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P. H. of Name Jack Leon tuby Associates Name Address Type of Association Business Address Name Address Type of Association Business Address Name Address Type of Association Business Address Criminal Record DPD No. City & State Name & Number Date Charge Disposi tion School Blue Island is Washburn Grade School Smith Cranmar School Year ? Location Chicago, Illinios Kedzie and 5th Ave. High School Marshall ligh School 2 yearSLocation Chicago, Illinios College None Year Location Hospital Interne None Year Location Narcotics Information Amount and type of Narcotics seized Date and place of initial use of Narcotics First type of Drug used Drug now using Reason for initial use of Drug Attempted Narcotics Cures Place Date Voluntary Completed Place Date Voluntary Comple ted Place Date Voluntary Comp] ted CPS-SS-520 the 3 - R-8

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