Francesco/who-killed-jfk huggingface dataset:
[104-10225-10006.pdf — page 299]
# SECTION VI GEOGRAPHIC AREA KNOWLEDGE AND FOREIGN TRAVEL1. LIST BELOW ANY FOREIGN REGIONS OR COUNTRIES IN WHICH YOU HAVE TRAVELLED OR IN WHICH YOU HAVE KNOWLEDGE AS A RESULT OF RESIDENCE, STUDY OR ASSIGNMENT. INDICATE TYPE OF KNOWLEDGE SUCH AS TERRAIN, HARBORS, UTILITIES, RAILROADS, INDUSTRIES, POLITICAL PARTIES, ETC.| NAME OF REGION OR COUNTRY | TYPE OF SPECIALIZED KNOWLEDGE | DATES OF RESIDENCE OR TRAVEL | DATES AND PLACE OF STUDY | KNOWLEDGE ACQUIRED BY |     || ------------------------- | ----------------------------- | ---------------------------- | ------------------------ | --------------------- | --- || Bolivia                   | General knowledge             | 11/13/59 to 1/1/60           |                          | Residence: X          |     || Peru                      | General knowledge             | 1/1/60 to 11/20/60           |                          | Residence: X          |     || Chile                     |                               | 6/16/59 to 6/21/59           |                          | Travel: X             |     || Argentina                 |                               | 6/21/59 to 6/30/59           |                          | Travel: X             |     || Uruguay                   |                               | 7/2/59                       |                          | Travel: X             |     |2. INDICATE THE PURPOSE OF VISIT, RESIDENCE OR TRAVEL IN EACH OF THE REGIONS OR COUNTRIES LISTED ABOVE.Marine Security Guard - American Embassy - Bolivia and PeruVacation - Chile; Argentina; Uruguay; Panama3. UNITED STATES PASSPORT NUMBER AND EXPIRATION DATE, IF ISSUED.No. 174850 (SP-35575) Passport has been cancelled!# SECTION VII TYPING AND STENOGRAPHIC SKILLS1. TYPING (wpm) 2. SHORTHAND (wpm) 3. SHORTHAND SYSTEM USED. CHECK (X) APPROPRIATE ITEM45 wpm None2. INDICATE OTHER BUSINESS MACHINES IN WHICH YOU HAVE HAD OPERATING EXPERIENCE OR TRAINING (Comptometer, Mimeograph, Card Punch, etc.).Thermofax, mimeograph, switchboard# SECTION VIII SPECIAL QUALIFICATIONS1. LIST ALL HOBBIES AND SPORTS IN WHICH YOU ARE ACTIVE OR HAVE ACTIVELY PARTICIPATED. INDICATE YOUR PROFICIENCY IN EACH.|                 |             || --------------- | ----------- || Football        | - good      || Basketball      | - fair      || Swimming        | - good      || Riding          | - average   || Contract Bridge | - very good |2. INDICATE ANY SPECIAL QUALIFICATIONS RESULTING FROM EXPERIENCE OR TRAINING WHICH MIGHT FIT YOU FOR A PARTICULAR POSITION OR TYPE OF WORK.None to my knowledge3. ENCLOSE A BRIEF STATEMENT OF REASONS WHY YOU BELIEVE THAT STATE AND SPECIAL SKILLS AND/OR EXPERIENCE IN A SPECIFIC OR PROFESSIONAL AREA (e.g., PUBLIC SPEAKING, RADIO WORK, TRAINING AND DEVELOPMENT PROGRAMS, etc.).None
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NANANANoneNoneHave spoken in my father's church and other courches approximately 150 times. Mot and usalated public in Embassies durmag my tour of duty with_t tho Marta Security Guard.NoneSECTION IX EMPLOYMENT HISTORYNOTE: ILIST LAST POSITION FIRST.) Indicate Armidalist dyrt employment141113 2018 secluding cooust employment and all totals of unemployment memuicyment List all cititionem a foreignem,110 scnpenn of Dutiescend.carefully and reusite meaning'ulFrom 1919 50 1953San MarcosDrug StoraBillburn's StoreFountain attendantEmployee at soda counterTo participate in schwal events (football).
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# SECTION RE: WORK HISTORY1. INCLUSIVE DATES 'From and To - Mo da and Yr'   July 15-June 19552. NAME OF EMPLOYING FIRM OR AGENCY   Clamont Grocery Store   3 ADDRESS (No., Street, City, State, Country)   South Guadalupe St. San Marcos, Texas   4 KIND OF BUSINESS   Grocery Store5. TITLE OF JOB   Butcher6. NAME OF SUPERVISOR   Mr. Ignacio Gonzales7. SALARY OR EARNINGS8. CLASS, GRADE (if Federal Service)   $20.00 PER WEEK9. DESCRIPTION OF DUTIES   Slaughtering and preparing meat for sale as well as actual selling.10 REASONS FOR LEASINGTo attend college.1. INCLUSIVE DATES 'From and To - Mo da and Yr'   May, 1955 - September, 1955   2 NAME OF EMPLOYING FIRM OR AGENCY   San Marcos Baptist academy   3 ADDRESS (No., Street, City, State, Country)   San Marcos, Texas   4 KIND OF BUSINESS   Private School5. TITLE OF JOB   Painter's Assistant6. NAME OF SUPERVISOR   Mr. John Sparkman7. SALARY OR EARNINGS8. CLASS, GRADE (if Federal Service)   $15.00 PER WEEK9. DESCRIPTION OF DUTIES   Painted dormitories in the Academy10. REASONS FOR LEAVING    To attend school1. INCLUSIVE DATES 'From and To - Mo da and Yr'   September, 1956 - July, 1957   2 NAME OF EMPLOYING FIRM OR AGENCY   Economy Department Stores   3 ADDRESS (No., Street, City, State, Country)   San Marcos, Texas   4 KIND OF BUSINESS   Clothing Store5. TITLE OF JOB   Sales Clerk6. NAME OF SUPERVISOR   Mr. Max Mendlovitz7. SALARY OR EARNINGS8. CLASS, GRADE (if Federal Service)   $30.00 PER WEEK9. DESCRIPTION OF DUTIES   Assisted customers in selecting and buying goods.10. REASONS FOR LEAVING    To join the Marine Corps.1. INCLUSIVE DATES 'From and To - Mo da and Yr'   July 24, 1957 - July 24, 1961   2 NAME OF EMPLOYING FIRM OR AGENCY   United States Marine Corps   3 ADDRESS (No., Street, City, State, Country)   Marine Corps Schools, Quantico, Virginia   4 KIND OF BUSINESS   Military5. TITLE OF JOB   Marine Corps Museum attendant6. NAME OF SUPERVISOR   Col. John Magruder7. SALARY OR EARNINGS8. CLASS, GRADE (if Federal Service)   $180.00 per month Spl. (BA.)9. DESCRIPTION OF DUTIES   Marine Corps Museum attendant
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SECTION IX CONTINUED FROM PAGE 4*   Acted as guide to all visitors entering Museum, explaining Marine Corps history, etc., also on several occasions acted as interpreter for visiting military personnel from Latin America.DischargedJuly 24, 1961 - August 30, 1961 Ohio Valley Engineering Company3.  Capitol and I Streets, S.W., Washington, D.C.ConstructionLaborerHandyman for CompanyTemporary work while seeking permanent employment.Mr. L. G. Brice2.177 1/2 yearsHonorably discharged from United States Marine Corps.
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## SECTION XI FINANCIAL STATUS1. ARE YOU ENTIRELY DEPENDENT ON YOUR SALARY2. IF YOUR ANSWER IS "NO" TO THE ABOVE STATE SOURCE(S) OF OTHER INCOMEWife's Income3. BANKING INSTITUTIONS WITH WHICH YOU HAVE ACCOUNTS| NAME OF INSTITUTION          | ADDRESS (No., Street, City, State, Country) || ---------------------------- | ------------------------------------------- || The Bank of California, N.A. | 330 S.W. 6th Avenue, Portland, Oregon       || Union Trust Company          | 15 and H Streets, N.W., Washington, D.C.    |4. HAVE YOU EVER BEEN IN OR PETITIONS FOR BANKRUPTCY5. IF YOUR ANSWER IS "YES" TO THE ABOVE, GIVE PARTICULARS INCLUDING COURT AND DATE(S)6. GIVE THREE CREDIT REFERENCES IN THE UNITED STATES| NAME                            | ADDRESS (No., Street, City, State)            || ------------------------------- | --------------------------------------------- || General Motors Acceptance Corp. | 1310 S.W. Yamhill Street, Portland 5, Oregon  || Gulf Oil Corporation            | P.O. Box 7233, Atlanta 9, Georgia             || Minde Furniture Company         | 917 Carolina Street, Fredericksburg, Virginia |7. DO YOU RECEIVE AN ANNUITY FROM THE UNITED STATES OR DISTRICT OF COLUMBIA GOVERNMENT UNDER ANY RETIREMENT ACT, PENSION OR COMPENSATION FOR MILITARY OR NAVAL SERVICE?8. IF YOUR ANSWER IS "YES" TO THE ABOVE QUESTION GIVE COMPLETE DETAILS9. DO YOU HAVE ANY FINANCIAL INTEREST IN OR OFFICIAL CONNECTIONS WITH NON-U.S. CORPORATIONS OR BUSINESSES, OR IN U.S. CORPORATIONS OR BUSINESSES HAVING SUBSTANTIAL FOREIGN INTEREST?SECTION XII MARITAL STATUS1. PRESENT STATUS (Single, Married, Widowed, Separated, Divorced, Annulled) *Married*2. STATE DATE, PLACE AND REASON FOR ALL SEPARATIONS, DIVORCES OR ANNULMENTSNAWIFE, HUSBAND OR FIANCE If you have been married more than once - including annulments - use a separate sheet for former wife or husband giving data requested below for all previous marriages. If marriage contemplated, fill in appropriate information for fiance.| 3. NAME (First, Middle, Maiden) | 4. STATE ANY OTHER NAMES EVER USED | 5. NAME (First, Middle, Last) || ------------------------------- | ---------------------------------- | ----------------------------- || Dorothy Anne Moran              |                                    | Ernest Flores                 |6. DATE OF MARRIAGE November 14, 19507. PLACE OF MARRIAGE (City, State, Country) Lima, Peru8. PRIOR LEGAL ADDRESS, BEFORE MARRIAGE (No., Street, City, State, Country) American Embassy, La Paz, Bolivia9. LIVING10. DATE OF DEATH11. CURRENT ADDRESS (No. Street, City, State)2929 Connecticut Ave., N.W., #203, Washington D.C.12. DATE OF BIRTH January 31, 193513. PLACE OF BIRTH (City, State) Portland, Oregon14. CITIZENSHIP United States of America
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-10-SECTION XI CONTINUED FROM FACE 316. IF BORN OUTSIDE U.S. - CATE OF ENTRYNA17. U.S. CITIZEN WHEN WERE ACQUIRED (City, State, Country)18. FORMER CITIZENSHIP(S)   "Becoming."    NA19. OCCUPATIONLocal Secretary20. PRESENT EMPLOYER (or if former employer or if spouse deceased or    unemployed give name and address.Bordin and FrancisFormer: Department of State21. EMPLOYER'S OR BUSINESS ADDRESS (No.. Street, City, State, Country)1000 15th St., N.W., Suite 503, Washington, D.C.22. DATES OF MILITARY SERVICENone24. COUNTRY WITH WHICH MILITARY SERVICE AFFILIATED23. BRANCH OF SERVICE25. DETAILS OF OTHER GOVERNMENT SERVICE US OR FOREIGN Foreign Service - Jan., 1953 - Oct.,    1960; Civil Service - 1960 - 1977.SECTION XIII CHILDREN AND OTHER DEPENDENTS1. PROVIDE THE FOLLOWING INFORMATION FOR ALL CHILDREN AND DEPENDENTS| NAME | RELATIONSHIP | DATE AND PLACE OF BIRTH | CITIZENSHIP | ADDRESS || ---- | ------------ | ----------------------- | ----------- | ------- || None |              |                         |             |         ||      |              |                         |             |         ||      |              |                         |             |         ||      |              |                         |             |         |2. NUMBER OF CHILDREN (including step children and adopted) UNDER 21 YEARS OF AGE, AND NOT SELF-SUPPORTING3. NUMBER OF OTHER DEPENDENTS (including spouse, parents, or other dependent relatives) REGARDLESS OF AGE (IF OVER 21 YEARS OF AGE AND ARE NOT SELF-SUPPORTINGSECTION XIV FATHER (Give same information for stepfather and indicate relationship on separate sheet)1. FULL NAME (Last-First-Middle)Jose S. Flores2. LIVINGYes3. DATE OF DEATH4. CAUSE OF DEATH5. STATE OTHER NAMES HE HAS USEDNoneINDICATE CIRCUMSTANCES (length of time) UNDER WHICH HE HAS EVER USED THESE NAMES. If name changed, give particulars, and by what authority. Use extra space provided on page 16 of this form to record this information.6. CURRENT ADDRESS (Give last address, if deceased No., Street, City, State, Country)501 S. Guadalupe Street, San Marcos, Texas7. DATE OF BIRTHMay 24, 19138. PLACE OF BIRTH (City, State, Country)9. CITIZENSHIP10. IF BORN OUTSIDE U.S. - DATE OF ENTRY11. PLACE OF ENTRY12. FORMER CITIZENSHIP(S) "Becoming."    Mexican13. DATE U.S. CITIZENSHIP ACQUIRED    191714. WHERE ACQUIRED (City, State, Country)    Austin, Texas15. OCCUPATIONBaptist Minister16. PRESENT EMPLOYER (or if unemployed)    Mexican Baptist Assoc.17. EMPLOYER'S OR BUSINESS ADDRESS (No., Street, City, State, Country)501 S, Guadalupe Street, San Marcos, Texas18. DATES OF MILITARY SERVICE19. BRANCH OF SERVICE20. COUNTRY
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# SECTION XVII1. FULL NAME (Last-First-Middle)   Arnett, Carl Raymond2. LIVING   X YES   NO3. STATE OTHER NAMES HE HAS USED   INDICATE CIRCUMSTANCES (Including length of time) UNDER WHICH SHE HAS EVER USED THESE NAMES. IF LEGAL CHANGE, GIVE PARTICULARS 'ahere   and by what authority. USE EXTRA SPACE PROVIDED ON PAGE 15 OF THIS FORM TO RECORD THIS INFORMATION.   Ray4. CURRENT OR LAST ADDRESS (No., Street, City, State, Country)   4505 Washington St., Milwaukie, 22, Oregon7. DATE OF BIRTH8. PLACE OF BIRTH (City, State, Country)   January 2, 1909   Minot, North Dakota9. CITIZENSHIP   U.S. of America10. IF BORN OUTSIDE U.S., DATE OF ENTRY11. PLACE OF ENTRY    NA12. FORMER CITIZENSHIP (Countryies)13. DATE U.S. CITIZENSHIP ACQUIRED14. WHERE ACQUIRED (City, State, Country)    NA    NA    NA15. OCCUPATION16. PRESENT EMPLOYER (Give last employer, if Father-in-Law is deceased or unemployed)    Warehouse Foreman    Pudy Wilhell Inc., Portland, Ore.on# SECTION XVIIIMOTHER-IN-LAW1. FULL NAME (Last-First-Middle)2. LIVING3. DATE OF DEATH4. CAUSE OF DEATH   Tompkins, Alma Dean   X YES   NO5. STATE OTHER NAMES SHE HAS USED   INDICATE CIRCUMSTANCES (Including 'length of time) UNDER WHICH SHE HAS EVER USED THESE NAMES. IF LEGAL CHANGE, GIVE PARTICULARS 'ahere   and by what authority. USE EXTRA SPACE PROVIDED ON PAGE 13 OF THIS FORM TO RECORD THIS INFORMATION.   Alma Dean Arnett6. CURRENT OR LAST ADDRESS (No., Street, City, State, Country)   13920 S.E. Portland View Place, Portland 36, Oregon7. DATE OF BIRTH8. PLACE OF BIRTH (City, State, Country)9. CITIZENSHIP   May 4, 1910   Portland, Orecon   U.S. of America10. IF BORN OUTSIDE U.S., DATE OF ENTRY11. PLACE OF ENTRY    NA12. FORMER CITIZENSHIP (Countryies)13. DATE U.S. CITIZENSHIP ACQUIRED14. WHERE ACQUIRED (City, State, Country)    NA    NA    NA15. OCCUPATION16. PRESENT EMPLOYER (Give last employer, if Mother-in-Law is deceased or unemployed)    Homemaker# SECTION XIXRELATIVES BY BLOOD, MARRIAGE OR ADOPTION #(1) EITHER #1 LIVE ABROAD, (2) ARE NOT U.S. CITIZENS OR (3) WORK FOR A FOREIGN GOVERNMENT1. FULL NAME (Last-First-Middle)2. RELATIONSHIP3. AGE   None to my knowledge4. ADDRESS OR COUNTRY IN WHICH RELATIVE RESIDES5. CITIZENSHIP (Country)6. FREQUENCY OF CONTACT7. DATE OF LAST CONTACT1. FULL NAME (Last-First-Middle)2. RELATIONSHIP3. AGE4. ADDRESS OR COUNTRY IN WHICH RELATIVE RESIDES5. CITIZENSHIP (Country)6. FREQUENCY OF CONTACT7. DATE OF LAST CONTACT1. FULL NAME (Last-First-Middle)2. RELATIONSHIP3. AGE4. ADDRESS OR COUNTRY IN WHICH RELATIVE RESIDES5. CITIZENSHIP (Country)6. FREQUENCY OF CONTACT7. DATE OF LAST CONTACT
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# SECTION XIX4. SPECIAL REMARKS, IF ANY, CONCERNING RELATIVES NOTED IN SECTION XIX ABOVENA# SECTION XX RELATIVES BY BLOOD, MARRIAGE OR ADOPTION WHO ARE IN THE MILITARY OR CIVIL SERVICE OF THE UNITED STATES1. NAME (Last-First-Middle)   Arnett, Raymond Wesley5. ADDRESS (No., Street, City, State, Country)   U.S. Army Depot, Pueblo, Colorado1. NAME (Last-First-Middle)   Miller, Claude5. ADDRESS (No., Street, City, State, Country)   Air Station, Quantico, Virginia2. RELATIONSHIP   Pro-in-law6. TYPE AND LOCATION OF SERVICE (If known)2. RELATIONSHIP   2nd Cousin6. TYPE AND LOCATION OF SERVICE (If known)   Aviation - 1st. Lt. USMC3. AGE   214. CITIZENSHIP   U.S. of America3. AGE4. CITIZENSHIP# SECTION XXI REFERENCES, ACQUAINTANCES, AND NEIGHBORS1. LIST FIVE CHARACTER REFERENCES NOT RELATIVES IN THE U.S. AND KNOW YOU INTIMATELYNAME(Last-First-Middle)BUSINESS ADDRESS(No., Street City and State)RESIDENCE ADDRESS(No. Street City and State)Mr. and Mrs. Jose EspinosaS. Guadalupe St., San Marcos, TexasRev. Carlos ParedesFirst Baptist Church Austin, TexasMr. Thaxter L. Goodell2139 E. St., N.W., Washington, D.C.3720 Jabon Avenue, Alexandria, VirginiaMr. Alfred BeatyDept. of Agriculture, Washington, D.C.1711 Massachusetts Ave., Washington, D.C.Cpl. Michael HennessyThe American Embassy, La Paz172 Bartolome Herrera, Miraflores - Lima - Peru2. LIST FIVE PERSONS IN THE U.S. AND KNOW YOU WELL - NOT RELATIVES SUPERVISORS OR EMPLOYERSNAME(Last First Middle)BUSINESS ADDRESS(No. Street City and State)RESIDENCE ADDRESS(No. Street City and State)Mr. Howard Wicklund Jr.Department of State, Washington D.C.Hilltop House, 3271 Section Road, Chantilly, Va.Mr. Max PineDepartment of State, Washington D.C.Allen Lee Hotel, 22nd & E St., N.W., Washington, D.C.Miss Mary Ann Newman601 Cascade, Boulder, Colorado.Miss Ruth P. Stewart172 Bartolome Herrera, Miraflores - Lima - PeruMrs. Bea Lux3. LIST THREE NEIGHBORS AT YOUR MOST RECENT NORMAL RESIDENCE (if any)NAME(Last First Middle)BUSINESS ADDRESS(No. Street City and State)RESIDENCE ADDRESS(No. Street City and State)Miss Nancy Payne202 Hanover St., Fredericksburg, VaLt. and Mrs. William Paulsonc/o Leo Potts, Madrid, Va
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# SECTION XXIV ADDITIONAL INFORMATION1. DO YOU ADVOCATE, OR HAVE YOU EVER ADVOCATED, OR ARE YOU NOW OR HAVE YOU EVER BEEN A MEMBER OF, OR SUPPORTED OR ASSOCIATED WITH ANY ORGANIZATION, GROUP, OR COMBINATION OF PERSONS WHICH ADVOCATES OR TEACHES, THE OVERTHROW OF THE UNITED STATES BY FORCE, VIOLENCE, OR OTHER UNCONSTITUTIONAL MEANS, OR WHICH SEEKS TO DENY TO PERSONS THEIR RIGHTS UNDER THE CONSTITUTION OF THE UNITED STATES?   *NO*2. IF YOU HAVE ANSWERED "YES" TO THE ABOVE QUESTION, EXPLAIN.3. DO YOU USE OR HAVE YOU EVER USED INTOXICANTS?   *NO*4. DO YOU USE OR HAVE YOU EVER USED NARCOTICS?   *NO*5. HAVE YOU EVER BEEN A MEMBER OF, OR SUPPORTED OR HAD ANY CONNECTIONS WITH A FOREIGN INTELLIGENCE ORGANIZATION OR ITS ACTIVITIES?   *NO* IF ANSWER IS "YES", GIVE COMPLETE DETAILS6. LIST BELOW THE NAMES OF GOVERNMENT DEPARTMENTS, AGENCIES OR OFFICES TO WHICH YOU HAVE APPLIED FOR EMPLOYMENT SINCE 1940.I served 4 years in the United States Marine Corps.7. TO YOUR KNOWLEDGE, ANY OF THE ABOVE HAVE CONDUCTED AN INVESTIGATION OF YOU, INDICATE THE NAME OF THE AGENCY AND THE APPROXIMATE DATE OF THE INVESTIGATION.An investigation (I do not know by whom) was conducted prior to my departure for Bolivia where I was assigned to the American Embassy. This investigation took place during August and September of 1953.NOTE SPECIAL: If your answer is "YES" to the following Questions 10, 11 or 12, provide the information requested for each question on a separate, signed sheet and attach the sheet to this form in a sealed envelope.8. HAVE YOU, OR TO YOUR KNOWLEDGE, HAS YOUR SPOUSE, EVER BEEN DETAINED, ARRESTED, INDICTED OR CONVICTED FOR ANY VIOLATION OF THE LAW (OTHER THAN A MINOR TRAFFIC VIOLATION) IN THE UNITED STATES OR ABROAD?   *NO*9. HAVE YOU EVER BEEN ARRESTED, COURT-MARTIALED OR OTHERWISE PUNISHED UNDER MILITARY LAW OR REGULATION? IF SO, DESCRIBE INCIDENT(S) AND PROVIDE DATE(S) OF OCCURRENCE ON SEPARATE SHEET IN ACCORDANCE WITH SPECIAL INSTRUCTIONS ABOVE.   *NO*10. ARE THERE ANY UNFAVORABLE INCIDENTS IN YOUR LIFE, NOT MENTIONED ABOVE, WHICH MAY BE DISCOVERED IN SUBSEQUENT INVESTIGATION AND WHICH IF KNOWN AT THIS TIME, MIGHT REQUIRE EXPLANATION? IF SO, DESCRIBE INCIDENT(S) AND PROVIDE DATE(S) OF OCCURRENCE ON SEPARATE SHEET IN ACCORDANCE WITH SPECIAL INSTRUCTIONS ABOVE.*NO*# SECTION XXV PERSON TO BE NOTIFIED IN CASE OF EMERGENCY1. NAME (First-Middle-Last)Mrs. Daniel Flores2. RELATIONSHIPWife3. HOME ADDRESS (No., Street, City, Zone, State, Country)2828 Conn. Ave. #303, Washington, D.C.4. HOME PHONE NO.265-53005. EMPLOYER (If employed. Indicate name of firm or organization. Business phone no. & ext.)Boykin and De Francis1000 15th St., Suite 603, Washington 5, D.C.6. BUSINESS PHONE NO.DI 7-54447. IN CASE OF EMERGENCY, STATE CLOSEST RELATIVE OR FRIEND TO BE NOTIFIED IF SUCH NOTIFICATION IS MORE PRACTICABLE BECAUSE OF RELATIVE'S ABSENCE OR ISOLATION.In all cases write: Relative, Mrs. Vicente Patlan, 431 S. River St., Seguin, Texas Telephone Fr 9-1037
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SECTION XAVICERTIFICATIONYOU ARE INFORMED THAT THE CORRECTNESS OF ANY STATEMENT MADE IN THIS APPLICATION WILL BE INVESTIGATED.I have read and understand the instructions. I certify that the foregoing answers are true and correct to the best of my knowledge and belief. I agree that any misstatement or omission in a material fact will constitute grounds for immediate dismissal or rejection of my application. I also understand that any false statement made herein may be punishable by law (U.S. Code, Title 18, Section 1001).September 5, 1961Daniel FloresWashington, District of ColumbiaLawrence CoolinNOTE: Use the following space for extra details. Reference each continued item by section and item number to which it relates.Sign your name at the end of the added material. If additional space is required use extra page of same size as this page and sign each such page.MARITAL STATUS: Item 4, Section XIISeptember 1, 1956 to October 6, 1956. Married to Lt. Col. Joseph G. Moran in Portland, Oregon, by Circuit Court Judge. Used name of Moran until November 11, 1960, when changed to Flores.FATHER-IN-LAW: Item 45, Section XVIIShort name for RaymondGEOGRAPHIC AREA KNOWLEDGE AND FOREIGN TRAVEL: Item #1, Section VIArgentina 2 July 1959 to 3 July 1959 TravelPanama 10 November 1953 to 13 November 1953 TravelSEE ATTACHED SHEET FOR PERTINENT INFORMATION RELATIVE TO STEP-MOTHER.Signed at Washington, D. C., this 7th day of September, 1961.Daniel Flores
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ATTACHMENT TO PORM NO. 444 - PERSONAL HISTORY STATEENTSection XI - STEPMOTHERFull name: Concepcion R. FloreaLiving: YesOther Names She Has Used: None to my knowledgeCurrent Address: 501 S. Guadalupe Street, San Marcos, TexasDate of Birth: December 9, 1914Place of Birth: MexicoCitizenship: MexicanIf Born Outside U.S. - Date of Entry: December 8, 1922Place of Entry: UnknownFormer Citizenships: NoneOccupation: Homemaker and MissionaryPresent Employer: Mexican Baptist Church, San Marcos, TexasNever served in Military or other Government service to my knowledge.This paper is attached to and hereby made a part of Form No. 444.![Daniel Flores signature]
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CONFIDENTIAL(WHEN FILLED IN)SECURITY APPROVALDATE : 19 January 1962YOURREFERENCE: 07100 OPEERCASE NO. : 195221TO : Director of PersonnelFROM : Director of SecuritySUBJECT : FLORES, Daniel1. This is to inform you of security approval of the subject person as follows:Subject has been approved for the appointment specified in your request under the provisions of Regulations 10-210 and 20-730 including access to classified information through Top Secret as required in the performance of his duties.Subject has been approved for appointment under the authority of Paragraph 4(d) of Regulation 10-210, and under Regulation 20-730 including access to classified information through Top Secret as required in the performance of his duties.2. Unless arrangements are made within 60 days for entrance on duty within 120 days, this approval becomes invalid.3. As part of the entrance on duty processing:A personal interview in the Office of Security must be arranged.A personal interview is not necessary.FOR THE DIRECTOR OF SECURITY:![Signature of W.A. Osborne]W. A. OsborneChief, Personnel Security DivisionOFFICE OF THE IGFORM NO 1173CONFIDENTIAL
[104-10225-10007.pdf — page 0]
# SECRET## Official Personnel Folder# SECRET> [Figure: Document page with Bates number 104-10225-10007 and document title 'Official Personnel Folder', stamped with 'SECRET'.]RETURN TO RECORDS CENIMADHATELY AFTER USE322024J0374-5767.UNITEDWILLIAMSON, EARL J.*60389 Dtruit la Fel Euld67 Jou EntrEuld 67 Gun Entd
[104-10225-10007.pdf — page 1]
# SECRET## REQUEST FOR PERSONNEL ACTION1 SERIAL NUMBER: 0603592. NAME (Last-First-Middle): Williamson, Earl J.3 NATURE OF PERSONNEL ACTION: Conversion and Retirement (Voluntary) under CIA Retirement & Disability Sys4 EFFECTIVE DATE REQUESTED: CobMONTH: 66, DAY: 30, YEAR: 725 CATEGORY OF EMPLOYMENT: Regular6 FUNDS: V TO V, CF SO V, V TO CF, XX CF TO CF7 FINANCIAL ANALYSIS NO. CHARGEABLE: 2135-06208 LEGAL AUTHORITY (Completed by Office of Personnel):9 ORGANIZATIONAL DESIGNATIONS:DDP/WHBranch 6Office of the Chief10 LOCATION OF OFFICIAL STATION: Washington, D.C.11 POSITION TITLE: Ops Officer, Ch12. POSITION NUMBER: 184413 CAREER SERVICE DESIGNATION: D14 CLASSIFICATION SCHEDULE (GS. L.B. ek.): GS15 OCCUPATIONAL SERIES: 0136.0116 GRADE AND STEP: 15 717 SALARY OF RATE: $30,70118 REMARKS: From: FSR 3/5![signature]1154 Telecond w/Sende 6/28/721 - Security 1 - Finance18A SIGNATURE OF REQUESTING OFFICIAL: Henry L. Berthold, C/WH/PersDATE SIGNED: May 7218B. SIGNATURE OF CAREER SERVICE APPROVING OFFICER:DATE SIGNED: 5 June 72SPACE BELOW FOR EXCLUSIVE USE OF THE OFFICE OF PERSONNEL![table use office]