Francesco/who-killed-jfk huggingface dataset:
[104-10291-10014.pdf — page 196]
# SECRET# PERI IC SUPPLEMENT# PERSONAL HISTORY STATEMENTTHIS DATE21 January 1959INSTRUCTIONSThis form provides the means whereby our official personnel records will be kept current. Even though it duplicates information you have furnished previously, it will be necessary for you to complete Sections I through VI in their entirety. You need complete Sections III through XIII only if there has been a change since you entered on duty with the organization or if you believe the item requires more complete coverage than you have previously reported.SECTION I GENERAL1. FULL NAME (Last-First-Middle)CUEAL PIACK DILWORTH2. CURRENT ADDRESS (No., Street, City, June, State)4023 High StreetChevy Chase, Maryland3. PERMANENT ADDRESS (No., Street, City, Lone, State)211 Evans StreetBainbridge, Georgia4. HOME TELEPHONE NUMBER   Oliver 4-60045. STATE, TERRITORY, POSSESSION ON COUNTRY IN WHICH YOU NOW CLAIM RESIDENCETemporary-Maryland; Permanent-GeorgiaSECTION II PERSON TO BE NOTIFIED IN CASE OF EMERGENCY1. NAME (Last-First-Middle) PREFERABLY RESIDING IN U.S.CUEAL MASTON E. 2. RELATIONSHIPBrother3. HOME ADDRESS (No., Street, City, Zone, State, Country).   Alice Street, Fainbridge, Georgia4. BUSINESS ADDRESS (VO., Street City. Zone. State, Country) INDICATE NAME OF FIRM OR EMPLOYER, IF APPLICABLE   Decatur County Courthouse, Bainbridge, Georgia5. HOME TELEPHONE NUMBER   191 J6. BUSINESS TELEPHONE NUMBER   47. BUSINESS TELEPHONE EXTENSION8. IN CASE OF EMERGENCY, OTHER CLOSE RELATIVES (Spouse Mother, Father) MAY ALSO BE NOTIFIED. If SUCH NOTIFICATION IS NOT DESIRABLE BECAUSE OF HEALTH OR OTHER REASONS, PLEASE SO STATE.   My mother should not be notified directly but only through one of my brothers or my sisterSECTION III MARITAL STATUS1. CHECK (X) ONE: SINGLE MARRIED WIDOWED SEPARATE DIVORCED ANNULLED2. FURNISH DATE, PLACE AND REASON FOR ALL SEPARATIONS, DIVORCES OR ANNULMENTSSPOUSE: If you have been married more than once, including annulments, use a separate sheet for former wife or husband giving data below for all previous marriages. If marriage is contemplated, provide some data for fiance.3. NAME (First) (Middle) (Maiden) (Last)   Gladya Frances Pauly O'Neal4. DATE OF MARRIAGE 5. PLACE OF MARRIAGE (City, State, Country)   27 March 1945. Tulsa Oklahoma. USA6. ADDRESS OF SPOUSE BEFORE MARRIAGE (No., Street, City, State, Country)   220 East 27th Place, Tulsa Oklahoma7. LIVING 8. DATE OF DEATH 9. CAUSE OF DEATHX YES NO10. CURRENT ADDRESS (Give last address, if deceased)    4623 High Street, Chevy Chase, Maryland11. DATE OF BIRTH 12. PLACE OF BIRTH (City, State, Country)    30 April 1920 Glenpool Oklahoma USA13. IF BORN OUTSIDE U.S. DATE OF ENTRY 14. PLACE OF ENTRY15. CITIZENSHIP (Country) 16. DATE ACQUIRED 17. WHERE ACQUIRED (City, State, Country)    USA Birth Oklahoma18. OCCUPATION 19. PRESENT EMPLOYER (Also five former employer, or if spouse is deceased or unemployed, last two employers)    Homemaker20. EMPLOYER'S OR BUSINESS ADDRESS (No., Street, City, State, Country)SECTION III CONTINUED TO PAGE 2SECRET1
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# SECRETSECTION III CONTINUED FAW PAGE 121. DATES OF MILITARY SERVICE OF SPOUSE (From and To ) BY MONTH AND YEAR23. BRANCH OF SERVICE23. COUNTRY WITH WHICH MILITARY SERVICE AFFILIATED24. DETAILS OF OTHER GOVERNMENT SERVICE, U.S. OR FOREIGNAmerican Embassy, Mexico City, Mexico 1940-1945SECTION IV RELATIVES BY BLOOD, MARRIAGE OR ADOPTION LIVING ABROAD OR WHO ARE NOT U.S. CITIZENS1. FULL NAME (Last-First-Middle)STELHIS CHARLES PROTON2. RELATIONSHIPFirst Cousin3. AGE444. ADDRESS OR COUNTRY IN WHICH RELATIVE RESIDESCaracas, Venezuela - Manager Coca Cola Co. interests5. CITIZENSHIP (Country)USA6. FREQUENCY OF CONTACTApproximately 2 or 3 letters annually7. DATE OF LAST CONTACTMay 19581. 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 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 CONTACT5. SPECIAL REMARKS, IF ANY, CONCERNING THESE RELATIVESSECTION V FINANCIAL STATUS1. ARE YOU ENTIRELY DEPENDENT ON YOUR SALARY?[X] YES NO2. DO YOU HAVE ANY FINANCIAL INTEREST IN, OR OFFICIAL CONNECTION WITH, NON-U.S. CORPORATIONS OR BUSINESSES OR IN OR WITH U.S. CORPORATIONS OR BUSINESSES HAVING SUBSTANTIAL FOREIGN INTERESTS?YES [X] NO IF YOU HAVE ANSWERED "YES", GIVE COMPLETE DETAILS ON A SEPARATE SHEET AND ATTACH IN A SEALED ENVELOPE.3. 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?[X] NO4. IF YOU HAVE ANSWERED "YES" TO QUESTION 3 ABOVE, GIVE COMPLETE DETAILS.5. WITHOUT REFERENCE TO YOUR SALARY, STATE OTHER SOURCES OF RECURRENT INCOME NOT INDICATED BY PRECEDING ITEMS.SECTION V CONTINUED TO PAGE 3SECRET2
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SECRETSECTION A CONTINUED FROM PAGE 27. LIST ANY SIGNIFICANT PUBLISHED MATERIALS OF WHICH YOU ARE THE AUTHOR (Do not submit copies unless requested). INDICATE TITLE, PUBLICATION DATE, AND TYPE OF WRITING (fiction, scientific articles, general interest sub- jects, novels, short stories, etc.)8. INDICATE ANY DEVICES WHICH YOU HAVE INVENTED AND STATE WHETHER OR NOT THEY ARE PATENTED9. LIST ANY PUBLIC SPEAKING AND PUBLIC RELATIONS EXPERIENCE10. LIST ANY PROFESSIONAL, ACADEMIC OR HONORARY ASSOCIATIONS OR SOCIETIES IN WHICH YOU ARE NOW ON WERE FORMERLY A MEMBER. LIST ACADEMIC HONORS YOU HAVE RECEIVED.SECTION XI ORGANIZATION WORK EXPERIENCE - SINCE LAST COMPLETION OF A PERSONNEL QUALIFICATIONS QUESTIONNAIRE1. INCLUSIVE DATES (From- and To-)   March 1947 - December 19492. GRADE 133. OFFICE/DIVISION/BRANCH OF ASSIGNMENT W Division -DDP4. NO. OF EMPLOYEES UNDER YOUR DIRECT SUPERVISION Seven5. OFFICIAL POSITION TITLE Chief of Station - Intelligence Officer6. DESCRIPTION OF DUTIES Collecting and supervising collection of intelligence as Chief of Station1. INCLUSIVE DATES (From- and To-) January 1950 - June 19502. GRADE 133. OFFICE/DIVISION/BRANCH OF ASSIGNMENT W Division - DDP4. NO. OF EMPLOYEES UNDER YOUR DIRECT SUPERVISION 125. OFFICIAL POSITION TITLE Branch Chief - Intelligence Officer6. DESCRIPTION OF DUTIES Supervising and directing the collection and dissemination of intelligence information as branch Chief1. INCLUSIVE DATES (From- and To-) June 1950 - December 19512. GRADE 143. OFFICE/DIVISION/BRANCH OF ASSIGNMENT Office of Inspection & Security4. NO. OF EMPLOYEES UNDER YOUR DIRECT SUPERVISION 55. OFFICIAL POSITION TITLE Chief, Alien Affairs Branch6. DESCRIPTION OF DUTIES Liaison with Immigration and Naturalization Service and passport and Visa Divisions of Department of State in relation to aliens of operational interest. Facilitating entry and exit and naturalization.1. INCLUSIVE DATES (From- and To-) January 1952 - April 19542. GRADE 143. OFFICE/DIVISION/BRANCH OF ASSIGNMENT W Division - DDP4. NO. OF EMPLOYEES UNDER YOUR DIRECT SUPERVISION 75. OFFICIAL POSITION TITLE Chief of Station - Intelligence Officer6. DESCRIPTION OF DUTIES Supervising collection and collecting intelligence as Chief of Station1. INCLUSIVE DATES (From- and To-) June 1954 - 10 April 19552. GRADE 143. OFFICE/DIVISION/BRANCH OF ASSIGNMENT Office of Security4. NO. OF EMPLOYEES UNDER YOUR DIRECT SUPERVISION None5. OFFICIAL POSITION TITLE Intelligence Officer6. DESCRIPTION OF DUTIES Conducting special investigations for the Director of SecuritySECRET
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# SECRETSECTION XIICHILDREN AND OTHER DEPENDENTS1. NUMBER OF CHILDREN (Including stepchildren and adopted children) WHO ARE UNMARRIED, UNDER 21 YEARS OF AGE, AND ARE NOT SELF-SUPPORTING.2. NUMBER OF OTHER DEPENDENTS (including spouse, parents, stepparents, sister, etc.) WHO DEPEND ON YOU FOR AT LEAST 50% OF THEIR SUPPORT, OR CHILDREN OVER 21 YEARS OF AGE AND ARE SELF-SUPPORTING.3. PROVIDE THE FOLLOWING INFORMATION FOR ALL CHILDREN AND DEPENDENTS| NAME              | RELATIONSHIP | YEAR OF BIRTH | SEX | CITIZENSHIP | ADDRESS          || ----------------- | ------------ | ------------- | --- | ----------- | ---------------- || Frances P. O'Neal | Wife         | 1920          | X   | USA         | Chevy Chase, Md. || Birch Jr.         | Son          | 1947          | X   | USA         | Chevy Chase, Md. || Kelinda P.        | Daughter     | 1950          | X   | USA         | Chevy Chase, Md. |ADDITIONAL COMMENT AND. OR CONTINUATION OF PRECEDING ITEMSFrom 10 April 1955 to present I have been Chief of the Special Investigations Division of the Counter Intelligence Staff DDP conducting investigations and supervising five officers and four clerical employees in relation to investigations of a sensitive nature envolving operational security matters.DATE COMPLETED24 January 1950SIGNATURE OF EMPLOYEEBirch D. O. Heel
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18. CONTINUEDDates of employment (Month, year): From **11-1-36** To **11-1-38**Place of employment (city and State):**Washington, D. C.**Name and address of employer (firm, organization, or person):If Federal, name department, bureau or establishment, and division:**Federal Bureau of Investigation**Kind of business or organization (e. g., wholesale silk, insurance agency, mfg. of locks, etc):**Law enforcement**Number and kind of employees supervised by you:**(0 to 50, investigative & clerical**Name and title of immediate supervisor:**J. F. Hoover**Reason for leaving:**To return to practice of law.**Exact title of your position:**Special Agent**Description of your work:**Investigated violations of laws of the U.S., collected evidence, and testified in courts in cases of interest to the government. Also spent some time in instructing new special agent recruits.**Salary or earnings: Starting $ **2020** per annum; Final $ **3200** per annumDates of employment (Month, year): From ToPlace of employment (city and State):Exact title of your position:Description of your work:Salary or earnings: Starting $ per ; Final $ perName and address of employer (firm, organization, or person):If Federal, name department, bureau or establishment, and division:Kind of business or organization (e. g., wholesale silk, insurance agency, mfg. of locks, etc):Number and kind of employees supervised by you:Name and title of immediate supervisor:Reason for leaving:Dates of employment (Month, year): From ToPlace of employment (city and State):Exact title of your position:Description of your work:Salary or earnings: Starting $ per ; Final $ perName and address of employer (firm, organization, or person):If Federal, name department, bureau or establishment, and division:Kind of business or organization (e. g., wholesale silk, insurance agency, mfg. of locks, etc):Number and kind of employees supervised by you:Name and title of immediate supervisor:Reason for leaving:Dates of employment (Month, year): From ToPlace of employment (city and State):Description of your work:Salary or earnings: Starting $ per ; Final $ perIf more space is required, use a continuationForm No. 50) or a sheet of paper the same size as thisWrite on each sheet your name, address, date of birth, and examination title. Attach to application.
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SECRETTO : Security Officer, CSO Date: 20 February 1950FROM : CO210SUBJECT: Communications Debriefing of Birch D. O'NealThe above named individual has been debriefed by this office and a copy of the debriefing statement is attached for inclusion in the individual files.FOR THE CHIEF, COMMUNICATIONS DIVISION:![signature of L. Wisheh Ray] L. WISHEH RAYcc with Attachment:SED ✓CTDSECRET
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SECRETCENTRAL INTELLIGENCE AGENCYCOMMUNICATIONS DIVISIONSIGNAL SECURITY AND CONTROL SECTIONCOMMUNICATIONS DESCRIPTION1. **BIRCH D. O'NEAL**, do solemnly swear (or affirm) not to divulge any classified information concerning the communications of the Central Intelligence Agency as to organization, personnel, location, methods of operation, cryptographic systems, communication channels and facilities used.I do further solemnly swear (or affirm) that I shall not discuss, divulge, publish or cause to be published any information concerning the cryptographic facilities, systems, or procedures employed by other United States Government Departments or Agencies of which I am cognizant by virtue of my communications duties with C.I.A.I do further swear (or affirm) that I will not discuss, divulge, publish or cause to be published any classified information or intelligence of which I am cognizant by virtue of my communications duties with CIA - unless specifically authorized in writing in each case by the Director of Central Intelligence.I have read the provisions of the Espionage Act and understand that after severing my relations with the Communications Division, C.I.A., I am still bound by that Act and if it is violated, I am subject to its penalties.I do further solemnly swear (or affirm) that no classified papers, booklets, material, or equipment remain in my possession and that all communications properties, classified and unclassified, have been returned to the proper authorities of Communications Division, C.I.A.I take this obligation freely, without any mental reservation or purpose of evasion.Signed: Birch D. O'NealDated: 20 February 1950Witness: Lucch A. BooleyPosition: Chief Security SectionDate: 20 February 1950SECRET
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Form 2205# PERSONAL HISTORY STATEMENTInstructions:1.  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 for extra details on any question or questions for which you do not have sufficient room.2.  Attach 2 recent passport size pictures to this form, date taken written on the back of each.3.  Type, print or write carefully; illegible or Incomplete forms will not receive consideration.HAVE YOU READ AND UNDERSTOOD THE INSTRUCTIONS? YesSEC. 1. PERSONAL BACKGROUNDA. FULL NAME Birch Dilworth O'Neal TELEPHONE 312JPRESENT ADDRESS 402 Pine St. Bainbridge Georgia U.S.A.LEGAL RESIDENCE 402 Pine St. Bainbridge Georgia U.S.A.B. NICKNAME None ANY OTHER NAMES THAT YOU HAVE USED NoneUNDER WHAT CIRCUMSTANCES HAVE YOU EVER USED THESENAMES? Not applicableHOW LONG Not applicable LEGAL CHANGE, GIVE PARTICULARS Not applicableNot applicable Not applicable Not applicableC. DATE OF BIRTH June 1, 1913 PLACE OF BIRTH Bainbridge Georgia U.S.A.RACIAL ORIGIN THROUGH MOTHER Anglo-Saxon THROUGH FATHER ANGLO-SAXOND. PRESENT CITIZENSHIP U.S.A. BY BIRTH? YES BY MARRIAGE? Not applicableBY NATURALIZATION CERTIFICATE # Not applicable ISSUED Not applicable Not applicableHAVE YOU HAD A PREVIOUS NATIONALITY? No WHAT? Not applicableHELD BETWEEN W._r DATES? Not applicable ANY OTHER NATIONALITY? No
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GIVE PARTICULARS: Not applicable.HAVE YOU TAKEN STEPS TO CHANGE PRESENT CITIZENSHIP? No. GIVE PARTICULARS: Not applicableE. LAST U.S. PASSPORT: NUMBER, DATE AND PLACE OF ISSUE Issued Washington D. C. 1942 actual date of issuance and number unknown.HOW MANY OTHER US. PASSPORTS HAVE YOU HAD? one GIVE APPROXIMATE DATES: Was issued latter part of January or first part of February 1942 at Washington D. C.PASSPORTS OF OTHER NATIONS? NoneF. IF BORN OUTSIDE U.S. WHEN DID YOU FIRST ARRIVE IN THIS COUNTRY? Not applicablePORT OF ENTRY?ON PASSPORT OF WHAT COUNTRY?LAST U.S. VISASEC. 2. PHYSICAL DESCRIPTIONAGE 33 SEX Male HEIGHT 6 feet 1 in. WEIGHT 185EYES Brown HAIR Brown COMPLEXION Medium cut scar SCARS left cheek appendectomyBUILD Slender OTHER DISTINGUISHING FEATURES NoneSEC. 3. FATHER (Give the same information for Step-father and/or guardian on a separate sheet)FULL NAME Maston Ermett O'NealLIVING OR DECEASED Living DATE OF DECEASE CAUSEPRESENT, OR LAST, ADDRESS 402 Pine St. Bainbridge, Ga. U.S.A.DATE OF BIRTH March 24, 1875 PLACE OF BIRTH Bainbridge Ga. U.S.A.CITIZENSHIP U.S.A.WHEN ACQUIRED? Birth WHERE Bainbridge Ga. U.S.A.OCCUPATION Attorney at Law LAST EMPLOYER SelfEMPLOYER'S OR OWN BUSINESS ADDRESS County Court House Bainbridge. Ga. U. S. AMILITARY SERVICE FROM None TO BRANCH OF SERVICE NoneCOUNTRY None DETAILS OF OTHER GOVT SERVICE, U. S. OR FOREIGN.Solicitor of Court of Bainbridge 1904 to present excepting 1928 to 1932.
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SEC. 4. MOTHER (Give se sat tion for Step-mother on a sheet)FULL NAME Bessie Birch Matthews O'NealLIVING OR DECEASED Living DATE OF DECEASE CAUSEPRESENT, OR LAST, ADDRESS 402 Pine St, Bainbridge Georgia U.S.A.DATE OF BIRTH May 23, 1885 PLACE OF BIRTH Thomaston Georgia U. S. A.CITIZENSHIP U. S. WAEN ACQUIRED?Birth WHERE? Thomaston Ga. U. S. A.OCCUPATION Housewife and parttime music teacher LAST EMPLOYER selfEMPLOYER'S OR OWN BUSINESS ADDRESS 402 Pine St. Bainbridge Ga. U. S.A.DETAILS OF GOVT SERVICE, U.S. OR FOREIGN NoneSEC. 5. BROTHERS AND SISTERS (Including half-, step-, and adopted brothers and sisters)FULL NAME Liaston Emmett C'Neal Jr.PRESENT ADDRESS 551 Academy St. Bainbridge Georgia U.S.A.FULL NAME Allan Matthews O'NealPRESENT ADDRESS UNKNOWN King of Prussia Pennsylvania U.S.A.FULL NAME Mrs. Elisabeth Ann O'Neal PlowdenPRESENT ADDRESS 202 College St. Bainbridge Georgia U. S. A.SEC. 6. MARITAL STATUSA. SINGLE No MARRIED Yes DIVORCED No WIDOWED NoSTATE DATE, PLACE AND REASON FOR SEPARATION OR DIVORCENeither separated nor divorced.B. WIFE OR HUSBAND (IF YOU HAVE BEEN MARRIED MORE THAN ONCE USE A SEPARATE SHEETFOR FORMER WIFE OR HUSBAND AND GIVE REQUIRED DATA FOR ALL PREVIOUS MARRIAGES)NAME Gladys Frances Pauly O'Neal PLACE Tulsa Okla. DATE OF MARRIAGE 3/27/45(HER OR HIS) ADDRESS BEFORE MARRIAGE 227 E. 27th Place, Tulsa, Okla.USALIVING OR DECEASED Living DATE OF DECEASE CAUSEPRESENT, OR LAST, ADDRESS 402 Pine St. Bainbridge Ga. U. S. A.
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SEC. 6. MARITAL STATUS (Cont'd)DATE OF BIRTH April 30,1920 PLACE OF BIRTH Glennpool, Okla. USARACIAL ORIGIN THROUGH FATHER French and German THROUGH MOTHER French and EnglishCITIZENSHIP USA WHEN ACQUIRED Birth WHERE? Glennpool, Okla. USAOCCUPATION Housewife LAST EMPLOYER U.S.Foreign ServiceEMPLOYER'S OR OWN BUSINESS ADDRESS Dept. of State, Washington D. C.MILITARY SERVICE FROM None TO BRANCH OF SERVICEDETAILS OF OTHER GOVT. SERVICE, U.S. OR FOREIGNOnly government or foreign service has been as a clerk in the J. S. Foreign Service assigned to U.SEmbassy, Mexico City, 1941-1945.SEC. 7. FATHER-IN-LAWFULL NAME Frank Robert PaulyLIVING OR DECEASED Living DATE OF DECEASEPRESENT, OR LAST, ADDRESS 220 E. 27th Place Tulsa Oklahoma USARACIAL ORIGIN French and German BIRTH 2/4/92 Edmond Okla. USA.CITIZENSHIP U.S.A. WHEN ACQUIRED? Birth WHERE? Edmond OKLA. USASEC. 8. MOTHER-IN-LAWFULL NAME Grace Gladys Merchant PaulyLIVING OR DECEASED Living DATE OF DECEASEPRESENT, OR LAST, ADDRESS 220 E.27th Place Tulsa Oklahoma USARACIAL ORIGIN French and English BIRTH August4,1891. Lafayette, Ind. USA.CITIZENSHIP USA WHEN ACQUIRED Birth WHERE? Lafayette, Indiana USASEC. 9. CHILDREN OR DEPENDENTS (Include partial dependents)NAME None RELATIONSHIP AGENATIONALITY ADDRESSNAME RELATIONSHIP AGENATIONALITY ADDRESSNAME RELATIONSHIP AGENATIONALITY ADDRESS
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SEC. 10. RELATIVES BY BLOOD, MARRIAGE OR ADOPTION, WHO ABROAD, ARE UNDER THE JURISDICTION OF A FOREIGN POWER ARE NOT CITIZENS OF THE UNITED STATES, OR ARE MARRIED TO NON-CITIZENS:NAME NoneNATIONALITYRELATIONSHIPADDRESSAGESt. & No. City State CountryREASON FOR LISTING UNDER THIS QUESTIONNAMERELATIONSHIP AGENATIONALITY ADDRESSSt. & No. City State CountryREASON FOR LISTING UNDER THIS QUESTIONNAMERELATIONSHIP AGENATIONALITY ADDRESSSt. & No. City State CountryREASON FOR LISTING UNDER THIS QUESTIONSEC. 11. RELATIVES BY BLOOD OR MARRIAGE, IN MILITARY, NAVAL OR OTHER GOV'T SERVICE - U.S. OR FOREIGN:NAME NoneRELATIONSHIP AGENATIONALITY ADDRESSSt. & No. City State CountryTYPE AND LOCATION OF SERVICE (IF KNOWN)NAMERELATIONSHIPAGENATIONALITY ADDRESSSt. & No City State CountryTYPE AND LOCATION OF SERVICE (IF KNOWN)NAMERELATIONSHIP AGENATIONALITY ADDRESSSt. & No. City State CountryTYPE AND LOCATION OF SERVICE (IF KNOWN)SEC. 12. GIVE FIVE CHARACTER REFERENCES IN THE U.S.-(Give business addresses where possible)NAME: Mr. Robert R. Gunn ADDRESS Milledge Ave. Athens Ga.NAME: Mr. A.B. Conger ADDRESS O'Neal Building Bainbridge, Ga.NAME: Mr. M.C. Barwick ADDRESS C&S Building Atlanta Ga.NAME: Mr. R.A. Leddy ADDRESS BankNAME: Mr. Arthur M. Thurston ADDRESS Washington, D.C.
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SEC. 13. NAMES OF 5 PERSONS WHO KNOW YOU SOCIALLY IN THE UNITED STATES. NOT REFERENCES OR EMPLOYERS-(Give business addresses where possible)1. NAME: Iz. [illegible] acti   ADDRESS: [illegible] St. & No. [illegible] City [illegible] State2. NAME: Ir. [illegible] Mill   ADDRESS: [illegible] St. & No. [illegible] Olly [illegible] State3. NAME: [illegible]   ADDRESS: [illegible] St. & No. [illegible] city [illegible] State4. NAME: Ir. [illegible] Roy   ADDRESS: [illegible] St. & No. [illegible] City [illegible] State5. NAME: Ir. Tation Irondel   ADDRESS: [illegible] Poor. [illegible] St. & No. [illegible] Olty [illegible] StateSEC. 14. GIVE THREE NEIGHBORS AT YOUR LAST NORMAL RESIDENCE IN THE U.S.NAME: Ir. Clifford HoutenADDRESS: [illegible] St. & No. [illegible] Otty [illegible] StateNAME: Ir. [illegible] ClivanADDRESS: 700 Touter [illegible] tret, [illegible] St & No. [illegible] Olty [illegible] StateNAME: [illegible] TurnerADDRESS: 104 [illegible] [illegible] St. & No. [illegible] Olly [illegible] StateSEC. 15. EDUCATIONSCHOOL: Bainbridge GrammarADDRESS: Bainbridge Georgia U. SountyDATES ATTENDED: 1919 -1927DEGREE DiplomaSCHOOL: Bainbridge HighADDRESS: Bainbridge Georgia U. SountyDATES ATTENDED: 1927-1931DEGREE DiplomaCOLLEGE: University of GeorgiaADDRESS: Athens Georgia U. SountyDATES ATTENDED: 1931 - 1935DEGREE A. B.COLLEGE: University of GeorgiaADDRESS: Athens Georgia U. SountyLaw SchoolDATES ATTENDED: 1935-1937DEGREE LL.B.SEC. 16. MILITARY, NAVAL OR OTHER GOV'T SERVICE - U.S. OR FOREIGN[illegible] I.Special Agent1946ServiceRankDatesAlbany, New Zore[illegible] [illegible]Last StationSerial No.Type of dischargeCom. OfficerREMARKS:
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SEC. 17. SELECTIVE SERVICECLASSIFICATION 4AORDER NO. 8144 APPROX. INDUCTION DATE UnknownBOARD NO. 1 ADDRESS Bainbridge, GeorgiaIF DEFERRED, GIVE REASON Was deferred during the war upon request of TheFederal Bureau of Investigation,SEC. 18. HAVE YOU EVER BEEN DISCHARGED FROM ANY POSITION, OR LEFT UNDER CIRCUMSTANCES WHICH WERE NOT ENTIRELY FAVORABLE? PLEASE GIVE DETAILS:No.SEC. 19. MISCELLANEOUSDID YOU EVER HAVE OR DO YOU NOW HAVE MEMBERSHIP IN, OR SUPPORT, ANY POLITICAL PARTYOR ORGANIZATION WHICH ADVOCATES THE OVERTHROW OF OUR CONSTITUTIONAL FORM OFGOVERNMENT IN THE UNITED STATES? No IF "YES." EXPLAIN:DO YOU USE, OR HAVE YOU USED INTOXICANTS? I have and do on occasions. take a drink of intoxicating liquor socially, but am not addicted to its.... use nor do I use it excessively.HAVE YOU EVER BEEN ARRESTED, INDICTED OR CONVICTED FOR ANY VIOLATION OF LAW OTHERTHAN A MINOR TRAFFIC VIOLATION? IF SO, STATE NAME OF COURT, CITY, STATE, COUNTRY, NATUREOF OFFENSE AND DISPOSITION OF CASE NO.SEC. 20. FINANCIAL BACKGROUNDARE YOU ENTIRELY DEPENDENT ON YOUR SALARY? Yes IF NOT, STATE SOURCES OF OTHERINCOME Not applicable.NAMES AND ADDRESSES OF BANKS WITH WHICH YOU HAVE ACCOUNTSFirst State National Bank of Bainbridge, Georgia..IHAVE YOU EVER BEEN IN BANKRUPTCY? No GIVE PARTICULARSNot applicable