[104-10215-10214.pdf — page 37]
# SECRETCONTRACT INFORMATION AND CHECK LIST (CONTINUED)NOTE: SEE INSTRUCTIONS ON FIRST SHEET.## SECTION 11CASE OFFICERL. D. PuckettTELEPHONE EXTENSION:2555 or 3162DIVISION:HEDDATE:16 April 1958## OTHER BENEFITS40. BENEFITS (See Part XIV of Confidential Fund Regulations or successor regulations for benefits applicable to various categories of contract personnel. If medical benefits are requested, see R 15-230 or successor regulations.)Annual LeaveSick leaveDeath and disability benefits equal to those authorized under Federal EmployeesCompensation Act.Missing Persons Act.Civil Service RetirementRegular Staff Employees medical benefits for employee and dependents as stated in R-15-230 (Subject will meet requirements when completes covert medical on 21 April 1958)## SECTION IX| 47. STATUS (Check) || :----------------: ||      PROPOSED      ||    ESTABLISHED     || 48. TYPE (Check) || :--------------: ||    SUBSIDIZED    ||     CULTURAL     ||   EDUCATIONAL    ||     MILITARY     || COVER ACTIVITY || :------------: ||   COMMERCIAL   ||    TOURIST     ||    OTHER /     ||    Optional    |49. IF COVER PAYMENTS ARE CONTEMPLATED, THEY WILL BE EFFECTED ON REIMBURSABLE BASISNO COMPLETE PARTIAL## SECTION X50. OFFSET OF INCOME AND OTHER EMOLUMENTS DERIVED FROM COVER ACTIVITIES (If less than total, justify in separate memo attached hereto.)    TOTAL PARTIAL NONE## SECTION XI| 51.  | DURATION |         || ---- | -------- | ------- || DAYS | MONTHS 2 | YEARS 1 || TERM || 52. EFFECTIVE DATE || 1 May 1958 || 53. RENEWABLE || :-----------: ||    YES NO     |54. TERMINATION NOTICE (Number of days)| 55. FORFEITURE OF RETURN TRAVEL FOR RESIGNATION PRIOR TO CONTRACT TERMINATION || :---------------------------------------------------------------------------: ||                                    YES NO                                     |## SECTION XII56. PRIMARY FUNCTION (PI, PP, other) FIFUNCTION## SECTION XIII57. GENERAL DESCRIPTION OF DUTIES TO BE PERFORMEDDUTIESCase officer for Communist Party operations in Mexico.## SECTION XIV58. EXPERIENCEQUALIFICATIONSContract and career agent since June 1949. Intelligence assignments in Costa Rica, Guatemala, and Cuba.| 59. EDUCATION (Check Highest Level Attained)     | GRADE SCHOOL BUSINESS SCHOOL GRADUATE || ------------------------------------------------ | ------------------------------------- || HIGH SCHOOL GRADUATE COLLEGE un de pos           |                                       || TRADE SCHOOL GRADUATE COMMERCIAL SCHOOL GRADUATE |                                       || POST GRADUATE MA PHD                             |                                       || 60. LANGUAGE COMPETENCY  LANGUAGE (Check Appropriate Degree Competency) | SPEAK Excellent Average Poor Fluent | WRITE Excellent Average Poor Average Poor Fluent | READ Excellent Average Poor Lueri Average Poor Excellent Average Poor Stipoo | 61. INDIVIDUAL'S COUNTRY OF ORIGIN USA || ----------------------------------------------------------------------- | ----------------------------------- | ------------------------------------------------ | ---------------------------------------------------------------------------- | -------------------------------------- || English X                                                               | X                                   | X                                                |                                                                              |                                        || Spanish X                                                               | X                                   | X                                                |                                                                              |                                        |62. AREA KNOWLEDGE    Extensive area knowledge of Central America and Caribbean areas. Has resided in Latin America since 1940.## SECTION XVPRIOR EMPLOYMENT![blurred table including prior employments]## SECTION XVI64. ADDITIONAL OR UNUSUAL REQUIREMENTS. JUSTIFICATIONS OR EXPLANATIONS (Use other side if necessary)![checkbox indicating over page]