f Birth C 1. Arrested C a Felony C 2. At Large IQ g. tjut "" n • a n" OnPaisndane Name Mu. fuss Wale) -,.....,...., Race Sem Dale of Bon ,it I. ArMIOEI — 2. At Lange :4 et =manor Ce 3. Jummile j......„..._ / w _e 2 w D —. la Patent Name (Last) (Feu) (Middle) ,,. Legal Custodian .... Oth