L yol [tog-t0t64-to09t). | Ie | ‘ 9 @ 19 O° te " SECRET an Zz $. SUBJECT CEYPE RAML ER ROMAR LO PTERS - SURBAME TH UPPER CASE * . REQUES: FOR GREEN LIST: KANE CHECK TO 4 43977 2. ALIASES, VAREANT SPELLING, CIC AUMBERS, ete. DATE al 776 CHIEF, FI/® H 3. DATE ANDO PLACE OF BIRTH ey OR IGIBAT ING orFicee ne ‘ | ) a. CIVZENSHIe . . OFF a DESICMATOR B. PRESENT ACTIVITY ARO LOCATION ROOM, auitoiNG OG 1 Hqwe EXTENSION 76 23, TYPE OF REQUEST (CHEECH OME Qi riast rime suewirrco CI aootrionay oars Q f. OCCUPATIONAL SPECIALTIES, GOUCATION RFCHECE FOR CURRENT ee | _ is. INTEREST tm suBstcT (CHECK One) , - Cl rspiosace on ce activity (J OPC RATIONAL CLEARANCE ® orere rn) oe ‘ smjom 7, PAST. ACTIVITIES [ACLUDING MILITARY SeHvIce ACTiviTy LOCAT low Sub{. claims te be agece. with Accurate Detective lcberateries, Chicago. Subj. elaine assoc. with 6h newspapere and LIFE meg., for whem he says he 4e going inte Geba for Zecambray stery on PRD there. G, OTHER DICHIFICANT DATA (POLITICS, REGIGION) - AOD EXTRA SHEETS WHEN ALE OEO Pid eh Gms rte npn Wer ar ThA 2 OLACR IPT ION : BEIONTD cr , WHOLE Eves . date RAGE) ornaa) g, apoubE (iF WERE, GIVE Malole Saray oo, Loa , dbo od , a .@tia abe . rr Ve ae tee ao @ . ch ree | o OTHER MENGERO OF IMMEOIATE FAMILY AND Aggociares Th. TWFORMATION REQUIRED (O4FINE sPrciFicALLY CENTRAL TERMS BUCH AG °OKROGATORY® MAY REAULT IR A Scawcn Tilat DOLD OT LLY RA nagulacweate od . TS BBR MR ae Be ee ae tet Pee See . wot sme tere a oo ode Fes mane pad 2 ‘ i if I: F : i: f sete m « HBae _ BHD ‘soTh bhEETs TO FI/D, -» Gt Gat 10-7 es Atty GO} veo verrrove conrene, SOO REED tm TERM 1OaEA Ranta + Harem ee i MONET Ye me Ew eee ei atara NER “thts ree be ae €or cate Jt aeons oO boar raceme te tort t sepa NS TRUC TION S; INGERT CARGONS FILL OUT FORME coMPLATEL. oe } = tate:
14-00000 ‘ a . * ° . . ae . a “~ SECRET me enn mesatmetittatececfttemttatetetet eens tete tea AE TREN TTT, a + -« iT tos: 30 -Auguat 1963 _____ . pate From: =F 1/0 OS : + be (CUTT) see vossite om suasecr tm F 1/0 BrocaapHic FILES. "gy (CTT) + senoranoun 18 arraceo Herero. ‘ Co (CC) WITH THE Limtteo soewTeFication yadvioco im THE REQUEST, F1/0 18 URABLE TO ‘ OLTERMINE WHETHER THERE 15 1HFORMATION ABOUT THE SUGJECT OF HOT. Qs CCRT] 1/0 nas wo ROREMIENE inFORMATION OW CUBJECT. IF INFORMATION ABOUT TRE vic.; ce SUBJECT APPEARS AT A LATER DATE, IT WILL BE REPORTED To You AS tf BECOMES - ya, , BVM ERABLE, | Pegcst comeeammts 285° CTT] Tee BUNJECT OF THIS REQUEST 1% APPARENTLY THe SUBJECT OF THE FOLLOWING: a ‘ ' : rabaeiem Sob .ecen os at eetohay loa! ; eo OF | some SD gen catewtdsal or brvedas : : : ' { : . \ ay wart ey he Ten) Le th wee Mi gh ioe : | i eebantes ch ad vem oc pare etek ea ae PELE ; ' ; i awit UE ge ey Tapa Ad wel etal i | | | | ' a taat “tgs cre Bt) aa ee Tas. The: ve ae { i NOTE TO THE ORIGINATING OFFICE | Fo: quite rwe suaster 18 m0 Lont inonranr ro YOUR oppict, TRIS Sheer, with tHe Fostowina canccucarion 8 SP | | HOTICE COMPLETED, SHOULO BE BEHT fo #4/0, e . ACYidw YOUR FILE OF THESE SHELTE FREQUEATLY, ARO BEND TO FI/D THE GMEETS FoR PEAGONe THAT ART AO "a aE ; LONGER OF SUPFIC'IRT INTERERT TO DLMANG & CONTINUING NAME CHECK. PLEASE OC BOE TIC UP PI/O'e i FACILITIES WITH CORTIRUINO SEARCHED FOR INFOMMATION THAT 19 HOT REQUIRED, a ; ' . abate be oA i aie 1g ft “we ere a rey a ee ee Seer eer ere re aes ee aa . o : A ee. poew erecay ake eer ° So teat ny Ata met ay Pe Ag Ue ET Qala ts ities 46 ya" seed Ne WaT feet tae 't | . LR 4a Re Flak Tha ¢ yl | > . “ { PROMI ee . ; er L . - were eeerenemate ethdee. prs natin eee wanmnertie sain eaannanenenm, enmgaiat | OPP lGE GealGaaroR = roe a " EnTenaion ' : : Sgagt Mg gtbes weiea tao r am aia to mine TAAATE | es “CANCEL Tht “§T0P- cane: oR: rae agueeT- . bots — BEGRET _ “ y “gg ote tee vt tonto A eset acer Bt a8 O° EN EA AREER vreete sae 7 Ts ores wan wera ae a he el OS * ed oun +