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104-10124-10218 JFK Assassination Records Archives 1 (01/11/1950)

handle is hein.jfk/jfkarch72964 and id is 1 raw text is: 2022 RELEASE UNDER  THE PRESIDENT  JOHN F. KENNEDY ASSASSINATION   RECORDS  ACT OF 1992


I. NAME (First-middle-last)


    Wires  -'alton Mloore


SUPPLEMENTAL PERSONAL HISTORY STATEMENT


                                         2. uAF IT AL STATU;c
                                             ~I n G L
                                             , ~ v EC


3. Ir MARRIED-


NAME OF SPOUSE (First-middle(maiden)-last)                                                       -------

   Fatricia  Anslev   Moore
PLACE OF MARRIAGE                                                     DATE OF MARRIAGE

   vashineton,   D.  C.                                                12  ADr 41
4. RESIDENCE (Since date of last PHS, if overseas residence indicate only city & country)


PRESENT.


SINCE (Date)


August   1954


NUMBER AND STREET


51'45 Rexton   Lane


CITY AND STATE


Dalla     Texa


        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  ADr  54       3502  Underwood                    Houston    Texas
S. HAVE=YOU BEEN ARRESTED, INDICTED. OR CONVICTED FOR ANY VIOLATION OF LAW (Other than for    YES (Explaini
   minor traffic violation) SINCE THE DATE OF YOUR LAST PHS                            below)         NC

6. SINCE.THE DATE- OF YOUR LAST PHS. HAVE THERE BEEN ANY UNFAVORABLE INCIDENTS IN YOUR LIFE   YES (Explain -
   WHICHMIGHT REQUIRE EXPLANATION                                                     below)         NO
                                                                                         lWX)
7. NAME OF YOUR PRESENT IMMEDIATE SUPERVISOR                          EXT.       RM.#

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


SIGNATURE OF EMPLOYEE


tc FM


                                              Bckground   Use  Onk-y.


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