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# US ARMY REQUEST F NATIONAL AGENCY CHECK2. CONTROL OFFICE:#781-C3. LAST NAME FIRST NAME MIDDLE NAME ALIAS NICKNAMES CHANGED NAME   SCHEER, Robert (N)5. DAY, MONTH, YEAR OF BIRTH   4 April 19368. RELATIVE'S NAMES   a. FATHER   Fred Scheerb. MOTHER (maiden name)Ida Kurenc. SPOUSE (mdiWETLASe)Anne Taille6. PLACE OF BIRTH   Bronx, New York9. DATE AND PLACE OF BIRTH   25 May 1898   Germany   24 Apr 1900   Russia   Feb 1942   Eureka, Calif.I DATE OF REQUEST#BI4. SOCIAL SECURITY NO.   112-20-11347. SERVICE NUMBER10. PRESENT ADDRESS    Deceased    2660 Bronx Park East    Bronx, New York    2828 Elivio Street    Berkeley, California11. CITIZENSHIP    U.S.RussianU.S.12. RESIDENCES (List all from 16th birthday or during last 15 years, whichever is shorter)| a. FROM | b. TO | C. NUMBER AND STREET                 | d. CITY       | e. STATE || ------- | ----- | ------------------------------------ | ------------- | -------- || 1949    | 1958  | 653 Britton Street, Bronx            | New York      | New York || 1958    | 1959  | Syracuse N.Y.Carried Student Housing | Syracuse      | New York || 1959    | 1961  | Francisco Street                     | Berkeley      | Calif.   || 1961    | 1963  | 2157 Dason Street                    | San Francisco | Calif.   || 1963    | 1963  | 444 Columbus Street                  | San Francisco | Calif.   || 1964    | 1965  | 332 Castro St. & 2870 Geary          | San Francisco | Calif.   |13. EMPLOYMENT (List all from 16th birthday or during last 15 years, whichever is shorter)| a.FROM | b. TO   | C. EMPLOYER              | d. PLACE              || ------ | ------- | ------------------------ | --------------------- || Sep 60 | Jun 61  | University of California | Berkeley, California  || Sep 61 | Dec 63  | City Lights Bookstore    | San Francisco, Calif. || Jun 65 | Present | Rampart's Magazine, S.f. | San Francisco, Calif. |REQUEST COPY OF RESULTS OF ANYINVESTIGATION CONDUCTED TO DATE| FROM   | b. TO  | C. NAME                  | d. PLACE             || ------ | ------ | ------------------------ | -------------------- || Sep 59 | Jan 61 | University of California | Berkeley, California |15. ITEM ("Yes" answers are expanded in Remarks)| YES | NO                                                                                 |                                                                           || --- | ---------------------------------------------------------------------------------- | ------------------------------------------------------------------------- || X   |                                                                                    | a. IS THE SUBJECT AN ALIEN OR A NATURALIZED CITIZEN OF THE UNITED STATES? || X   | b. ANY FOREIGN CONNECTIONS, INTERESTS. EMPLOYMENT OR MILITARY SERVICE?             |                                                                           || X   | c. ANY FOREIGN TRAVEL OTHER THAN FOR THE UNITED STATES GOVERNMENT?                 |                                                                           || X   | d. EMPLOYMENT BY A FIRM HAVING A CLASSIFIED US GOVERNMENT CONTRACT? DOD NAC CENTER |                                                                           || X   | e. FORMER US GOVERNMENT EMPLOYMENT OR MILITARY SERVICE?                            |                                                                           || X   | f. ANY QUALIFICATION OF DD FORM 398 OR DD FORM 98? Ft Holabird, Md.                |                                                                           || X   | g. ANY ARREST OR COURT RECORD?                                                     |                                                                           |NACC: Request check of FBI(C)-Name check only since SUBJECT refused to execute fingerprint card.Thailand - To write Feb 1956 to Mar 1966 - Vietnam, Cambodia, Thailand & Japan - To write#15 f-Registrant nefoededopachute DD 398-9817. CONTROL OFFICE USE    JAN 16 19676ON BASIS OF DATA FURNISHED UNABLE TO LOCATE ARREST RECORD IN FBI IDENTIFICATION DIVISION18. FROM    19 THRU:E8998 Bedrseroperataone) 398.Headquarters, USAINTCATTN: ICOP-III-24Fort Holabird, Maryland 21219Agency Checked per yourJAN. 2 1 1967FINGERPRINT CARD FD 258 MUST BE ATTACHED. NICHOLSDA FORM 3027REPLACES DA FORM 340. I DEC 58. WHICH IS OBSOLETE. Dosing DivisionNW 88613 Docld:34530125 Page 2