C. LR. No

Prison Rogister No.

Name ograph le be eut to (hs vive and pastel here Ÿ ds tas. os audios fes % dl subies fa jan Le. ous C4 Les 2 Le mr vel jee mafequel

Alias

How dimharged

* 4) Time eupiret, © Partuned or Plobet af lave.

Unte and plive | .

Ho ght (without shors ) = Ÿ

C'omplezion

Distinetive Marks ane Prculiarities