Francesco/who-killed-jfk huggingface dataset:
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# DEPARTMENT OF STATEAPPLICATION FOR FOREIGN SERVICEAND DEPARTMENTAL EMPLOYMENT(Use with Standard Form 57)If more space is required, use additional sheets of paper. Write on each sheet your name, address and date of birth. Identify each item, and attach to this application.BUDU ALPEAL NO.87-8071.3APPROVAL EXPIRES August 31, 19541. a. NAME (Frint)   Earl J. Williamsonb. ADDRESS2500 Wisconsin Ave. N.H.Washington D.G.2. USE OF APPLICATION Check one box below to indicate whether you wish this application to be considered for Foreign Service employment caly, or for hoth Foreign Service and Departmental employment. Completion of this form is not required for Department employment only. Standard Form 57 cast be filled out in any case.FOREIGN SERVICE AND DEPARTMENTALFOREIGN SESVIGE-ONLY3. PERMANENT ADDRESS (Place from which you will expect transportation of self and household effects, if any, i appointed to the Poreign Service)Balboa, Canal Zone4. IF BORN OUTSIDE THE UNITED STATES, HOW WAS CITIZENSHIP ACQUIRED? IF A NATURALIZED CITIZEN, GIVE PLACE, DATE, AND NUMBER OF NATURALIZATION CERTIFICATE.(Section 11 on Form 57).NA5. a. ARE YOU NOW INVOLVED IN ANY LITIGATION OR SEPARATION AGREEMENT?YESNOb. DO YOU KNOW OF ANY PROSPECTIVE LITIGATION IN WHICH YOU MAY BE INVOLVES?YESNO(Give details, if answer is yes to a. or 5.)6. WHAT IS THE LOWEST ENTRANCE SALARY YOU WILL ACCEPT FOR OVERSEAS EMPLOYMENT? (Exclusive of allowancest$PER YEAR7. WHAT RESTRICTIONS ARE THERE, IF ANY, ON YOUR INMEDIATE AVAILABILITY FOF DUTY IN ANY PART OF THE WORLD?None8. a. FULL NAME OF SPOUSE (If wife, give saiden ma)b. DATE OF BIRTHc. PLACE OF BIRTH (City, State or Province, and Country)Kone9. IF BCS OUTSIDE THE UNITED STATES, HOW WAS CITIZENSHIP ACQUIRED?e. IF NATURALIZED, GIVE PLACE, CATE, AND NO. OF NATURAL-ICATION CERTIFICATE.9. NAMES OF DEPENDENTSRELATIONSHIPDATE OF BIRTHILL RESIDE WITH YOU OWENSFASYESNone10. a. FATHER'S NAMEb. PRESENT ADDRESSc. PLACE OF BIRTHEarl Williamoon41 First Ave., Auburn, H.Y.Auburn, H.Y.11. a. MOTHER'S NAME (Maiden)b. PRESENT ADDRESSc. FLACE OF BIRTHMargaret lavloDecca sedAuburn, N.Y.![parents born outside the united states]
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## 14-0000014. RELATIVES NOW RESIDING IN FOREIGN COUNTRIES:NAME RELATIONSHIP ADDRESSNone15. FOREIGN LANGUAGES (Refers item 10 on Form 57)Rate and indicate the extent of your competence, t.c. Excellent, Good, FairLANGUAGE READ WRITE SPEAK UNDERSTANDSpanish Good Good Good Good16. LIST PRESENT OR FORMER FOREIGN CONNECTIONS:A. BUSINESSB. EMPLOYMENTC. MILITARY17. DATES AND PLACES OF RESIDENCE FOR LAST 10 YEARS:DATES STREET AND NUMBER CITY STATE OR COUNTRY1949-52 0824 Arcaida F1. Balboa, Canal Zone Panama1941-48 U.S. Army U.S. U.S.18. DOES YOUR FINANCIAL POSITION PERMIT DISCHARGE OF ALL DEBTS INCURRED?[ ] YES [X] NOIF NO, STATE INFORMATION REQUESTED BELOW:NAMES OF CREDITORS AMOUNTS DUE DATES ON WHICH OBLIGATIONS WERE CONTRACTED19. HAVE YOU EVER BEEN MEDICALLY DISCHARGED FROM THE ARMED SERVICE?[ ] YES [X] NOIF YES, GIVE DETAILS IN ITEM 39 OF FORM 57.20. PRESENT MILITARY STATUSA. ARE YOU REGISTERED WITH A SELECTIVE SERVICE BOARD? [ ] YES [X] NO IF "YES," STATE BELOW THE NUMBER AND ADDRESS OF THE BOARD, AND YOUR CLASSIFICATION:B. DO YOU HAVE A MILITARY RESERVE STATUS? [ ] YES [X] NO IF "YES," STATE BELOW, THE BRANCH OF SERVICES YOUR SERIAL NUMBERS YOUR ORGANIZATION UNIT AND HEADQUARTERS.KI Reserve -0-944652 - No organization21. LIST OTHER NAMES, IF ANY, BY WHICH YOU HAVE BEEN KNOWN INCLUDING MARRIED NAMES, IF MARRIED WOMEN INDICATE MAIDEN NAME. DO NOT DUPLICATE INFORMATION SUPPLIED IN ITEM 16 ON FORM 57.None22. HAVE YOU EVER BEEN UNDER THE CIVIL SERVICE RETIREMENT SYSTEM? [ ] YES [X] NO 23. SOCIAL SECURITY NUMBER, IF ANYSubject to Civil Service Retirement Act24. If you believe the information you have supplied on this application does not fully show your qualifications for Foreign Service Employment, state in Item 39 of Form 57 or on a separate sheet, any additional appropriate data that you wish to have considered.September 19, 1952Carl W. Lawson
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SECRET1. NAME (Last, First, Middle)Williamson, Earl J.4. OFFICE (Division or Branch of present station and existing cover if lateral assignment)DDP/WH/COO7. PROPOSED STATIONSan Jose, Costa Rica9. TYPE OF COVER AT NEW STATIONState12. COMMENTS2. DATE OF BIRTHMarch 19185. PRESENT POSITIONOps Officer8. PROPOSED POSITION (Title, Number, Grade)Chief of Station, 019810. ESTIMATED DATE OF DEPARTUREJune 196811. NO. OF DEPENDENTS TO ACCOMPANY23. GRADEGS-166. EMPLOYEE/ EXTENSION745113. DATE OF REQUEST14 February 196817 OFFICE OF MEDICAL SERVICES DISPOSITION14. SIGNATURE OF REQUESTING OFFICIALJohn F. ConroyMEDICAL Y QUALIFIED FOR PROPOSED OS PCSREX HAET15. ROOM NUMBER AND BUILDING/S. EXTENSION3 D 6309 HqS 461618. OFFICE OF SECURITY DISPOSITION4 12 6919. OVERSEAS CANDIDATE REVIEW PANEL DISPOSITIONREQUEST FOR PCS OVERSEAS EVALUATIONFORM 259aSECRET(8)
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# SECRETSECTION VGEOGRAPHIC AREA KNOWLEDGE AND FOREIGN TRAVEL| NAME OF REGION OR COUNTRY | TYPE OF SPECIALIZED KNOWLEDGE | DATES OF TRAVEL OR RESIDENCE | DATE & PLACE OF STUDY | KNOWLEDGE ACQUIRED BY OTHER (X) |        |       |              || ------------------------- | ----------------------------- | ---------------------------- | --------------------- | ------------------------------- | ------ | ----- | ------------ ||                           |                               |                              |                       | RESI- DENCE                     | TRAVEL | STUDY | ASSIGN- MENT ||                           |                               |                              |                       |                                 |        |       |              |SECTION VITYPING AND STEPOGRAPHIC SKILLS1. TYPING (TPM) 2. SHORTHAND (SPM) 3. INDICATE APPROPRIATE ITEM[] GREGO [] SPEEDWRITING [] STENOTYPE [] OTHER SPECIFY:SECTION VIISPECIAL QUALIFICATIONSPROVIDE INFORMATION ON HOBBIES. SPORTS. LICENSES. PUBLISHED MATERIALS OR DEVICES WHICH YOU MAY HAVE INVENTED.SECTION VIIIMILITARY SERVICECURRENT CRAFT STATUS1. HAS YOUR SELECTIVE SERVICE CLASSIFICATION CHANGED? 2. NEW CLASSIFICATION[] YES [] NO3. LOCAL SELECTIVE SERVICE BOARD NUMBER AND ADDRESS 4. IF DEFERRED, GIVE REASONMILITARY RESERVE, NATIONAL GUARD STATUSCHECK RESERVE OR GUARD ORGANIZATION TO WHICH YOU BELONG[] ARMY [] MARINE CORPS [] COAST GUARD [] NATIONAL GUARD[] NAVY [] AIR FORCE [] AIR NATIONAL GUARD1. CURRENT RANK, GRADE OR RATE 2. DATE OF APPOINTMENT IN CURRENT RANK 3. EXPIRATION DATE OF CURRENT OBLIGATION4. CHECK CURRENT RESERVE CATEGORY [] READY RESERVE [] STANDBY(active) [] STANDBY(inactive) [] MITIMD [] DISCHARGED5. MILITARY MOBILIZATION ASSIGNMENT 6. RESERVE UNIT TO WHICH ASSIGNED ON ATTACHEDMILITARY SCHOOLS COMPLETED (Extended Active, Reserve Duty, or as Civilian)| NAME AND ADDRESS OF SCHOOL | STUDY OR SPECIALIZATION | DATE COMPLETED | RESIDENT AGENCY-SPONSORED || -------------------------- | ----------------------- | -------------- | ------------------------- ||                            |                         |                |                           |SECTION IXPROFESSIONAL SOCIETIES AND OTHER ORGANIZATIONS| NAME AND CHAPTER | ADDRESS (Number, Street, City, State, Country) | DATE OF MEMBERSHIP || ---------------- | ---------------------------------------------- | ------------------ ||                  |                                                | FROM TO            ||                  |                                                |                    |SECTION XREMARKSDATE 1 May 1967SIGNATURE OF EMPLOYEEEarl J. Williamson.SECRET
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SECRETQUALIFICATIONS SUPPLEMENT TO PERSONAL HISTORY STATEMENTREAD INSTRUCTIONS CAREFULLY BEFORE COMPLETING. ON PRINT. AVOIDING LIGHT COLORED INKSSECTION I1. ICA SER NO2. NAME (Last, First, Middle)3. DATE OF BIRTH4. SCHEDULED GRADUATION200389WILLIAMSON EARL J03/13/15GS-15-046. POSITION TITLE7. OFFICE OF ASSIGNMENTDOPS OFFICER D CHWASH., D.C.SECTION IIAREAAGENCY OVERSEAS SERVICEFROMTOCUBARCS CC83/01/1758/11/30WESTERN HEMISPHERETOY CC59/06/1859/06/27SPAINOCS RR60/11/0365/11/29PUERTO RICOTOY 4566/02/1466/02/19EUROPEAN AREATOY PR66/09/2066/09/30EUROPEAN AREATOY PA66/08/0166/08/23WESTERN HEMISPHERETCY RA60/10/1266/10/15""66/12/866/12/14SECTION IIIOVERSEAS DATACODEDDATE:INITIALS:2 JUN 67SECTION IBDEGREEMAJOR FIELDEDUCATIONYEARNC COLLEGE DEGREE ON RECORDSECRET67 JUN 1410
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SECRETSECTION IV# GEOGRAPHIC AREA KNOWLEDGE AND FOREIGN TRAVEL| NAME OF REGION OR COUNTRY | TYPE OF SPECIALIZED KNOWLEDGE   | DATES OF TRAVEL OR RESIDENCE | DATE & PLACE OF STUDY | RESIDENCE | TRAVEL | STUDY | WORK ASSIGNMENT || ------------------------- | ------------------------------- | ---------------------------- | --------------------- | --------- | ------ | ----- | --------------- || France                    | political topographic, cultural | 1960-1965                    |                       | %         |        |       | X               || England                   | "                               | "                            |                       | %         |        |       | X               || Belgium                   | "                               | "                            |                       | %         |        |       | X               || Netherlands               | "                               | "                            |                       | %         |        |       | X               || Austria                   | "                               | "                            |                       | %         |        |       | X               || Copenhagen                | "                               | "                            |                       | %         |        |       | X               || Norway                    | "                               | "                            |                       | %         |        |       | X               || Sweden                    | "                               | "                            |                       | %         |        |       | X               |SECTION V# TYPING AND STENOGRAPHIC SKILLS1 TYPING (WPM) 2 SHORTHAND (WPM) 3 INDICATE SHORTHAND SYSTEM USED CHECK (X) APPROPRIATE BOX*   GREGG*   SPEEDWRITING*   OTHER SPECIFY4 INDICATE OTHER BUSINESS MACHINES WITH WHICH YOU HAVE HAD OPERATING EXPERIENCE OR TRAINING: comptometer mimeograph card punch etc.SECTION VI# SPECIAL QUALIFICATIONS1 LIST ALL HOBBIES AND SPORTS IN WHICH YOU ARE ACTIVE OR HAVE ACTIVELY PARTICIPATED INDICATE YOUR PROFICIENCY IN EACH2 EXCLUDING BUSINESS EQUIPMENT OR MACHINES WHICH YOU MAY HAVE LISTED IN ITEM 4 SECTION V LIST ANY SPECIAL SKILLS YOU POSSESS RELATING TO OTHER EQUIPMENT AND MACHINES SUCH AS OPERATION OF BAGS TRANSMITTERS. more code (speed reading & receiving) OFFSET PRESS DUPUIT, LATHE EOP AND OTHER SCIENTIFIC & PROFESSIONAL DEVICES3 ARE YOU NOW OR HAVE YOU EVER BEEN A LICENSED OR CERTIFIED MEMBER OF ANY TRADE OR PROFESSION (AS FELU)ELECTRICIAN RADIO OPERATOR TEACHER LAWYER (CPA MEDICAL TECHNICIAN, PSYCHOLOGIST PHYSICIAN, ETC)4 IF YOU HAVE ANSWERED "YES" TO ITEM 3 ABOVE INDICATE TYPE OF LICENSE OR CERTIFICATION AND THE ISSUING STATE5 FIRST LICENSE/CERTIFICATION Card number if any
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# SECRETSECTION DI1 PRESENT STATUS2 NAME OF SPOUSEWILLIAMSON Virginia Josephine Lobo3 DATE OF BIRTH12 July 19384 PLACE OF BIRTHHabana, Cuba5 OCCUPATIONHousewife6 PRESENT EMPLOYER7 CITIZENSHIPCuban8 FORMER CITIZENSHIPS COUNTRIESNone9 DATE U.S. CITIZENSHIP ACQUIREDSECTION X DEPENDENT CHILDREN AND DEPENDENTS OTHER THAN SPOUSE| NAME         | RELATIONSHIP | DATE AND PLACE OF BIRTH | CITIZENSHIP | PERMANENT ADDRESS                        || ------------ | ------------ | ----------------------- | ----------- | ---------------------------------------- || Aurelio Jose | step-son     | 28 July 1960            | Cuban       | Washington, D.C. 2813 N. Glade St., N.W. |SECTION XI PROFESSIONAL SOCIETIES AND OTHER ORGANIZATIONS| NAME AND CHAPTER | ADDRESS | DATE OF MEMBERSHIP || ---------------- | ------- | ------------------ ||                  |         | FROM TO            ||                  |         |                    |19 April 1967SECRET
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CONFIDENTIALDATE: 15 September 1958FROT: 8-352TO : Chief, WEDirector of SecurityDirector of PersonnelFROM : Chief, Communications Security Division.SUBJECT : Notification of Cryptographic Clearance - Earl J. Williamson1. Subject employee has been granted a cryptographic clearance under the provisions of CIA Regulation 90-500. Clearance is effective 18 August 1953.2. Subject has been informed of the granting of clearances, has been briefed concerning cryptographic and related communications security matters, and has signed a Briefing Statement acknowledging responsibility for the protection of cryptographic information.3. When Subject employee no longer requires the clearance in order to perform his assigned duties, it is requested that the Communications Security Division (2411 I Bldg., Ext. 3021) be notified by that the clearance may be revoked.FOR CHIEF, COMMUNICATIONS:![signature of Raymond R. Johnson, Chief, Protective Branch]Distribution:1 - WE1 - Security Office (Briefing Statement attached)1 - Personnel (Wing 1-ti Curio Hall)1 - CC-S/PROT FileCONFIDENTIAL
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# LICATION FOR FEDERAL EMPLOYNSTANDARD FORM 57-4OV 1947US CIVIL SERVICE COMMISSIONINSTRUCTIONS In order to prevent deler in wereraration, answer every queen this form clearer 7:write print : INK. In applying for a Univel Sa.....esemination, read the examination annement caredirections if you are appiving WRITTEN examination. IfiveI NONE VERAMINATION OR AINO CAPPOR(il mentioned in mentioned in examination ARMMAent)PLACE OF EMPLOYMENT APPLIED FOR (City and State) HIS APPLICATIONForeign Service1. 19, 1952Earl Jaros Williamson2500 Wisconsin Ave. NWashington, D.C.New YorkKoodley 3467March 13, 1915Auburn, N.Y.6 Feet Inches172 PoundsGS-12 Feb, 195215. (A) WHAT IS THE LOWEST ENTRANCE SALARY YOU WILL ACCEPT) $CHECK IF YOU WILL SUPPOINTMENT, IF OFFEREO.IN WASHINGTON, acANYWHERE IN THE UNITED STATESOUTSIDE THE UNITED STATES16 EXPERIENCE It is important for you to furnish all informene seguerendbelow in suficient detail to enable the Civil Service Comacent tweappointing others of agencies to give you fall contents drets yoquelincahensperste bient for each pontica.presenting and wor's berk, velaining clearly the proripetyou performed in earls prooitwa ointing he all periods ofKapenence gained more than 15 vrears ago which is not pertfor which you are sing may be summenant in one of more .If your dutive changed materially while working for the suns escsarperate blunt deeribe ou publi You may may ゴンのJuly 1948 TO PRESENT TIMECoverer's StaffFaltos ate., Canal ZenuCanal no Jovernmunt.Hots. Canal Zeng.Agency of Federal Government operatingHunara CaCareer in Form! Servicnia rerresentative onMove tor's office antot org106 1 aran arm, incluidag'cs for tan capac(GAINED ON NEXT PAGE)
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14 CONTINUED2DATES OF EMPLOYMENT (month, year)FROM 9/8/1941 TO 6/30/48PLACE OF EMPLOYMENT (city and State)U.S. and PanamaNAME AND ADDRESS OF EMPLOYER (firm, organization, or person, if Federal, name department, bureau or establishment, and division)U.S. ArmyEXACT TITLE OF YOUR POSITION1st Lt.NAME AND TITLE OF IMMEDIATE SUPERVISORVariousKIND OF BUSINESS OR ORGANIZATION (e.g., wholesale silk, insurance agency, manufacture of locks, etc.)MilitaryCLASSIFICATION GRADE (if in Federal service)SALARY OR EARNINGSSTARTING $320FINAL $480PER MO.PER MO.NUMBER AND KIND OF EMPLOYEES SUPERVISED BY YOU0 to 50REASON FOR LEAVINGSer. (Honorable)DESCRIPTION OF YOUR WORKEnlisted man and later officer in G-2 Section, U.S. Army3DATES OF EMPLOYMENT (month, year)FROM 10/34 TO 6/41PLACE OF EMPLOYMENT (city and State)Auburn, N.Y.NAME AND ADDRESS OF EMPLOYER (firm, organization, or person, if Federal, name department, bureau or establishment, and Division)E. WilliamsonEXACT TITLE OF YOUR POSITIONAss't Mgr.NAME AND TITLE OF IMMEDIATE SUPERVISORE. Williamson - Owner, Mgr.KIND OF BUSINESS OR ORGANIZATION (e.g., wholesale silk, insurance agency, manufacture of locks, etc.)Elec. Cont. and Supply Co.CLASSIFICATION GRADE (if in Federal service)SALARY OR EARNINGSSTARTING $FINAL $480PER MO.PER MO.NUMBER AND KIND OF EMPLOYEES SUPERVISED BY YOU3 - 10REASON FOR LEAVINGMilitary ServiceDESCRIPTION OF YOUR WORKBuyer and merchandise man for electrical appliances and contracting supplies.4DATES OF EMPLOYMENT (month, year)FROM TOPLACE OF EMPLOYMENT (city and State)NAME AND ADDRESS OF EMPLOYER (firm, organization, or person, if Federal, name department, bureau or establishment and division)EXACT TITLE OF YOUR POSITIONNAME AND TITLE OF IMMEDIATE SUPERVISORKIND OF BUSINESS OR ORGANIZATION (e.g., wholesale silk, insurance agency, manufacture of locks, etc.)CLASSIFICATION GRADE (if in Federal service)SALARY OR EARNINGSSTARTING $FINAL $PER MO.PER MO.NUMBER AND KIND OF EMPLOYEES SUPERVISED BY YOUREASON FOR LEAVINGDESCRIPTION OF YOUR WORK
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STANDARD FORM 57 NOV 1947US CIVIL SERVICE COMMISSIONICAT'N FOR FEDERAL EMPLOY:Intelligence OfficerPLACE OF FIRST DUTY ASSIGNMENT (City and State)DATE OF THIS APPLICATION14 July 19505. NAME (Print name in full)   Carl Janes Williamson6. (A) MALLING ADDRESS (Number, street, or R.F.D. Number)   0839-1 Arcacia Place(B) CITY, ZONE, AND STATE (Including postal zone)Calbea, Canal ZoneLEGAL OR VOTING RESIDENCE (State)New YorkANNOUNCEMENTDATE OF BIRTH (month, day, year)March 15, 1915PLACE OF BIRTH (City and State, if born outside U.S., name city and country)Auburn, New YorkMALEFEMALEHEIGHT WITHOUT SHOES6 Feet 0 Inches(D) WEIGHT174 PoundsHAVE YOU EVER BEEN EMPLOYED BY THE FEDERAL GOVERNMENT? YES NOIF SO, GIVE LAST GRADE AND DATE OF LAST CHANGE IN GRADEGS-9, July 1950WHAT IS THE LOWEST ENTRANCE SALARY YOU WILL ACCEPT?$6,000...CHECK IF YOU WILL ACCEPT SHORT TERM APPOINTMENT IF OFFERED, FOR:3 TO 6 MONTHS6 TO 12 MONTHS(D) CHECK IF YOU WILL ACCEPT APPOINTMENT, IF OFFEREDIN WASHINGTON, D.C.ANYWHERE IN THE UNITED STATESOUTSIDE THE UNITED STATESIF YOU WILL ACCEPT APPOINTMENT IN CERTAIN LOCATIONS ONLY, GIVE ACCEPTABLE LOCATIONS.EXPERIENCE It is important for you to furnish all information requested below in sufficient detail to enable the Civil Service Commission and the appointing officers of agencies to give you full credit in determining your qualifications. Use a separate sheet for each position. Start with your present position and work back, explaining clearly the principal tasks which you performed in each position accounting for all periods of unemployment.PRESENT POSITIONDATES OF EMPLOYMENT (month, year)EXACT TITLE OF YOUR POSITIONCLASSIFICATION CHART (if in federal service)SALARY OR EARNINGSSTARTINGPRESENTFROM February 1949 TO PRESENT TIMEAss't Chief, Civ, Int. Br.GS-9a$5,000$5,7500 per annumPLACE OF EMPLOYMENT (city and State)NAME AND TITLE OF IMMEDIATE SUPERVISORBalboa Hots., Canal ZoneStanton Brown, Chief, Civil Int. BranchCivil Intelligence Branch, Executive Dept.U.S. GovernmentIn absence of chief-11 clerks, stenos & investigators.Personal bettermentIntelligence investigations of employees of the Panama Canal-Railroad and of incidents within the Canal Zone of a suspected sabotage or espionage nature.(CONTINUED ON NEXT PAGE)
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## 16 C/COMPLETED②Baltimore, Maryland.H. Enterprice Elec. Co.2-4, helpers and clerks.Employed in the capacity of a mechanic. Actual duties consisted mostly of final checkout and inspection of electrical installations on defense housing projecte in Balto. area.③May 41 (Apr) to Apr 42Baltimore, MarylandH.E. Crook Co., Dalto., Md.1-3 assistantsEmployed as an electrician on defence contracts. Handled material.#### 41301190..④July 1933 to Apr. 1942Auburn, New YorkWilliamson Elec. Co. Auburn, N.Y.2-8, salesman and mechanicsElectricianCan not recallElectrical ContractingEnlisted in AUSElectricianRobert Miller. Supt.Construction corporationTermination of defense contractAsst Mgr.Earl Williamson, owner (father)Electrical Contracting & Supplies.Self bettermentEntered business as stock and supply clerk, later became salesman and In charge of a group of outdoor salesman. Advanced to Ass't manager where I was responsible for wholesale buying of contracting supplies and appliances.STARTING $ 1FINAL $ 94STARTING $ 60FINAL $ 110STARTING $ 20FINAL $ 50
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# PERSONAL HISTORY STATEMENTINSTRUCTIONS: ANSWER ALL QUESTIONS COMPLETELY. IF QUESTION DOES NOT APPLY WRITE "NOT APPLICABLE". WRITE "UNKNOWN" ONLY IF YOU DO NOT KNOW THE ANSWER AND CANNOT OBTAIN THE ANSWER FROM PERSONAL RECORDS. USE A SEPARATE SHEET OF PAPER FOR EXTRA DETAILS ON ANY QUESTION OR QUESTIONS FOR WHICH YOU DO NOT HAVE SUFFICIENT ROOM. ATTACH TWO RECENT PASSPORT SIZE PICTURES TO THIS FORM, DATE TAKEN WRITTEN ON THE BACK OF EACH. TYPE, PRINT OR WRITE CAREFULLY; ILLEGIBLE OR INCOMPLETE FORMS WILL NOT RECEIVE CONSIDERATONHAVE YOU READ AND UNDERSTOOD THE ABOVE INSTRUCTIONS? YES [X] NO [ ]## SECTION 1. PERSONAL BACKGROUNDNAME: MR. [X] MISS. MRS.FIRST: EarlMIDDLE: JamesLAST: WilliamsonTELEPHONE: Balboa 3223PRESENT ADDRESS: STREET AND NUMBER: Arcacia Place 0839-LCITY: Balboa,STATE: Canal ZoneCOUNTRY:LEGAL RESIDENCE STREET AND NUMBER: 41 First AvenueCITY: Auburn,STATE: New YorkCOUNTRY: U.S.A.NICKNAMES: NoneOTHER NAMES THAT YOU HAVE USED: Not applicableHOW LONG? Not applicableUNDER WHAT CIRCUMSTANCES HAVE YOU EVER USED THESE NAMES? Not applicableIF LEGAL CHANGE, GIVE PARTICULARS (WHERE, WHEN AND BY WHAT AUTHORITY) Not applicableDATE OF BIRTH: 15 March 1915PLACE OF BIRTH: Auburn,CITY: New YorkSTATE: V.S.A.COUNTRY:PRESENT CITIZENSHIP: U.S.A.ACQUIRED BY: BIRTH [X] MARRIAGE NATURALIZATIONNATURALIZATION CERTIFICATE: Not applicableNUMBER: DATE ISSUED: Not applicableNAME OF COURT: Not applicableLOCATION OF COURT: Not applicableCITY: STATE: COUNTRY:PREVIOUS CITIZENSHIP: Not applicableDATE HELD: FROM: TO:OTHER CITIZENSHIPS (GIVE PARTICULARS) Not applicableSTEPS TAKEN TO CHANGE PRESENT NATIONALITY: (GIVE PARTICULARS) Not applicableLAST U.S. PASSPORT: NUMBER: 58DATE: 10 Sept. 1948PLACE OF ISSUE: Coton, Republic of PanamaALL OTHER U.S. PASSPORTS YOU HAVE HAD (GIVE APPROXIMATE DATES) NonePASSPORTS OF OTHER NATIONS NoneIF BORN OUTSIDE U.S.: DATE OF ARRIVAL IN THIS COUNTRY: Not applicablePORT OF ENTRY: PASSPORT OF COUNTRY:LAST U.S. VISA: NUMBER: TYPE: Not applicableDATE: PLACE OF ISSUE:## SECTION 2. PHYSICAL DESCRIPTIONAGE: 35SEX: MaleHEIGHT: 6'WEIGHT: 174 lbs.EYES: GreyHAIR: GreyCOMPLEXION: RuddySCARS: NoneBUILD: MediumOTHER DISTINGUISHING FEATURES: NoneFORM NO. 10-1SEP 1948
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PAGE 2SECTION 3. MARITAL STATUSMARRIED ☐WIDOWED ☐SINGLE ☐DIVORCED ☐SEPARATED ☐DATE OF SEPARATION OR DIVORCE PLACE ......REASON FOR SEPARATION OR DIVORCE ......NOTE: IF YOU HAVE BEEN MARRIED MORE THAN ONCE SE A SEPARATE SHEET FOR FORMER WIFE OR HUSBAND AND GIVE DATAREQUIRED BELOW FOR ALL PREVIOUS MARRIAGESNAME OF WIFEOR HUSBANDFIRSTMIDDLE(IF WIFE. MAIDEN)LASTDATE OF MARRIAGE ......PLACE OF MARRIAGE(HIS OR HER ADDRESSBEFORE MARRIAGE)STREET AND NUMBERCITYSTATECOUNTRYLIVING ☐DECEASED ☐DATE OF DECEASE ......CAUSE ......PRESENT ORLAST ADDRESSSTREET AND NUMBERCITYSTATECOUNTRYDATE OF BIRTHPLACE OF BIRTHCITYSTATECOUNTRYCITIZENSHIPDATE ACQUIREDWHEREACQUIREDCITYSTATECOUNTRYU.S .........OCCUPATIONLAST EMPLOYEREMPLOYER'S OR OWNBUSINESS ADDRESSSTREET AND NUMBERCITYSTATECOUNTRYDATE OFMILITARYSERVICEFROM:TO:BRANCH OF SERVICECOUNTRYOTHER GOVERNMENT SERVICE, U.S. OR FOREIGN (GIVE DETAILS)...SECTION 4. CHILDREN OR DEPENDENTS (INCLUDE PARTIAL DEPENDENTS)NAMERELATIONSHIPAGECITIZENSHIPADDRESSSTREET AND NUMBERCITYSTATECOUNTRYNAMERELATIONSHIPAGECITIZENSHIPADDRESSSTREET AND NUMBERCITYSTATECOUNTRYNAMERELATIONSHIPAGECITIZENSHIPADDRESS STREET AND NUMBERCITYSTATECOUNTRYSECTION 5. PARENTSNOTE: FOR STEPFATHER, STEPMOTHER AND/OR GUARDIAN, GIVE THE SAME INFORMATION AS REQUIRED BELOW ON SEPARATE SHEETNAME OF FATHERFIRSTMIDDLELASTLIVING ☐DECEASED ☐DATE OF DECEASECAUSEPRESENT ORLAST ADDRESSSTREET AND NUMBERCITYSTATECOUNTRYDATE OF BIRTHPLACE OF BIRTHCITYSTATECOUNTRYCITIZENSHIPDATE ACQUIREDWHEREACQUIREDCITYSTATECOUNTRYOCCUPATIONLAST EMPLOYEREMPLOYER'S OR OWNBUSINESS ADDRESSSTREET AND NUMBERCITYSTATECOUNTRYSECTION 3. PARENTS