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104-10124-10218 JFK Assassination Records Archives 1 (1/11/1950)

handle is hein.jfk/jfkarch39567 and id is 1 raw text is: 
1O4104 121


SUPPLEMENTAL PERSONAL HISTORY STATEMENT


   James   alton  Moore
3. I MARRIED-
NAME OF SPOUSE (First-middle(maiden)-last)

   Fatricia  Anslev   Moore


2. MA IT A'- ST ATUE

          ' F


PLACE OF MARRIAGE
   ashinpton, D. C.
4. RESIdENCE (Since date of


PRESENT.


SINCE (Date)


August   1954


last PHS, if overseas residence indicate only


NUMBER AND STREET


51145 Rexton  Lane


   DATE OF MARRIAGE
   12  ADr  41
city & country)
   CITY AND STATE


   Dallas-: Teasm


         DATE TO DATE              NUMBER AND STREET                  CITY AND STATE
  FROM
         Apr  54 to  Jul  54        3406 Dartmouth                    Dallas,  Texas
         DATE TO DATE              NUMBER AND STREET                  CITY AND STATE
  FROM

        _Jun  50 to  Apr  54      1 3502 Underwood                    Houston.  Texas
 5 HAVE YOU BEEN ARRESTED. INDICTED. OR CONVICTED FOR ANY VIOLATION OF LA* (Other than for
   mino  traffic violation) SINCE THE DATE OF YOUR LAST PHS                            YES {ECl
                                                                                       below)
 6. SINCEAHEDATE- or YOUR LAST PHS. HAVE THERE BEEN ANY UNFAVORABLE INCIDENTS IN YOUR LIFE     YES (Explain   NO
   WHICH MIGHT REQUIRE EXPLANATION                                                     below)
-- - --                                                                                  lX
7. NAME OF YOUR PRESENT IMMEDIATE SUPERVISOR                          EXT.      R I#

   Ernest  A  Rische,  Houston,   Texas
S. ADDITIONAL REMARKS (Use reverse if necessary)


SIGNATURE OF EMPLOYEE


F  K. 444Le


     - 71




a ~


Background  Use  Only


I - NAME ( First - middl e- I A sr

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