Labels:text | screenshot | display | parallel | number | line | font | diagram OCR: KidTrakker Rel.2b / FillPower 1.20aa TD 15-Day TestDrive - [C:\KTKTD\KTKTD1.FO File Edit View Options Window Help 5 77400 10050200 KIDTrakker ™M TYPE OR PRINT ALL INFORMATION IN BLACK FBI LEAVE BLANK IDENTIFICATION CARD LAST NAME FIRST NAME MIDDLE NAME Your Organization's Name, Address, Phone & Fax will be placed at this location on the form RESIDENCE ADDRESS - STREET with purchase of KIDTrakker. ™M & C) 1995 by EZX. 713-280-9900 F:0099 CITY ZIP-CODE Notice removed when registered. STATE DATE OF BIRTH MONIH DAY YEAR SIGNATURE DATE of OFFICIAL TAKING PRINTS HOME PHONE SEX RACE Height Weight EYES HAIR MOTHER'S NAME/MAIDEN PHONE NO. NICKNAME LEAVE BLANK MOTHER'S ADDRESS CITIZENSHIP CLASS FATHER'S NAME PHONE NO. PLACE OF BIRTH REF FATHER'S ADDRESS SOCIAL SECURITY NUMBER + For Help, press F1 Fillout NUM
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