L 33470 (6) ALLLNG ADDRESS MOM no. a greet name) frig 001 (O (stale) (A0 =da) . (7) SOCIAL SECURITY NO. (0) HOME TELEPHONE NO. (0) SIX F (103 RACEIETAINC ORIGIN H 0 I-American Indian/Alaskan Native 0 Balack, Non-Hispanic H-Hispanic • kAsian/Pacific Islander 0 W-YVhie, Non-Hispanic M-Muttiracial