Form 5C, 1974 REAR: (1)______, (2)_____, (3)_____, (4)_____, (5)_____, (6)_____, (7)_____, (8)_____. MIDDLE: (9)_____, (10)_____, (11)_____, (12)_____, (13)_____, (14) Tom West [Tutor]. SEATED: (15)_____, (16)_____, (17)_____,