About | HeinOnline Law Journal Library | HeinOnline Law Journal Library | HeinOnline

104-10215-10156 JFK Assassination Records Archives 1 (6/16/1964)

handle is hein.jfk/jfkarch16509 and id is 1 raw text is: 1O4~iO215~1O156


                                              SECRET
   -uJECT  (TYPE MAME IN ROMAN 1. ITERS - $URNAME UPPER CASE
                                 LETTERS -    N~t UP'PER CASE) rREQETFR              N
                                                                    REQUEST  FOR GREEN
      Jum n rm   ala  B?                                              NAME  CHEC
2. ALILS, vAIAf  SPLLLING, CTC NLUMERS, ETC.  .
                                                                             DATE
      anm  Franfton   maco
3. DATE AND PLACE Of BIRTH                                   ..O

                                                                        O.itlNAT  OFF CER
A. CITIZE'uSH                                                 NAME


5. PRESENT ACTIVITY AND LOCATION
     6837  S.W. 6th  St.
     M~d,      af


6. Occ  fALSP     TIES, EDUCATION



7. PAST ACTIVITIES INCLUDING MILITARY SERVICE
                         ACTIVITY


18AM~ . 04.L


B. OTHER SIGIFICANT DATA (POLITICS RELIGION) - ADD EXTRA SHEETS WHEo NEEDED


OFFICE -  a  mn
ROOM, BUILDING
EXTE&SION     1AG1
13. TYPE OF REQUEST (CHECK ONE)
o   FIRST TIME SUBMITTED
o   ADDITIONAL DATA
SffCHECK  FOR CURRENT
14. INTEREST IN SUBJECT (CHECK OhE)
0   ESPIONAGE OR CE ACTIVITY
-0 LRATIONAL  CLEARANCE


LOCATIONDATES


9. DESCRIPTION       (HEIGHT)         (WEIGHTI      (EYES)         CMAIR)      (A)        LTHER)


10* SPOUSE (IF WIFE, GIVE MAID    ME)


Br- ~


11. OTHER MERS OF IMEDIATE FAMILY AND ASSOCIATES


12. INFORMATION REQUIRED (DEFINE SPECIFICALLY. GENERAL TERMS SUCH AS DEROGATORY MAY RESULT IN A SEARCH THAT DOES
                      NOT FULLY MEET REQUIREMENTS.

                                    !11l WQi  TIw       .


INS   TRUC TIONS.              INSERT CARBON;  FILL OUT  FORMS COMPLETELY.
                              SEND  BOTH SHEETS  TO FI/D.             .   SEE  CSI 10-7
    501 .  e.  g*.v i.u s .....
                                               SECRET
                                                                       /3. 3Z  2  47


Ua467  II*


~11



-1
1~

~1







I1,





I
~1














K


  opho
7/n/62-5/63

What Is HeinOnline?

HeinOnline is a subscription-based resource containing thousands of academic and legal journals from inception; complete coverage of government documents such as U.S. Statutes at Large, U.S. Code, Federal Register, Code of Federal Regulations, U.S. Reports, and much more. Documents are image-based, fully searchable PDFs with the authority of print combined with the accessibility of a user-friendly and powerful database. For more information, request a quote or trial for your organization below.



Contact us for annual subscription options:

Already a HeinOnline Subscriber?

profiles profiles most