' Isoss s i I L. Day A Clas B = &tool Bus ant C o Tad or Cias 13 a Mottat5(k Oily Claurn nervy EtMpa,int