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

handle is hein.jfk/jfkarch45110 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 NUMBERS. ETC. .. 3

                                                                           DATE
      anm  Franfton   maco
3. DATE AND PLACE Of BIRTH                                            ORIGINATING OFFICER

N. CITIZa  P         .                                      NAMEO
4. CITIZE'NSH P                                             NM


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


6. Occ fALP       TIES, EDUCATION



7. PAST ACTIVITIES INCLUDING MILITARY SERVICE
                         ACTIVITY


18AM~ . 04.L


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


OFF IC  ,,,,B,...
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 (74


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