location(s): :4 :river's License No. and State of Issuance: ADTPDAILAITar 7C RELEASE INYeateiralter I hereby author-de release to the Warden of: The Meennsolitse Correctional Center. N.Y. any record of criminal offenses for which I have been arrested and or convicted. and any information related to those convictions. ••FOR.MS R