Adult ID Kit

Today’s Date: _5/5/12_______________________

First Name: __Jamie__________________Middle Name: _Lea________________________Last Name: _Reed__________________________Nickname(s): _____________________________

Current Address: _13656 Littlecrest Drive_______City, State, Zip: _Farmers Branch, Texas 75234___Home Phone: __N/A________________________SS#: __454-67-7718_________________________Cell Phone: __214-564-1168__________________Work Phone: ____________________________Place of Employment: __Mayse & Associates____

Phone:_972-386-0338_________________

Date of birth: _April 13, 1981_________________Gender: __Female__________________________Ethnicity: __White__________________________Height: __5’1”__________ Weight: __135_lbs___Hair color: __Blonde_________________________Eye color: _Blue____________________________Birthmarks: _ birth mark on left foot, ______________________Distinctive moles: _ left arm ________________________Scars: _ scar on top right foot________________Other (glasses, contacts, braces, prosthetics etc): __tattoo of dandy lion and birds on right shoulder________________________

Allergies: __none__________________________Medical Conditions: _______________________Medications: _____________________________

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Left Thumb Left Index Left Middle Left Ring Left Pinky

Right PinkyRight RingRight MiddleRight IndexRight Thumb