rths 1/20/1953 Placo of mnu_Kings County, New York Soda socuily Numborfoptonun OFO—44-3348 | Options: Prlor sddreasas, ciphers 614, which may assiat Uia FB In (ocating tho naquested invormadion} Thereby walve my dghtao privacy, and | authorize tha PUI to release any and all Information rateting to me to