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SECURITY

AND

INVESTIGATIONS

CO

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CLIFTON BLACKEAGLE, PRESIDENT

NOT VALID WITHOUT PHOTO,

SIGNATURE, AND ACCURATE

DESCRIPTION

THIS CARD IDENTIFIES

AS AN OPERATIVE OF

STANDING.

Trim photo

to fit

1” x 1.25”

Instructions:

Fill out and return with a 1” x 1.25” photo of your operative (Use a photo
of yourself or cut one from a suitable magazine or catalog). ID card will be
completed, laminated and returned to you within 3 weeks. ID card is
FREE, but you must include a Self Addressed Stamped Envelope. Please

Operative’s Name: __________________________ Age: ______
Status: ____________ Height (cm): ______ Weight (kg): ______
Eye Color: ____________ Hair Color: ____________ Sex: _____

Your Name: ____________________________________________
Address:

______________________________________________
______________________________________________
______________________________________________

Please include me on your mailing list.