Released under the John F. Kennedy
Assassination Records Collection Act of
1992 (44 USC 2107 Note). Case#:NW
88613 Date: 03-18-2025
Date : 07/22/96
Page
:
1
JFK ASSASSINATION SYSTEM
IDENTIFICATION FORM
AGENCY INFORMATION
AGENCY : INSCOM/CSF
RECORD NUMBER :
194-10012-10472
RECORDS SERIES : DOD AFFILIATED PERSONNEL AND INCIDENT INVESTIGATIONS
AGENCY FILE NUMBER :
PAGES 915-917
ZF000003W
-
DOCUMENT INFORMATION
[ RESTRICTED ]
ORIGINATOR
:
USA
FROM :
ΤΟ :
TITLE : AGENT REPORT
DATE : 10/05/67
PAGES : 3
SUBJECTS
: SLOVODA, VLADIMIR
REPORT OF FINDINGS
FIELD 201 FILE CHECK
POSSIBLE SENSITIVE DESERTION
SIMONS, PETER KARL
DOCUMENT TYPE : PAPER, TEXTUAL DOCUMENT
CLASSIFICATION
RESTRICTIONS :
:
UNCLASSIFIED
3
CURRENT STATUS : RELEASED WITH DELETIONS
DATE OF LAST REVIEW : 03/20/95
OPENING CRITERIA :
COMMENTS : PAGES 915-917 ARE DUPLICATE COPIES OF PAGES 797-799.
NW 88613 Docld:34531181 Page 1
1. NAME OF SUBJECT OR TITLE OF INCIDENT
Possible Sensitive Desertion
OR OFFICIAL USE ONLY
AGENT REPORT
(AR 381-130; FM 30-17) !
2. DATE SUBMITTED
5 October 1967
3. CONTROL SYMBOL OR FILE NUMBER
4. REPORT OF FINDINGS
(FIELD 201 FILE) On 5 October 1967, the 201 File of Peter K. Simons,
Specialist 4, RA 19 841 799, was examined and revealed substantially the
following information:
Name:
Rank:
Service Number:
SSAN:
DOB:
POB:
Citizenship:
BPED:
ETS:
Marital Status:
Religious Preference:
Father:
Mother:
Step-Father:
Physical Profile:
Physical Description:
Civilian Education:
Civilian Employment:
Aptitude Test Scores:
Peter Karl Simons
Specialist 4 (E4)
RA 19 841 799
550-66-6254
5 May 1943
Cottbus, Germany
German, Alien Registration Number, A 13 022 527;
Date of entry, 8 August 1962; Port of entry, New
York, New York.
28 April 1965
27 April 1968
Single
Roman Catholic
Karl-Heinz Simons; POB: Saarland, Germany, DOB:
Unknown; Present Address: Unknown.
Agnes Fries; POB: Essen, Germany, DOB:
17 September 1920; Present Address:
Cheruskerstr 49, Duesseldorf, W. Germany.
Richard Westlake; POB: Unknown; DOB:
Present Address:
England.
Unknown;
Weston-Super-Mare, Somerset,
PULHES 111 121, Code B, 28 August 1965
Age, 24; Sex, Male; Height, 73"; Weight, 178%;
Hair, Brown; Eyes, Brown; Scars or marks, None.
55-59, Martin-Buteer; Dierdorf, W. Germany, Graduated;
59-62, Dierdorf Handesischule, Duesseldorf, Germany,
Graduated.
Apr 59-Apr 62, Deurogmbh, Berliner Alee 29, Duesseldorf,
Germany; Supervisor, Mr Grosskopf, Reason left (RL),
immigrate to US; Apr 62-Jul 64, Air-Sea Forwarders Inc,
406 S. Main St., Los Angeles, California, Supervisor,
Mr Rautenberg, RL, Better future; Jul-Sep 64, Liberty
Engineering Co., Culver City, Calif., Supervisor, Mr.
Kilmer, RL, quit; Sep-Oct 64, Sightseeing in New York;
Oct 64-Apr 65, Harper-Robinson & Co., 354 S. Spring St.,
Los Angeles, Supervisor, Mr Caranea, RL, Joined: Army;
Apr 65 to present, US Army.
IN, 111; AE, 103; EL, 103; GM, 102; MM, 115, CL, 123;
GT, 106.
Protective Marking is Excluded From
Automatic Termination (Par 19, AR R45-15)
5. TYPED NAME AND ORGANIZATION OF SPECIAL AGENT
WILLIAM F. MOCKLER, 501st MI Det (Armd Div)
DA
FORM
1 APR 52
341
JUN
915
6. SIGNATURE OF SPECIAL AGENT
(CONTINUED)
William A. Mickeve
REPLACES WD AGO FORM A WHICH MAY USE SE ONLY
NW 88613 Docid:34531181 Page 2
:
1. NAME OF SUBJECT OR TITLE OF INCIDENT
Possible Sensitive Desertion
FOR OFFICIAL LISE ON
AGENT REPORT
(AR 381-130; FM 30-17)
2. DATE SUBMITTED
5 October 1967
3. CONTROL SYMBOL OR FILE NUMBER
4. REPORT OF FINDINGS (FIELD 201 FILE) (Continued)
Remarks
Military Education:
Record of Non-Judicial
Punishment:
Record of Courts Martial:
DD Form 398:
DD Form 98:
Security Clearance:
Civilian Foreign Travel:
Foreign Service:
Promotions/Reductions:
Rad Rel Carr Attend, MOS 31M20, Signal
Corps, 12 weeks, 1965
None
None
Executed, unqualified dated 1 October 1965
Executed, unqualified dated 28 April 1965
None; Background investigation requested
by the ACofS, G2, Fort Gordon, Georgia,
on 4 October 1965, UP AR 614-280 for
retention of Simons in Military Service
53 to 54, Great Britain, Schooling; Apr 56
to Aug 56, Great Britain, Schooling; Aug 57
to Sep 57, Italy, Vacation%3 Jul 61 to Sep 61,
France, Vacation; Simons has also been in the
following countries for sight seeing purposes
from 1957 to 1965, Denmark, Austria, Belgium,
Switzerland, Mexico, Holland, Luxemburg, France,
and Spain
14 Nov 65 to 27 Nov 66, USAREUR Germany
PVT EL (P) 8 Apr 65 AR 601-210
PVT E2 (P) 28 Aug 65 Par 7-19 AR 600-200
PFC E3 (P) 4 Jan 66 Par 1 UO/4, Co B, 32d Sig Bn
APO 757
SP4 E4 (T) UO#32, Co B, 32dSig Bn, APO 09757
Chronology of Military
Service:
28 Apr 65
10 May 65
17 Jul 65
16 Nov 65
25 Nov 65
9 Jan 67
8 Jun 67
Remarks:
USARECSTA (4075) FT POLK LA
CoElBn2TngBDE Ft Polk La
StuCoS USASESCS Ft Gordon, GA
CoB 32dSigBn APO 09757
Enroute to Conus
CoC 141stSign 1st AD Ft Hood, Tex
49thSigPlatoon, 198th InfBde, FtHd, Tex
1。 Simons identification card reported lost to Provost Marshal,
17 August 1967, issued new identification card.
2. Special Order Number 31, Headquarters, 198th Infantry Brigade,
Fort Hood, dated 19 August 1967, authorized ordinary leave for Simons
effective 1 September 1967, for 20 days. Leave address: Oberlindau 89.
Frankfurt-Main, Germany. Special Instruction: EM will report to the
Army attache at the American Embassy, or to the Commander of the USA
Element, as appropriate.
3. Simons enlisted under the Buddy Assignment Plan, with one
Michael C. Morgan, RA 19 841 794, for further assignment to USAREUR.
Protective Charking is Excluded Prom
(CONTINUED)
3. WE CAME AND PEGANIZATION OF SPECIAL AGENAR 345-15)
WILLIAM F. MOCKLER, 501stMI Det (Armd Div)
DA
FORM
1 APR 52
341
916
6. SIGNATURE OF SPECIAL AGENT
WHY BE
REPLACES WO AGO FORM ONLY
WD
1
NW 88613 Docid:34531181 Page 3
1. NAME OF SUBJECT OR TITLE OF INCIDENT
Possible Sensitive Desertion
FOR OFFICIAL USE ON.
AGENT REPORT
(AR 381-130; FM 30-17)
2. DATE SUBMITTED
5 October 1967
3. CONTROL SYMBOL OR FILE NUMBER
4. REPORT OF FINDINGS (FIELD 201 FILE)
(Continued)
4. Simons drew advance pay of $360, 16 Aug 67, to be repaid
at $60 a month for six months.
Protective Marking is Excluded From
1
Automatic Termination (Par 19, AR 345-15)
5. TYPED NAME AND ORGANIZATION OF SPECIAL AGENT
917
WILLIAM F. MOCKLER, 501st MI Det (Armd Div)
DA
FORM
1 APR 52
341
6. SIGNATURE OF SPECIAL AGENT
Niciam F. Morticed
Main
JIGE
MAY!S USED
• FOR OFFICIAL ONLY
REPLACES WD AGO!
34
NW 88613 Docid:34531181 Page 4