Thursday, October 4, 2012

Name Provided: SAM A R
Date Of Birth: 01/10/1999
Place Of Birth: MILWAUKEE, WI
Social Security Number: 354-15-4672
Sex: Male
Height: 5FT. 9IN.
Hair Color: Blonde
Eye Color: Blue
Occupation: STUDENT
Employer: PEWAUKEE MIDDLE SCHOOL
Mailing Street Address: 414LALALAND
Mailing Street Address 2: 412LALAND
City: PEWAUKEE
Country: USA
State: WI
Zip Code: 53072
In Care Of: MIKE RAMLOW
Permanent Address Same As
Mailing Address?:
No
Permanent Street Address: CLOUDLAND
Apartment Number:
Permanent Street Address 2: LALALAND
City: PEWAUKEE
Country: USA
State: WI
Zip Code: 53072
Email Address: SAMLOW@GMAIL.COM
Work Phone: 1414202020202


Date Of Trip: 12/21/2012
Duration Of Trip: A MILLION YEARS
Countries To Be Visited: THE OCEAN
Emergency Contact: MIKE WALTERS
Relationship: BROTHER
Street Address : LALAND
Apartment Number: 1
City: GERMANTOWN
State: NC
Zip Code: 52673
Contact Phone: 21636373623926391
Have Passport Book: No
Have Passport Card: No
Name Of Mother/Father/Parent: MOM MOM MOM
Mother/Father/Parent Date Of Birth: 12/12/1990
Mother/Father/Parent Place Of Birth: MILWAUKEE
Mother/Father/Parent Sex: Female
Mother/Father/Parent U.S. Citizen: Yes
Name Of Mother/Father/Parent: DAD DAD DAD
Mother/Father/Parent Date Of Birth: 12/12/1990
Mother/Father/Parent Place Of Birth: MILWAUKEE
Mother/Father/Parent Sex: Male
Mother/Father/Parent U.S. Citizen: Yes
Married: No
Other Names: SAM SAM

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