AHN-0075.JPG
Number: N425-0000-0298 Issued: 10-16-78
Arnold Nelson
2942 N. Whipple St.
Chicago, ILL 60618
Eyes HT WT SEX Birth TYPE
Blue 5'07 180 M 10-19-00 Original
Restriction: 1-0-0 Corrective Eye Lenses
Class: *A* Expires: 10-19-81
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