| MY PERSONAL INFORMATION | |
| Name: | Mary Jones |
| Address: | 10 Rainbow Drive, Louisville, KY 40206 |
| Date of Birth: | 11/4/61 |
| Marital Status: | Married |
| Preferred Phone Number: | 502-555-7959 |
| Alternate Phone Number: | 502-555-8592 |
| E-Mail: | Mary.jones@internet.com |
| Height: | 5' 3" |
| Weight: | 180 |
| Blood Type: | O+ |
| Preferred Language: | English |
