APPENDIX C: APPLICANT/FIELD CHECK; INFORMATION CARD
 
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Name
 
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Location Date Time
 
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Residence Address
 
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D.L. #
 
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Business Address
 
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Vehicle Color Yr. Body License Info
 
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Occupation
Vehicle Modifications:
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Social Security Number
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Race         Sex Height
Action Leading to Check:
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Weight       Eyes Hair
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Complexion       Date of Birth
Unusual Features:
Comments:
 
 
 
 
 
 
 
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Hat            Coat
Associates:
 
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Cap            Jacket
 
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Blouse            Dress
 
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Shirt            Sweater
 
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Skirt            Trousers