Reviewing Authonty and Date Signed: Record Copy - Contra Flte nes/can replaces BP-295(62) dated January 1958 Page 1 of 1 8/6/2019 EFTA00110610 Last Masi ••• Middle ISM Natal weight 5'06" 180 Hato BLACK kaino Leaf Is Middle Sena Sunlit Molght 5'06" Haar BLACK Mr* Weight 180 eye BROWN