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OCR Page 1 of 109P. 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
Relations
belongs_to