sere MRIVTIETpe, ae Grasvat On haroy i oe : } ae ape pri ales ee aCguema teas [cos ra TOTAL august ff er ty AMGEN T SUmIEET + 9500 , 9800. usages * TT reswaacs o2 aigin eter} aMyuat aXe TY Say RE retsestea| PEE eEd ¥YGiMdsa Tt Gi bi tosances. ne SE ee aS. . if SEMES MONT HE erences eee ee anaes Tare BY COVER e rons ATION FRED wa _imcowe fare + AMOUNT wETHNf LO PER Pay FERIOO | wow | pwns 1 { i) | \ | | _ . PAY PLR OOS JSD BY COVE pF aG rua | gtrecy ~ - . [etary , ‘ | 4 eS SOC aL SeCeerss cercat Bir mn EL? cagustey 3 reese aes $ i Y. — ~ vas WAME OF COURTsy COMMENSAPION SUAJECT TQ A FOREIGN TAX an eel ~ — LL. COVER PACILAIT? WILL REPORT COMPENSATION AS FOLLOWS (See ites 16 below) Bi . @1LL HOT PEP One “| | FORw a2 . | | fon 103B : - | COVER FACILITY (Crepeanye} fer: THE AGENCY BILL REPORT _COMPE NSATION AS FOLLOWS (See. btem 96 below) covert (Ff cover? ooly, onde root of tate item. ) Txl roru af Fite ties NAME AND ROB 0 BIFNSEBLE EMPLOYER ¢ inance and Aceounts Office , Washington, 2.0 19, DECLARATION OF ESTIMATED ENCOME TAN (Check one) | [as perm rites | [was wot aren Fateo : Ik. NOT APPLICABLE ; PART 11 DEPENDENCY DATA aa TT. NO. OF DEPENDENTS, INCLUDING SFLF, CLAIMED BITH COVER | 12. FACHLETY. : RO. OF DEPENDENTS, ENCLUDING SELF. SMALE ON NA rome 313 08 gig (Or equivalent} a2cdeial MARITAL STATUS (Cocplete a3 appropriate) wanaiGD 13. . I SINGLE : DATE OF MARREAQE DATEL OF DEATH, DATR OF DECREE wioceco la [fesse LEGALLY SEP seatis PCETALENSHIR OF BPOUSE |_UsSe_ — ANNULLES. RESIDENCE OF SPOUSE (Country > | OETENOENTS ELIGIALE SO AE ; 4 Uae CLAIVED FOR PURFOSES OF FELENG TAX RETURNS WHO MAY OR MAY NOT BE tN NUMBER OF DEPE thers DECLAKED AUOVE (Omit aoll anid TLATIONSNIe (Ma pawes) PACLUDED epouseé } ny Cuz a WEAR OF AIRTH ~_ENAZENSHEP COuUrstas QF RESPEC ENCE dauvhter 2 U.S. U.S, " Wes. se ~ U.S, __. . tS 1S. PRMAQRS . a at-forn 61 attached a COE cA an 7 ater y. wt £4 Fd: ' aa. APPROVAL GF CENTRAL COVER DIVISION orem marae oy [ Ponenen [eTocs | PART § CERTIFIED CORRECT The employer's namcs and methods for (iyr¢ report ing compensation shown in Items & tee and/or 9, sbove-are approved. ae DATE J FART 11 CERTIFIED CORRECT (Explain wen not eigacd) aA ‘ Di Sraioutian SIGHED O81G. AND COPY - YO FINANCES COPY - FO CENTRAL CU sonal 0-60 Bla cavorers easvecus corrisons. corr - yO FEee secret (30) | ae . SECRET , : Co ‘ paRT itt : 3 7 ATOM OF UTE SEPARATELY RM AND DISTRIBU » WOTE: DETACH THIS PORTION oF Fo | ! —_ wutanis ant naye FORM Nt. ae 3 ¥ uf, pron’ " wocyay ECE 9 Scteus tty accaust4, cemeyeTeo aS [od recat : ya oF TaED BEOC EAL S. _ 7 —_ — orn apeeess (poretse) gi. e208ee% oe a1cano (ja wis. ) ¥ ° rey tteville, Ce - —_ F Gy. coer Pe ILE on ’ gig ase cure FO Fivasces copy 7 Fe CRSTPAL COUPE — mpara reer ioe LEGS aaa a SECRET von eeorara roretevs sertiont. ou, laa °
‘ 1 Referen: «is made te vour contract with tho United States Govern ent, ag! represented -. the Contracting Officer, effective 10 February 1961. | | | i : Effective 28 March 1961 and continuing through 23 April 1961, the firse ; two sentences of paragraph one (Ll) entitled “Compeneation" are deleted, and i in lieu thoreof ia substituted the following: ; | “In full consideration for the use of your services and the performance of apecified confidential duties, you will receive fram the Government, . “the followings the rate of $9500 per annum, (b) A post differential in conformance with applicable if i ! {a) Basic compensation in an amount calculated at ce t Government regulatioas. | i | | H . | {c) Additional compensation in the amount of $79.17 per month as recompense for sub-standard living i and working conditions and applicable onlycduring . such periods as you are engaged in clandastine | maritime activities. wee . ; i | 4 } 4 ! { (4d) A monthly bonus in the amount of $237.50 tobe accumulated and credited to your account for pay- ment upon certification of your satiafactory completion of assiynrnent on board a ship engaged in clandestine | maritime activities, . reinstated in full force and effect. All other terms and conditions of the contract remain tn full force and effect. “ | UNITED STATES GOVERNMENT BY Effective 29 April 1961, the original two sentences of sald contract are | Contracting Officer | iy } qd ‘ : HB : j i i : : j : i. : t ' + Rare ot St,
14-00000 . ¢ MEMORANDUM FOR: Contract Personnel Division SUBJECT : Amendment of Suntract ~ 1, It is requested that. the contract of @zymeéeahtmaeeem be amended to authorize the following additional compensation only while he is assigned to, and serves avoard, a ship involved in clandestine maritime activities: . a. Additional monthly compensation in the amount of $379.17, representing 10% of normal monthly compensation, as recompense for sub-standard living and working conditions. - ; b, A monthly bonus of $237.50, representing 30% of normal monthly compensation, to be accumulated and paid upon gatisfactory completion of his assigmment on board'a ship involved in clandestine maritine activities, . : a ; 2. It is requested that this amendment be effective for the period 28 March 1961 thru 28 April 1941, Chief, WH/i, Diatcubution: . Orig & 1 ~ Addressee rane
14-00000 . . CUNFIDENF IAL (Bren Kabbeadd bos i ea FORM IK LSSba rh at th Gb THawini oe Te aett beh ew ah OvER SLA, GUY. OF tits TG BES EDENE I UR Oea Seep ateGte, aANt tA TA HEC BECTON SOMPL ETE te CLPLIC ETE, AHDE VR CONNEC EEO Blt Uk eh OAT Geb emt pat ; HOP RORADING COMMENT KEGIGE TT PEP ESP IMP URMATION HE GUTPED 1% PMR bebe t G6 am Perives reef erae, fee Qu bar yar Ge ists Foley wiht BF : baeer ave gt Orban TAL Pb ete el FAR Ee, TPerety (Mecttln 5 i AME OF Lec syeb U i. SE SERN CE EM rontingetar sh. CFF tepesneed abraady PLACE GF BESIDTNCE @n bs APROIS SHIEK As pt ch LAYETTE A PLACE EN CONT Entar us CE STG A 2 CL MASE MT Z TEE fate Fi LEL LIE Pa MA ATAL rus Cetcm C8) ONE: ~ CIs tact Jstmcee (goes To. SEP AH ATED [ Poreneces eingarh a ee eer TF MARPIEN, INDICATE PLACE OF wawetars Fr DIVORCES PLACE OF DEVORCE bicee’e . . . pare % PELwEe 1 ain bbanee 7 t ! i [DATE sPOUGE DIED if #IDOWED, INDICATE PLACE GPSuULE DIED eee ermrnnnte at iF PREVIOUSLY SAGRIED, INDICATE mau (3) oF REASON{S) FOR TENMINATION, an GATEGSE . L ; . i a2 . _ ____MEMNERS OF FAMILY ; . RAME- or spouse PT apoeess {No,, Sereet, City, done, Statey ..-.° Cr MakIIE lina ye 4 hyaett 3. (ERE x C8 fief EULPLEL a RAATS OF CHIL OREN AGNRESS © : é Jerensy ABE ee iw 1C ¢ , af ff Hau oF TATHER | (Qe mate mE dy ADDRESS. rotgaa iat Mena Lyne Ll MELE ABE on uf wo huts i female guaXAls i ACDGESS : PPELEROONEL HUMBER ! AN) A wecet AT 1 Bat ME. oun 2, TER ea a no MEMBLA ES) OF .¥ FAMILY RAS SEEN TOLD UF SOUN AFFILIATION WET THE AGENOY FGM FUEBGENCT FURPOSES? PEHSGN TO HE NOTIFIED, IN CASE OF EMERGE ee. eee pee —. é a tur (dtr, Mrs, MPRZ) (Lest-Fireteuiddie) a | ati ationtere i de i ig, KEE 4 Bb | 15 Sereert, Ci tdue, State). + i _ Fay ETTEDLME., Me. HY a PR! USINESS ADORESS (Vo. sie pemcmaae sty. CAE, State) anO wAME OF cwrcotea, if BPPLICAuLE BUS tet oF ALENT Fe TE NAS | 50) 4-7, fe OME eae . : eOME PEL RG E wire Ine - BH 4S TEs € PHONE & ERTE NSEC ee bpcenreernnsen tne A st THE INDEVIDV AL NAMED ABOVE siTYinG OF FOUR AGENCY AGFILEATION? ‘me “eo . . oa . 1S TetS INDIVIDUAL AUTHORIZED 7 weal GECIGICNS ON YOUN BEMALE Ss ves i ao re en eR AAA ours yedg IMOEVIGUAL KNOB Teal 46 WAS GEEM ORSICHATED AS YOUR LMERGENCY ALOOESSEE? : . “46 HOT CLGER ABLE. NOTIFIED IM CASh OF FMERGTACY. $F SUCH WOTEFICATIO® TATC 1% LTha 6 ON THE REVE@SF S1DC UF FIs 6 fem, ine PERSONS awl & BECAUSE OF HEARTH o# OFAHLR @£ase i VOLUNTARY ENTRIES pnGiCare ANY BarcinG PNSTETETIONS wtf ehICH VOU HAVE ACCOUNES Cram bth. te ale2® Kies Lah (Eth yb TLE LL Mey Ee. CONTINGED OM REVERS u CURRENT RESIOENCE AND DEPENDENCY REPORT | | { | Gram nO: ei * vareteus - . CONFIDENTIAL | ame 37 Earriams. @4) a eg : :
- CONFIDENTIAL Se (CONT ENEE DE Ty meatse MAME ES) aan, Peer Aceeunts Lestepe a AAG. Baty B00 br tes ' HAVE VOU COMPLETED & CASE REEL “ane ten tane ve ie oe) vee ej an, “yuaRls entet Pt uae) Cee Ati Oe A A a beeen TEE. “Ata rated ~~ feat, en 2 ee Lk PUSS Ss oftt Puate® or ATYURNG?! | oe . (ts: |FE). DAVET. OLE... AC Ay Phd a otar de en eng aneen ° cata ane fon COM EPEUATEON OF PRECESESG BILMS MANE atl tancuteb a roan at . aon THONA StGMeO av
14-00000 Hi 1, Corn -ealculated . at the rate of $9500 per annum. ae vunder this pa ragrapa. conetitute income for Federal tax purposes, . jadvieed as to the ‘ynethod- to. be followed ia reporting and paying uvuch taxed. jor authorized by tae Government. This may include por dism in Meu of sub- , iby the Government. ip The Unitec tates Government, as represented by the Contracting Olficer, hereby contracts with you as a Contract Employee for the use of your services ‘and the performasce of duties of a confidential nature under the following terms and conditiona: i ersatica., In full consideration for the use of your services and ‘the performance of specified confidential duties, you will be paid an amount In addition, you will be entitled to B post differential in conformance with applicable Government regulations. ‘Payments, will be made ao directed by you in writing in a manner acceptable to Monies paid you directly or guaranteed by the Government | the Government. You will be - The method a3 well ae the procedures used by this organization to implement “Ata. tax reporting, responsibilities will be based primarily upon cover and security erequirements, Usless precluded by such requirements, taxes will be withheld | ‘therefrom and submitted by this organization. i 2, Travel, You will be advanced or reimbursed funds for necessary “expenses incurred in.connection with such operational travel as may be directed ieistence ‘im the courze of such travel and while on temporary duty away from nyour domestic permanent poet of assignment. Payment and accounting for ouch expenses will be in conformance with applicable Government regulations. ° i ; 3. Operationa: Expenged. You will be advanced or reimbursed funds for. necessary operational expesse6 ao specifically approved and financially limited, guch funde will be aubject to payment and accounting | in ieonformance with appiicable Government regulations. i 4. Repa ynent. tt is recognized that your failure to account for or refund pany monies advanced you hereunder shall entitle the Government to withhold ithe total amount of such indebtedness or any portion thereof from any monies idue you under tas terms of this contract in such manner as it deems appropri ; : | ate. : i i 5, Benefits. (a) You will be entitled to death and disability benefits vequal to those autaorized under the Federal Employees' Compensation Act, iu /a6 amended. Claims by you, your heirs, or legal reprasentatives under this i 'parag raph will be processed by this organization in accordance with its pro- ‘cedures in such manner ao not to impair security. : i a (0) You will be entitled to the continuance of pay and allowances in'a maaner similar to that set forth in the Missing Persona Act 2 (50 U.S. CeAsy App» 1001-1015), (c) The United States Government will withhold from the He } | compensation due you under this contract, social security deductiona in
Social Security Act of 1935, as amended, and the pro- gonformance with the § Sor csaszene of _ todureas of this Organization (presantly 3% on the first $4809), wecurity, all inquiries concerning your relationship to the Sucial Security eysten} shall be made diroctly'to thie Organization, and in no event may any auch prob- ; lem be presentod by you‘or on your behalf to any representative of the Bureau of Old Age and Survivors Insurance unless authorized by thio Organization. Wo A 5, Funding. If necesnary to protect the security of this arrangement, monies due you hereunder may be funded in other than a direct mannor. It ig wnderstood and agreed that any monies so funded constitute payment by the Government in satiefaction of ite obligations under this agreement. il if . i 7 Execution of Documents. i j } { | 1 i | i u, in the performance of services under this contract, you assume the custody of Government funds or take title of | yecord to property of any nature whatsoever and wherever situate, which props | @rty has in fact been purchased with monies of the U. S. Government, you | hereby recognise and acknowledge the existence of a trust relationship, either 1 @xprese or constructive, and you agree to execute whatever ducumenta may be. required by the Government to evidence this relationship. | 8. Secrecy. You will be required to keep forover secret this contract find all information which you may obtain by reason heraof (unless otherwise Instructed by an suthoriz:d Government representative), with full knowledge... that violation of such secrecy may subject you to criminal prosecution under. the Espionage. Lawa, dated 25 June 1944, as amended, and other applicable laws and reguiations. ; | _ 9, Instructions. Instructions received by you from the Government in briefing, training or otherwise are a part of this contract and-arg incorporated herein, provided that such instructions are not inconsistent with the terme hereof, i ; ; i. 10. Unauthorized Commitments. ing to righta, privileges or benefits other than those expreasly ‘stipulated in’ writing in this agreemeat or any amendment thereto shall be binding on the thio promiges or commitments pertain- hove rnment, i r ! 4 bh) » and shall i H | | i} lil, Term. This contract is effective as of Ji VA a | continae thereafter for a period of one (1) year ualess sooner tarminated: | i Hi i i ft 1 | {a) Upon thirty (30) daye' actual notice by either party hereto, or i - : : : : fo) Upon actual notice to you in the event the resulte of an ~ , initially required medical examination are determined by this organization to be unsatisfactory, or. (c) Without prior notice by the Government, in the event of a breach of this contract by your violation of the security provisions hereof or by your otherwise rendering yourself unavailable for acceptable uervice. i
14-00000 fubject to the availability of appropriations, this agreemant may be extended apen notice from the Government. Termination of this agreement will not ro- : leazs you from tha obligations of any security cath you may be required to taka, : : ; UNITED STATES GOVERNMENT : Contracting Officer gee e ee are ae wen igs ey coe Teme Docetone nome ey ite Hei | | | | | | | | | | ! | | | | | i | |
14-00000 a CUE. bitte ~ : 7 CONTRACT fee - ee Os i,t ee _ | TRE P NE BATES TION pee i Goh Bed BERG “fF ty ee gterur as, je. aunt an _ONARG 1 bb BG 00 EL ved PE measr Nt Star pae ; i a. _-— Washing bon, Ds. ae RF Se OM AL EASES 2 8 Te R teed poe mete bar ore Ay motes abides arrsvafies tf: SOME CaParite PRicm fO TRIER Conmteact, cr } ure if. so GFE pet, eee e se and include datag and sateary. ) ‘ . . : tf,! WHY {Fhe ; r Sens or oe io anon te 2. en tan eements eenennenerarn poem tentny utenti nn kn senna e, srcugtey Che aPands (Pepe and fetey | 74. MEDICAL CLP AR atEE BP. Citelea Pf 4 17) He eit tit FM REE RIL Pees Gitex dé Ls IRV [oorseseo]X fesrrrare: ue" sagre. Pans, Sut. Suetmaments (¥") vrai pws 3. GRDEviveal eight ects, unin "CONTROCEED COSOETIONS” fle, Beat ag Oreice TO. PRGPESEG Cet Roune (Cantract agent, Ones AGAY FADS SUBJECTS tae aNd POAP ORME UNDE Tee SUPEGVIGEGH OF & conte ees ampluyere, ete.) STAPY EMPLOYER OF STAFF aGEnt % a. _- Ce] ) Contract Employee PERSOMAL DATA SRCEEON TE CUTS MSHEP US 2 TR. LOGAL @ERIDENCE (City and state of counter) fF MOP UlS. CULL EM, PMO EV EDU AL 99 6 PEAR Ae MEWE REGGHERT ALIEN - — | } ves C7 no 1G. CUMA@ENT RESTOEREE (City end state or country) Victoria, Texas wt. ez, MARTIAL starug Cohen ee sees cy simare f ra} waaetes atpoese sesusteo | (7) tersesten { ] orvORCES , TMOEVIOCUAL 89 MeL APO f% 2 DPR E PPL OVER, STAPF BGR RF Ge! 18, NUMBER OF OFPLNOUNTS (Nat including eae 13. TMOEVIQUAL CUSMP ILS BURLING FOR THE AGENCY Im SOME ty. MCLATIONSHEP AND AGEs aN . . Capacity Ga vag oe 26 Wife MLLATEONGHE Daughter , 30n . . : . Son - SECTION f41 U.S, MILITARY STATES ete nt eg 20. RESTAVE : . 21. VETCRAN a2, UF AETERED, EMDICATe Care ctes Longevity, comhat dia: ~~ . : ohility, service dieahilitg nan-cvebet) bee ___(Rotired anes nn 5 ee noe seserve-Longevity_| \ 2d. ORANCH OF StRVICE . 24. RANK OR GRADE a9. OMAPT EXIGHOLE ‘ 26. UAT OLFURMENE OATAINE ’ : sey To, fy fea “—— : (notain (J ves Cxiee ; aa Eee an SECTION TV COMPENDAT FON a“ = . cee, reverence ee es ~ ett “ - ~ — > 2h. MANIC SALARY 20. POST DIFFERENL EAL { 28, COVER (Hreehdaen, £f any) : 26,, VEOERAL TAX S1THHGLOING . 39500 weeee ALLOWANCES (NORMALLY GRANTED ONLY 70 RESIDENTS OF THE UND FED STATES) “CT ION V $i, QUARTERS ~ Pree ~ No : (34, COVER (Breakdown, if any) : SUCTION Vi > TRAVEL ett tt eraser enaren a ep ene ~ em onan ~ 99. Tyres . . . 28. 81h OLPLune nrg (77 pee “EJ comsevic ocaatiovar (71 vex CX) oo : rs rerervrs PEERED LATED Ct ieicas €6 6 of, MRE TO OF. 3HEPPEO ava, nee va bad storeo Je a 10 nd Stree 36, UliO Fm OP @ATitmaL eave xl so [ vee Ex [= mice Te [= [ res [x eo i a oa anemia aoe creer bre nero etnen = Sia TE OE : 40. 17 WIth DEFENMEWTS STATE AELATIONS WIP, CETACemSHtP, AGE AND DATE GF BIRT . ‘ ‘ Na : i . a H cere ane nec niente rR citi ener fe Pim RA RE ro ee EE in nee. ar TTT avwe ae AnD aCCOumtasese ety GER Be §% Coes ORmaetr dg OF fe oy Che Srensetigae con tO78R FHL ET IED BHD Thasgavsas - eras eA ea sicTich vel __. QC a ier oma Ose et, @atgat 4d Pua aass OF Pat cawealt bra | ave anemia rte omer ACCOUMP SOR OTT GHAR Sa 48 a as. Saragat Ab o fete Be aehoteeen : a7 bee Sey teres ave eeeese st ns vecseees certian Stcacl eee
Vasa Ceraced . COWTRACT HHFORMATION AND CHECK UIST (CONT NED) TEC E ESE AD fag sp ren me ~ MATE: SOR FMS PRIN PONY ON Plast serey “HET YE ha : . 48. BEeESiTS (Sew F Jn ey 7" * FORA OES. Bode, Fo goees . éG- gona, . heretite epriicable ¢s varcecs .ategories of comtract pore LMS 20-9000-% and/or Bercessor regulations saneld,) . Feca' ’ ' Social Security Hissing Persona: \ LACTIGH ba” . ee COVEN Activity | i ‘ a7. gfarus >. eeneness as. twee TPacrssgtave che ly (Check 5 sfaeisenso  - echech) I | Seon WO CARMA tuayie | faa 86 Caer m @aeutwlt amt CONTLUFLATLS ay a Cd@emreaciar Poreer* 2 l Poole tivmw as wit tae Ormes WeAY Geil OF EPFECTEO OM NUtwaUES ALL Baste ~ HA Cs [+ (Deserseey (Jere ECT EG 8 Obese PNCONME ee re se pe ee eet , GSOSET OF PNLOME BRO DTHeER EWCLUMENTS DERIVED FROM coves ACTEWITEES : ethached hareta, 3 eee fa (Pf teas than fotal, fuatily én separate meng 1 C77 rotae CJ Paar ay (mM weet . 4 "“FUCREOn KY TERM te ot arent nen en SO. Oya ate oy ° 92. CPPLCti er gate . Sy. Maus wanLe ; ; ' _ org | epetus yaous _ ASAP : : Cede CZ] + ' L Sa. PESWIMATION wOvECE, (Member of davay 99. ' daya FOUFETTURE OF RETURN “TRavEL FOR AEGIHaTEON PRIOR TO COuTHACT TERWINATES t | hers ox).. . SLOP IGM ALE . ; . rr ei nett FUNCTION $0. PRiwate FiumC lh bom (Ci, BE, PP, other} LE TION FEER Paranilitar mo . : DUTIES Aer freee ee st oe ne Ae nt SP. GENERAL DESCAIPTION OF DUTIES TO BE PRAFORMLO erence tte oi Ch ana eon. Le 4 Training , i SECTION RAY UALIFLCAT IONS — re tenes naan. 1 oO 6a. LEPRRIEMCE Retired after 21 years of Army service, Has specialized in special forces operations. . and had service overseas, From 1956 to present commanded and trained an SF team in : guerilla warfare. _ Was instructor at 7th Army NCO Schoal ror three yearg. SO. EGUCAPION , Check Bighese ‘ evel Attained 89. RANC3ACE COMPETE acy S8ant Bemoey [xfer BCHOOL Gaapyare Busbuess Bongo, GeacueTE Teede tlesge, ECHaouatE COwMLELE ay Beare, GHENUA TE “Trost eeregina . 2 pes bor eritg @EAD Gt. ENOtw Duar s , _—- et penne ~~ 5 COUNTRY OF OREGEN eo. phaeae eaoe studn RvERR |S care peuber Oot 4 GE Oo Check Agpropriate) — Degree Compatoncy ee tf en eee USA G2. BES Ge DOLEOGE ~ P ny ane ete EMPLOYMENT PRIOR TO - . _ cone neon nee en en EL OME NT PRIOR TO eo ae lee : €4. GOVE FHCLUSEVE param. POSITION Faetrg ow tyeg $O@G, SSL AMY 240 HEA : 2 ph avemse Tr . ‘ , 7. 1 soy 7 ms October 1933 to October 1950 US army, Retired with 21 years service as captain, \ + Retirement pay $291.00 per month, - ‘ ~ = ‘ a ' 2 erenereenrattetrteaaarnenre Spat Lt ban oe a en ee eens cee ten see, aCoit fORAL pss Seal ios BOOrP+rOw ad OR umusudn BaGuiPawsate, Wat Oc arrass o2 GRPLASATIOGD (Uae ofthese ante errr a, ean terete reenter sete tf necessary, f avie aAPha Gy ag om arrears ea tesa a Eine cement: gang SECRET ! .
10 Noverher 1940 CATE Lynch,  Grayston L . Captain 0966311 Armér (MOS or AFSC 2 CLT : DOR : CAT + = PUNLES 31542 - 113 19Seps4 lelelel-le1 | MARITAL : DOB 3 .POB : CHT wos POET REL Married Calvestors 7 . Texas : iu - CURRENT ADDRESS . : CIVILIAN EXPERIENCE : MILITARY SERVICE 533 Terrace Circle : * Special. Porecs Fayetteville, North Carolina *  Saleanen * Sve from 1938 to cone terateneannaenepetnenrnneencemmeunecnvennneeneataoanen * . present . LANGUAGE . 3 3 ; : 2 t t : : - FLYING ETC : : CIVILIAN ELUCATION $ MILITARY SCZOOLING co * Wo (2) Yoar Colloge ' ag . : ' GED : " Arad Co Officer Cree 2 H : 2 t 2 REMARKS: . Combat Experience, awarded Bronze Star and Purple Heart Fé team Commander Bn Excellent Physical Condition Ty 130 © Good Company Comzander Type. No Staff training or experience.
ect me cline EE . ; Per - Grayston L. Lynch Coyne. | pe-General Manager ss abary:cT: nd ey Ct oe _ (CGVE= $12,000 per year rep pare; June 1964 UPEPVISand | ¢/so ie ee Cae tg = Ai tee 9 er us rem prapson mesa eee PLANZERT HESTOPY: _ EOD - carecr agent, _in HOS Feb. 61 = training - and PCS ores ALOE PARE cn” aaNet eo oem . ~t9, o WAVE Aug 61.= tgs aswigneal in June 1964 Subj | was under | Will remain that cover while in Wave building, ' SPO see ema cent nee Ae ERD MaRS SON GU ee 6 Se eter tReet cama eo =r puch EE SnaNRSRONGY SPOS COs SEMAN TS 3 children LAP ei TS aE AY AND Ot eRe CNET ED NY EET EE SEER aN Bape eee iw UD ETAL STATUS: married ; pe “4 1 eotaaet o be ar rs pay 5 + Gilmer, Tex. sec, ste. uD. | omen 12550 Noss Ranch Road : HUE AGDREGU: Miami, Fla, "MOM PHONE: 666~3716 feats manne estes ve nar ocammew anaeseteeten nt mame erat oatmeal tot” ~ FISENG : rns —~ ar SE eth eecneemnanenceton, Subj will indicate that he was an Army Officer and retired sn tet el emt rae eee emi a = ee eee eee teat me Aenea _____ Accepted. p position with | . A 9 Oe Rin ee EEA SEE SENET NNT ANIN O eY en NEO Me es REREAD 8 eee: nerf tele Rar ee <n EREDAR ARC. ese MO CR ap EE PE He A NER RE ERTENIEET CG OTN AE REATARD SHORE, eA ETS PSY “a Sn OdasbntOEASUANI erin Atanas USIAEDeCEEES ns IEP Ioan SeREED SG ee no > camttttntirtr + where Gre AEA IS ETT MANA ETOT RGA NIAET At | NN rt RMD ©: ES NEES EROAISEDEENE “dh ntanensehersiateh geome stestinet aeeriernricumae + tithes i eee SAARI AOTEAROA SPE MS nd RGIA ASS aed tsesenner phe ee ernneee here EASED * . er - (ERR SEA an ag ASFA eh AOA me eR (ihe Natt ae IE et RI orice ASHICHEENT: 50 oo, . GPPO IM PHONE s : Career Agent - GS-13/5 $13,755 © es tereS i td satan bas Apae ae seit
cort . L June 1961 MEMORANDUM FOR: Chiefy ¥K/4 SUBJECT: | Asaignnent of[ una Lynch to tii Division 1. This ie in response te your oral request for the transfer or assignment of | pnd Lynch from thia Starf to Wi Division. 2. These employees were recruited as Career Agente under CA/PRG Project PRJZWEL, and therefore are to be wiminiletered in accordance.with the terms cf this Project. : 3. [Under the terms of Project ZUEWEL, CA/o/PMG 10 responsible initially for their selection and recruitzent, and eub- sequently for their training and developmental assigmacnts until they are tranaferred to an exilating operational project under guriséiction of an operating division. oe h, Seleetion and recruitment involves corplete processing to contract under provisions of BB 20-1000-1, ani requires also: @ security clearances b. Medical Clearances /C. provision of cover a. Financial Sriefing e. Assessment and Evaluation 5, Training and development requires that subject Bo be pro- vided tutorial or group training, according to their individual needs, to qualify them as senior PM Cfficers capable of serving overseas as case officer, inst§uatora, advisers, or comaultants; and capable of developéeng Sddigenous forces, directing operations, and personally participating in operations. The training envisioned normally vould include, but not be limtisd to; ; a. Language apittude testing and subsequen® language training _b. Clendestine tradecraft c. Paremilitary operations training a > d. Covert Action Operations training and CI Ff militarization 6. Although both subjects are nov under contract, as of thia time, of all of the above menticned items of processing, training and development, the following yet remains to be dons: : Medical clearance, provision o? cover, Pinanctal briefing, upanish language aptitude test ami spanish languags training, Claniestine refresher training as deemed adviseabic.
14-00000 COPY , _ Lynch = provisten of cover, financial briefing, assessment and evaluation, languass aptitude test and possible languaye tré@aining, and all basic Clandestine Cperatdons training. f. Project CRUSWELL further provides: that adminintrative re. sponsibility for these employees including compansalion, operational security etc. will be transferred to the Cperating, Diviston for such ' periloca of time ag the employees are under the Curtadiction of the Die vision for operational cuties. For administrative Furvosea, it 19 suge gested that Wil Divisian assume these responsibllities for both Robertson and Lynch as of 2 June 1961, 8. On of the mafor considerations in the contract emp loynent of these ‘two officera has been that their lack of association with the Agency, thus far, permite their operational uttLization in circumstances where staff employeéa cannot participate, and tuefr long cange con- tinued erployment is, to a certain extent, dependent on their being abot to maintain this rosture. It te requested, therefore, that you take every reasonable orecaution to malntain thelr "deatable” status. 9, Ginee the CA Staff will once arain become responsible for i these officers whenever such tle hay come that you nc longer have & reqiore,emt Cpr tje,., ot wpisi be veru ,icj abtrecoated of tjos office would be kept advised as to their standard of performance, acqisition of additional capabllitieo, by either training or experience, - and we should be consulted before any changes or ameniments are a made in their contracts which might become comoltments to be assumed by the CA J off 1 , ; a Chief, PaYasIIivary croup : Govert Action Start e/aH ce c/CA ¢ ' 4 re ae) . Calne . zx foe OD ene Ae “fm te, OP PELPHLE, . é
74-00000, Brass Punts ho, BF Office Memorandum + uxrtep ae To O's CA Stare PROM 23 fons SUAJECT: LYNCH, raveton L,- STATES GOVERNMENT DATE: dhe May 19621 ‘Per teleshonn renucat of | WoT Lynch ie forwarded, [ saw subject 2 dovember 194: folloy up on his ageolientioa dated b January 1046 fry as then Chief fORE, Sub ject returned? to the United Jn July TC, He had served as Team Lawler with the Laos arm shaf!, IP on Grayston L, veya ne carta ta to hey Ae was intervieued whore he ran a tratnias-eriter in PAO Vientiase, I teld him wag working on comethia+ for him and that 4 Mr.Lynsny canbacted, Thatowas av 5b contact wi th 4,-he-would be Fin on FT Bena Gq i B
14-00000 (Cy unctassivien = rei CONFIFENTIAL =... .[] SECRET oo , ROUTING AND RECORD SHEET ; sugsect, {Qptionaty : . | LYNCH, Grayrton Le éppticank for Ageney Position ) pe a a ee ie et en FROM: " wo — Bag tr | 18 July 1960 t eae desi : : ‘ parang” % designation, room mumber, ord “Dare OMCERS | COMMENTS {Mumber euch comment to show fron. whom : eT OUNITTALS fog whom. Drow @ fine aceon: column after quack comment} arcCerved i i - ee ASSO ONS 2B | noneeert again called ing via ; 4 poor b et _ Phone,un 18 July 1960 to ascertain ! 2. ; ; jpossible Agency interest. has ade vised that, as of date, ne interest eee ee ee See a jhad been ivon to his aprlication. 3. _ ire =e He will opain follows im tam be poo ee }é-to-9 asontha. | an ea ii ane . ef ? ~~ FE ae . wa 7 “ . —_ é dee Po Cot em rere — a Ze LAM pp Ath be vt a f£. cian ar aed “ ag : Cee watt ae pe tee rs hen ners vf 14 hae , wg epee wa at Crk a = eee tote, 4p rh bores . a hehe ek | - be * speak: . Hace le e_- . Ree fees wrt le ne . 7 ee +tes “NE gay te ee hong fen Oe to AL eke a) ms “2 Le al, ate pt nore ar C 4 . t Fes a a Ou we ad eo ber ¢ 3 See’ oe Tere so G10 “torners” (] secret =) CONFIDENTIAL js no O UNCLASSIFIED VLR GUVEBAMEST PRINTING C8 FR: hese Ge Oh TRA
14-00000 IN TFRMAL {J} CONFIPNTIAL > ((] SECRET (CC) UNCLASSIFIED | ROUTING AND RECORD SHEET SuBIECT, —" OFFICER'S | COMETS (Pumber each comment to show bom atugn INITIALS 2 wan Crow o ling verons column alter euch coommeont.} Are you etdil interested ia Capte OL F Cajon L. LYNCH Gor staff or contract / ane ee SE P_VOL—— —~-- + -— 4, ; FE P ———~13 to hs FE VCL has advised Vienti | to-ecquaint& themselves with subject ; and’ ¢o evaluate him thile he is | duty in Laos. ~Tt~may be their , evaluation will make further ation of hin ee fo (ets B10 “tomers” (] secret ©] CONFIDENTIAL = [J USE ONLY (] UNCLASSIFIED 1 OS 36 ; }) % CUVESSH ERT FRIBTINEG OPS Li 1948 O 2 o7arae
74-90000 (EY UNCCASSTFIED Al (_] CONFIT ENTIAL C] secrer ROUTING AND RECORD SHEET SUBJECT. (Qerenal| LYNCH, Orayston Le - nae Reto ed teenie tte tt ee ened ane ee TO: (Officer designation, mom evmber, ond building) “} OFFICER'S | COMMENTS (Number each comment to thew from whom INITIALS i we whom, Draw @ line arost column alter euch comment} -¥ ABs fur. ak, bes ate? Lan fy ? #119 I Bldg. ma lth | of ree 610 aa” FE) SECRET =] CONFIDENTIAL C) kt Ont CT unctassirieo it bee 38 {8 GUYEMABENT PRINTING OP PK: 19t9 O~ O7ET ty
ae 7 eR Bete eS ‘ \ CONFIDENTIAL : ao pee Peete Ee) zg. Puact Washington, D.C. . REFERRED BY a. DATE OF inte AY tte _ 4b January 1960 PETVIOUS A’ CICA I 5% (vt tves nn ren @. PrP OF PRINT 1 wo ™ weesereri _LYNGH, Grayston 1, _. ; | a en OS CT _ 533 Terry Circlo, Fayetteville, NC. nee >), ee [recerwone BIDOLE to aes gira waut 7. PLBWANENE BDDBESS - Re HUTINE SS ADDP ETS __FOeh 77th SF Op, Pt» Bragg, NeSo _ a. ThuPOAARY ADLALSS fo. VATE OF FIRTH My. Civ ieee eP ' rede (CZ) ormeo (Specefy country) rf ft. LACE GF BIR Ee bu. te CETPS CR SHEP ACQUIRED BY 1f MATURALEZED PNDICATE OATE > SCRA : 14. NO, OF DEFEND. (Bacluding wifey nse ee eee me Gilmer, Texas ta. [7 SdRGLE Ver POMLTGN RELATIVES, SACL GDInG BIL (Regs 20°99) None = eo: ; . aoaie Titec grade average of claet Otanding,, ortra-curticular ‘ ; a \ { i $@- Tpucation (Schools, degrece, dates, majeure, t activitioa, @te. 3 73 1946 Aeroy Jonos Institute, Battle Creek, Mich. 191)8 US Army GED 2 years college. - i \ ' i e whet Soe et ' mG , i Tt ‘ - . * UUJON CUPLOTML AT WISIZE? (Eaplayara, positions, duties, wriryat a. Taasene for leaving) training duties. Comeeod Veaponsibilities, rank held, MILE TARY LHPERIENCE Virasch, seria: 19., etations, ieChUDE ALSO ORAFT, ACTIVE wiLaTaARyY OR METINED STATUS. reserve siete, currant proficiency aad ingereae}. 1938 = Date US Army Capt. Special Forces team leaders Retiring - 30 September or 31 Ostober 1960 6658 44. 182 eEPL ACE LD fem aR GaP , CONFIDENTIAL ; (aepnr 1 o3k8 $8 weit war BE wore.
CONFIDENTIAL (Oden Filies Tay ie. ees BRVPL LOGE fareas, ype of Bnueledge, Noe acgerted, @f5. 3 \ Garmany ~ 3 years . ‘Japan 8 months . at Korea months van 29-97 PH "60 Panama 2 months ; mh 20. Langast FACILITY (Give teoty when anti! warrants end rate Betoe) mrrare | Wseecetc T antaceta” actauars SE Sanne 5 merives homeTas 4 acaurero ay 4 FRUTREE a saayeae auf eee ese foagicn Yhamsnpatoe | ansraain aneaarind n nnn Soret aa | se dernan - This &Laotian introdua tory pn ee ate Sau sey RrQuesteo ?t- POOL “yayeats? eect nent 23. ACCEPTAGLE STATION Batateotoe, o.¢. (oy eas pops PREFERENCE LIMITATIONS auvenseo ta u.t. [~ i vas (yao OveenEAD (CH ves (Tao 7a. HEALTH Geod rar errr 24. FoRwS GIVE Cares "ape. 4 - "| Tyee. : tc aac, aaeed, oT ea cis required) 26. TAL UATION AND RECOMMENDATION (Appearance, manners, personality, satucity. motivation, Fleaadbilety, Intelligence, . arctionsd atahility, qualifications far: intolligence earh, carcoer planning, over-all inpressson, pertinent ure faworadle factorey Rig, strong, outdoor type,. Has a- long ¢ term interast in staff employment but will accept contract, Though he prefers to. take his family with him he will serve two years overseas without them if necessary, His first area of interest is Furope/Germany but he would sorve where ever assigned. Looks like a good PH prospect for a training officer down below, Jungle warfare, escape and evasion are hia specialities. wall contact ua when ho returng from special six month assignsent in Laoag, Gopy to for information, . RECOMBENOED FOR . * - ° : [es SERTAL SUMBERS H ee ret RN NE A CP AA « TESTS . 30. : i i @roeesu ee FF POPE RUIAGEe ". GONE! DENTEAL . ae
1400000 ~ a MORANDUA FoR: C/eH/b : ae BULSECT: Captain Graya.n L. Lynch, USA (Het.) i 1. Pursuant t ¢omvereaticces with personne! representatives : : of your office on 2 May i961, I agreed to boid @ position vacancy . : ; ia Project ZRJEWEL fur subject individual at hie current basic pay : } | 2. It vas umderstcc’ ond agrced that wu/s would eontimus to i 1 . carry subject on Aig present contract as long ag his serviees are i : weedad in the Divistua. Xe would be appreciated if you would infons - ; ! . me when Gubject vili be avaiiabie for ZRIGVEL., st H t Hoo ys - 7 Chier a ‘Poranilitary Group, CA , | i ! 3 Hay 1961 : . . ‘ - Addressee , p CA/C/PMG CA/C/8c CA/PUG Distribution: Orig. 4 iL L 1 2
14-00000 - + Atemormn. dam fore A Capt Grayston L. Lynch, 14431 ; : 533 Terrace Circle mo, . Fayetteville, N.C.” ‘ ; i oo t ; | Navuc -« adfuss q qe é bout teohetee gel Pe he. FE IPT ATE APR DET Mir ines OREN H este* ot Gv @ Loe aoa Car and From The Desk Of ok: :
14-00000 + io GNAYSTON LENOY LYUCH 7. 8.P. Group, Pt.Bracg,H.d. a Gllner, Taxag- 194 TEXAS | | mE? 54 Bote e ee cee ee en ee ee op eee super ies 4 tA Cst 338 Bsep 13 Oct 41 192¢0- gc: a Bin MWB HO 5 Se AT OG _ ARMY x my “ep wAGREATCS O96 3511 te Se ee ee on
14-00000 Oct Sep L932—O0t 1941 134le May 148 1948eSep 1947 1347eJun 1948 1948<Sep 1960 1960-Cet 1951 L0ileLep 1055 LeviseSep 1054 (1966@Presen’ MILITARY G1aviIcd Orayston L, bynoh Enidated aervioe, 2d Infantry Diviaion, vod Infantry Kegiment and cd neconnalse sanoe traop ; Ynlfated errvise, 2d Infantry Diviston, 2d Hegonnals.ence Troop, Platoon erpoants, Jeunded in Lelguinm, , “Patient Unitoe States Arszy Uospitele, Civilfan » Sold Ineurance and menaced & kaval Offioor's alub, Houston, Texase Platoon Sergent, 2d Armored Division, Fort Hood, Texade intered active duty as 2d Lisutenant, sent to Korea, “aw combat as Platoon Lander, 2d Keconnatssanos Troop, id Infrntry Division. Company Cocmanier, Feoeption ‘enter, Fort Sam Houston, Tezxaee Instructor, 7th Army NCO Acade:sy, Munioh, Corrany e fnatructed in Taetic&, ‘Ou DONB, Leadership and Enginoer equiprent. 7th Sepeial Foroes Group{adn), Fort Urges, HC © Attended Special forces offteerts _ Course 1956, served as Air Uperations Ofe@ ffieer and Tean Leader of a special Toroes Operational Tfeau. Trained team in all sun jeote. of ungonventional warfere to ine elude training in all weapona, both Anerie oan anc foreitmg demolitiona and sabotage) Eecape and Evastong Quorrilla and Antle guerrilla tactices Supply anc odninissrae tiong Medieal subjectay intensive study o: selected sarget areagsg Linruuge of targot areasg Politioal, %eo 1omiocal and Military situations of target areate A one year atudy of South Eat Asia. Parte {culer atte:tion to Guerrilla -arfare opore atione in:'this area, Conducted training in redio communications work; Air veoupply and Air infiltration of denied areas, 25% of this training wae in claasiried subjects
Lie rh Peyter at e. £ that oan rot de covered here, T have nec tr@inine tn inseliieenae nets and nlifed sudfeote and haves been.an tne, gtruoter dn all th: subjocts covered heree TI have aleo ied my toam cn a six (6) month clasuifiod mission in south Eaat Asia, whore vory valuable training wos reoleved in an actual area af operte tlone
74-00000 Public apeakinr: ,USTA ee al Hadie oper G.W, LO vP:! 195A-56,U.5.Arny 195649 Paracnutist - . : - i 1946 UsdeA. Pela ‘ UsB.Aokele S47 194E : Qyr Level ' THE AHUCRED SCONCOL “fT. FUCK, ZY. -1952-53 © THE SPiCIAL WAIFARE SCHCOL,: TRIAS, 0.6.7.9 ak cane pe ea ene Me ee 2 tte ere ee te ee eat eae A ee ante - can weer FRENCH is x x GERMAN | x
JGius de Hanrotty Yeebert’ sruaier puklhip nallory 4s . a x t x 7 x . H . t ty veevebed wd Gives in cucland, : Favcico, Gorman ww lguim,sdi ai, | : Korcod, Aud cebetoia while in to silitary gpeorvicde ae) l will retire oo capt.froa : the U.b.Aray On 31 Cat 190906 ‘ awe 4 ae Fun JF eG, PLebrare,i: ove 68 " " Cnt. v. GAD uy ane a “ Gant Ue deAnlY
14-00000 28 Pebruary 1961 ' . ; HENORANDUM FOR: Chief, Personnel Security Division, Office of Security ! _ SUBJECT .- ¢ LYNCH, Grayston LeRoy HLB9LBS Please be advised that Hr. Lynch was eiged to contract effective 8 Pebruary 1961, a - rn teeta epee nem es ry i ; i i t iH ' ft ! 4 | | : : | | : | E: 5 | 4 | 3 3 % : $ : ~ ~3 | i t
REQUEST FOR PUBLICATION OF MILETARY COVER ORDERS Pate PUPS rw PRPC ICATE . AP Paheqapy 24) Ornveton Te LYECY eee TRAVEL TO GESIN Ce oe aBoyt SERVICE NO. @ GRancn CPP wslitery) Livemcragv: Ras inet teoa, | OO Fotm F178 TRAVEL DATA COVER CROERS VYRAVEL SUBSEQUENT DEPENDENT TRAVEL MELETARY COWER OIHER ‘ OFFicsaL Counter € Specify) i TR i TYPE PASSPORT CLEAR ance EXCESS BAGGAGE H (Spec ify) . CSpecify) . (indicate LAS aver) ; ° DEPENDENT TRAVEL DATA RELAT EONS MEF reer tee eer te eae nt nrieefitengereneneneenaD, ADORE SS REWARKS Orders should cover period fron 28 February to 31 Hay 1961 SIGNATURE OF MEQUESTER NORCORCUR | TITLE OF REQUESTER OFFIC T&R COVER & LEAISON. CoD WHALS. erucnusal CPR ONLY SUSPENSE DATE FOR OnOEAS 9 Seta see va eee eterno wr RE WESTER foam 938 wVBE FREUIGUS gor Peon, 3-4as SECRET Caer
ral : Emeaik. £3 S-EC-R-EeP 0 7 7 TO * Chief, WH-4, Security oO Date: 14 February 1961 ? FROM; Chief, Personnel Security Division, 0S SUBJECT: . LYNCH, Grayaton LeRoy . F891 84 1. This is to advise that Subject hag successfully completed his polygraph interview and is approved for access to information classified through TOP SECRET .as required in performance of duties, 2. Unlesa arrangements are made within 60 days to contract with the Subject within 120 daya, this approval becomes invalid. , 3- This cledrance is limited to use under contract as specified in your request and no ‘promise of staff employment is to be made or “implied to Subject in any manner whatsoever, be This office is to be advised when a contract is signed with the Subject. In addition, notify thia office when contract is ter. minated, ; -_ FOR THE DIRECTOR OF SECURITY: S-E-C-R-E-T
14-00000 ® > a . ame ; . | on SECRET ~ my (When Filfed In) «DATE OF @oauRST 10 10 Potenry 1L9GX 2. NAN pt Leet. Piewe, Middie) . 3. POSITION TITLE Ta. pence - vee : i : ING, Treton be Contract Esplozee ee tine an 3. OF Fice, OrviSiON, BRANCH . & EMPLOVEE*S Ee T, - : _ loean 7, PURPOSE EOF EVALUATION IOs ATO [ ] ere-eweLovment . _] OVERSEAS ASSIGNMENT ENTRANCE ON OUTY Lal { TOY $TANDAY OF DEPENDENTS To ACCOMPANY SPECtAL TRAINING SO ee, NO. OF DEPENDENTS® REPORTS OF ech C aL HISTORY (SF-89) ay TACHED CJ ANNUAL C9 RETURN TO DUTY J WITNESS FOR DUTY MEQIC AL RETIREMENT “a OVERSEAS PLANNING Bye Lua JA TION (One block must be checks. 10. HF PORT OF EVALUATION AR Conners Prysionl taken os 3 Februory = C9 + “ark carpiod ly indicieual, Sone SHTPTIAED FOR PPOPUSED ASSIALENT RT ee ee ne ar Jy ecceneet aml £ a toae 259 aorriong ous ‘ SE T fe os Ty) s . ; ae
74-90000 7 Office Memorandum + unrred states Govennment To :Chief, WH-4,\eourity ‘garg: 17 November 1960 FxOM :Chief, Personnel Security Division, SUBJECT: LYNCH, Grayston LeRoy ~ #189184 i. ' Subject ia approved for appointaent as specified in your request under provisions of CIA Regulationa 20-1000 with access to information classified through TOP SECKET as required in performance of his duties, contingent upon a satisfactory polygraph interview, . 4 2. Arrangements for the polygraph interview are to bo made by. 7 your office, however, contracting. with the Subject should be ) delayed until you are advised by memorandum of tha results. FOR THe DIRECTOR OF SECURITY: “lé
Ares SRN cence puepeeen og eres wins eg CONTRACT DNVLOYER BIGGRARUIIZ PROS ILE SSS er ep pesca Ro a eT ETE SE eM Ee paren pe oR TE, tsar aaa an aes vot Namo (Trued: Grayston L. Lynch ; » Date of Birth: Cd . Place of Birth (City & Stato): Glimer, Texas SE ee Raa abe wapital Sratus: Married NO. Of Devendents (Exeluci: a Speed” NA W.D.m, Skills: Clerical Typ: eee cen pee cue tuae —_— Non-KXUBSARK Employment Wit Gates i Name of Firm . , ‘Spon (lon, “yo CiionYr) | Position Title = uv. Sy Arm oct T 36° GEE 1960 Captain Sr | } i i et th ene "Be : : i l 3. : : t ov ce eater cette erent onenennnnd oO. t } } ETERS STIRS RE ee ce et ee SPs Sarr eaten | ReaD mes Memes otis eB 2 ao 2 Fe EY fa VON-AUDAAN Educatiou § Fame oaty &@ Siete 3 neaeeeead Your wa for Comnleted Ficlds he Dowre FaEN School ettus Hig ia Pete ttusa, Texas “Not, Grad/Grad USAFI-1946 Collese en i ned Omer ; ( iy college level - UBAFI Foreign Languages | Language Merad : ieee v3 | Understand §. Proficiency: : Lao i ; ! x | Poor. Saag<S°0"5-5 35 PEE eneeenrPnemmmmeeent eee ee en Native, Good, | 2 Spanish a x “Poor Poor, None) ee PARIS re i : namesbeoes: SS SE Ee cepa occ se garsaasn es enmmanorngspee nang “Girse Title | Yoar SSS SE EG BE SET BS SS ‘ KUBARK Sponsored - Course - Title i Your if Training: mT Radop T7961 ek, : ae . ae pshon Taha Nu, 2 IE EYg ex Component & Location oFebd oT; “Seas bT7 PM? C70 gs oe ‘ June GI Preset RE PNT C70 CST a Nt. aera 4 3 fs £ a z
Dataoas of La August lous HAVE VOU BVER HAD ACTIVE MILLET ARY, MEL DPTARY RESERVE, OR NATIONAL GUARD STATUS? ca "YES (>) No IF you ANSWERED "NO" TO THE ABOVE QUESTION, SIGN THIS FORM IN PSEUDONYM AND> RETURN iT ‘hu THE PERSONNEL BRANCH, IF YOU ANSWERED nYES" TO THE AROVE QUESTION, conpL, ETE THIS FORM AND RETURN IT TO THE PERSONNEL BRANCH PSEUDONYM DATE OF BIRTH (Please Print) LAST FIST str & a. “é 4. uF otf cnaco, Give REASON 10. Ter UNIVE GVAL MILITARY. TRAINING Abe LOR: Ce acer oF i94e (ae arn an Os cf) APPaGPoiatE ; AMY MAYY F comes sORCE evarg MA RING ovaRro airwaves OT fo ic {** mw ae setae beeccenceretintncmenmtite a. G2amCn OR COAPE oF Above Chacago Onn AMIE ATIONIS) Gale SEPARATED FROM EXTENOED ACTIVE OUT (Peat asevicg) 4, POAC Ee ENGIN OF EXTZKDED aC $. COTE emer EeREO , PAST scaring { ME TIWE QUTY ogee B. Po waay MILITARY occu BSORCIALTY (atae of Destgnator) AND ying SETOMBARY MIL, OCCUPATION At ; Fast SC avic’ SPEC LTV (Moe of Dasignators AMD : FIT t + BOI F DESCAIPTION OF MILITARY ay Experiesce: eS - @ELEASE 2Q mae! ce SE Ti PE we? ron age nee ae tee gee ay ne ee se eo ete PO.gsae wm Lit AaRy OCC uPatiOmar sPaciacty ft00 “ae Deotg- j10. Ogi at, BEG TAPE i tgratosy amd Tila gt 129 ERC MIPTIOM OF mA Tamy DERE OLE DUTIES MILITARY SERVICE ao CURRENT ORAPT STATUS VOU REGISTERED FOR THE ORAPT UNDER! [yes Ista rctive SUAVICE CLABS 2 = “CATION . Checs ta} aS I marr ry Ss ‘AER coasr [ene want wa FiowaL AIM MATS fe ee ee VAD Cy gs) ae Lak LE FOoacEe aa 34 oul LE & TOTAL LENGTH OF ACTivé OUTY GANIEATION at | PASTY seavicg ‘a. cuace tay vree oF SEPARATION. FROM ACTIVE ‘ou i nt ee tne er ot me Saisianmrentatemmannniieanen temo NGBABLE GIS mange re mB CTIVE © Dury ne Teme tae FoR commay Disancive | Otmaa: . WE TOE wt eT FOR PHYSICAL GISABILITY i ~ wb. it in ee me ease dee aoe aa Cmeca tai comPontnt iy wnicee you SEAVEO uae | 2 REM AavE (inetuding the Matra and A National Guard ne erento oe 3, mit aRy RESERVE, NATIONAL Guar Sta rus ave ANSWERED “ves? 7 10 VTS ‘ 2 08 ) ABOVE, CHECK COMPONENT memac tee ere eH evend coastauanol Il navy nore” r 1@ FORCA fea creeniteme rarm nba pune) mes a sew web ee eee oe me ne ome 2° fe OP we, Bee ee APP ae og ty! Peas th ae vou wave @miwe tee ro) ove e* fO ats +My wei? wR of 8 io.g & Brg Et MMe BAe, CF BV ena BEL AD womet PRE RSF APR Gh BED ee RFE Cm woe. > ® : ae @uowa bh ‘ ' . TRGB Pe ce vou ave Anbee net Ove st FO rte . SU Gtthoee ob ‘ tag : : cH eSe ke Bet Ea woe ret oO 8 eh BB home a ‘ Beh rmae Cree yte Cresent Marital Statun: iad Single tiobsa reied > what cs ti ie |. SERCGCTiVE SERVICE ao. i. $. LOCAL DRAFT HOARD "0. oR DESIGNATION AND ‘*ODNERS CTIVE OUTY IN U.S. ARMED : tue ote we , A A A Sans Jan ae Tintetar FoR 3°. Avice ij i usoue “MaROSeS ding AUS) nericeveno " KUDARK Category: I To Om secongaay MILITARY OccuPationac SPECIALTY (Hos of Dea Bee ar ARE FOuM REMY A MECOROS BENET au] FOR CIC OCAaGan, on RaERL. SERVICE (Spec tiyps . ae BBG fe gee a a ne, 66 FOREGM MILITARY OR a monher | ves 15S Ue BOe RAYE 1g. £ VG Oe A MEME or Te! ' ves are rou ' SESE RHE STAT UGS. nea setae § natn. Gag. OM ain WAT be torewomen on UBARK Reservo- ceainied veka rire EBL PUUAI Reserve" <a asamp bé.ow $. CoPOL wT MAW, GRADE QR &. Gate OF APPOmT mE mT im CUARERT iv. EVORATION. pare OF CURAEO REST AVE OBw.IGa- a oere ae yr Bhs Pete et a a I FrOm . wee Pees . ty: a - 4 a erate meen cng eee g mee ne ie mene ce te) Cueatae REG avE cavecoar H ‘ae aor ausenve’ "stam aarsaceves’ [STAN OOYiasetiver Sat MET IAEO é : Seal eB a cape we 98, “owe eee on eggucrv we '@. Giwa vat te eee remeron:
ae Se O00 Re a a te ne cet eee etl [. Answer all questions completely or check appropriate bbe. neve” only if you do not know the answer and it cannot be ed al form for extea details on ony question for Tope, print of write carefully, Ueyible o¢ incomplete forms 3. Consider your answeis carefully, Your siyaature at the end of this permit reviewlof your qualifications to the best advantage, emzletion of all applicable questions will ee SECTION | @ COLOR OF even jv. CSCGW OF oe to  SEAET TT ype and Location) Tones 2 Wor meee fe on er wee INS TRUGTIONS eet tne te Senet eran GENERAL PERSOHWAL AND PHYSICAL DA aneneeene Cron tem pe . ~ . | : | “Waack T [rewane " “HATE TYPE COMP. —— BV ¥re BUiLD i _ : _l hen et net THIS DATE (Rot Ind PERSONAL HISTORY STATEMENT etter If question in not applicable, write "NA", Write "Une obtained from porsonal records, Use blank apace at which you have insufficient Space, will nut receive consideration, fora will certify te theie correctnesr, Careful rn tant tte tn neater TA NAIR YPE COMPLE ZION YPE BUILD Tae cence et ee nt tnt hte RE A pathntnnttrPagel ree, cemeteries net yo 1H GP eke OTINGUSHING PHYSICAL PEATUNES ; : TR ELRRENT ADORESS (NOT Sipeel City, Lone. Hate und Cimteas TE RERMANE NT AUGHEDS Ne) Sireer, City, Zone. Sinte ond 4 \ |. Counters ANG PHONE NO. ale 8, ’ \ . we 7.0 a oe : . ne a oie ate enone ltt nea, ‘ 4 FOE I ee Ee eT tanner ms etre tt ee tment pone, 14 CGPEENT PHONE NO, . f 58 LEGAL PESDENCE (Hiate, Foritory or Countryh : st nner die ean teaser tarpon eprint fora 17. is eee MES vt UMS TANCES (inchaling Length ot Tima) UNOEK SEO Le Oe ne rn tte ne eee re nee, p20. F LEGAL CHANGE, GIVE PARTICULARS (Whara and hy SECTION fi bE THE COWEST ANNUAL ENTRANCE SALARY YOU WILLD COE RT S¥ou will nat be canatdered lor ONY Posiiian with a lower areas aelarys, hoa] 1O2088-OnNAaLLY $. D.C ATE YOUR WILLINGNESS TO ACCEPY ASSIGNMENT tH Toe FOLLOWING LOCATIONS ¢ ? Atstharit ys. “ae eto ee te eer ne erent on mae a een §. NDEC STR PME TYPE OF WORK OR POSITION FOR WHICH “OU ane APPLYING Le. GUA SILLINGNESS TO TRAVEL _jornen: , ” €3 4GU HAVE USED ne a EA tt eh art tee sar penne. POSITION DATA : nner ne earn tee oe errant eee 3. OATE AVAILABLE FOR EMPLOYMENT ea pane ner ae errr T rn [" fawvanene | 1 Peter meron, Oc. PANY ORK IM 8. — . Powrece Com vem eet AL UB. @ NCAA TE BHAT MESERVATIONS YOU #OULD PLACE On ASSIGNMENTS OUTSIDE THE BaSnis FoOM 444 cee Cmevious EGiTIOn, &te eas
OO MOF USE THiS SPACE ratte anna ISSUED BY tn nett ee Si sane nate 1. Answer all questions completely of check appropriate box. known” only if you do not know the answer and it cannot be ead of form for extra details on any question for which you have insulfie TP question is hot applicable, write "NA®, Write *Un- obtained from personal records, Use blank apace at jent epace, . 2; Type, print or write carefully; iHegible of incomplete forms will not teceive consideration, 3. Consider your anawers carefully, Your signature at the end of this form will certify to thete correctness, Careful completion of all applicable questions will permit review of your qualifications to the bent advantage, oe il rewmit review of your qualificati SECTION 1 . GENERAL PERSONAL AND PHYSICAL DATA tr FUCC AME Cheer Firat Muddigy mm Gage eee SEX & HEIGHT 8. WEIGHT § COLOR OF EVes [7 COLON OF NaIn BOT VPE COMPLE KION etree oe ee %. TyPe Bug eee nn tL ues . a en nee ne nee re erent bern atta ne pein waste mete et ue vee RSF ype and focetion) 7 reas TINGUSHING PHYSICAL PEATUAES — nanos mae Sane aepeeeee en 13. PuMANE NT AQDOUNASS ENG , Btraet, City, Lone, State and Country) AND PHONE Ne, e and Courtrys en ew ee ner ey ig ey rn ee (2. CURRENT AOGRESS (No., Strood, Citys, Lone. 4. at “ Oe Gan ar ‘ sone enarerestnoee Vestory ur Vountey) inearaetiietdereepetenee ee 19. OF #ICE PHONE NO, & ENT. tte neste 14, CURRENT PHONE NO. , me ae ne ere mn toe en mane. 18, LEGAL RESIOENCE [Stare, errenemte Bety Sth peers (7, NICKNAMES tetra & mee ete + cannon grace ne sateen we near ett ee see 19. INDICATE CIRCUMSTANCES Cneheting Length of Timed UNDE WHICH VOU HAVE EVER u SCO THERE HARES. by Whar Aathonigy ee net REE RN ee? pe et? NN Perer ma . ‘20. 1F LEGAL CHANGE, GIVE PARTICULANS [Wher and : POSITION DATA © - - . _ . SITION FOR WHICH YOU ARE APPLYING ne nee eit nar sea open ten ec se eng are tne eye er aenentsen wee negra oer 2. INDICATE THe LOWEST ANHUAL ENTRANCE SAL ae fee + 78. GATE AVAILABLE FOR EMPLOYMENT ACCEPT (Vins well not be conatsiturod foe any Position with » lowse | entrance wslesy), ; $ | . —_ et pe rn 0 ts en eee sence ee ee mee Dr ae rae ce er a eee . . (CcATe your BILLINGNESS FO TRAVEL eo ere pt ve OT mr terror ae er ng an an eo ee OCCANCHALL YT FREQUENTLY H feonstantey i [Orr e: 3. ON GNMENT ‘a ree FGOLLORING LOCATIONS (Chech (8) each tte opplicebie; 8. INDICATE vouR WILLINGNESS TO ACCEPY agg: Lm ne one enn on ne ne ee meee ee een ene ir mee en ee WASHINGTON. O.6.4 lanvwnend im u.a PCCM ERIM LOCA TOs OML y fNgrecsly): te : Core ftom ran vig, tar FORM USE PREVIOUS EOITION, .te 8a 444 . : ' nao
SECTION U1 ® —_ a ee SENT CUTIZE MSIE (Carmien) 2 Pn cnet arnt cet ne I LEZAP I CERTIFICATE ep, i MARRIAGE | ‘Totmen there | errr nam crete te renner ee meen eee —— — FL ROURT 165i WATURALIZATION. CEM tiFicaty (8, S5UED AT (City, Senee, Cou! rps tematic ae eta ng ae ee cnt ene wr i tron tt nee 3. wAVE vot MELD Previous NATIONALITY 19. 1F YES, Give MAME OF COUNTY VES i t Duo . i . CONCERNING PE UT OT tet are cn ener tet ate pr th, Give Pa@ricurt ates CONCERNING PRE ViOUds SeAPIGUMALIT GF, of : ~ a TUN Give PaaTICULARS , ‘ 12. Wave vOU TeerN OTheS TO CHANGE i fees | : PRESET Corie repress 7 ino i . . - —_—_._-— cw AA pn nee pee —— 14. 1” VOU WAVE APPLIED FOR USC US CITIZENSHID, OAT 1D PHESENT 31 STATUS OF VOUR APPLICATI Papers, Bee 3? rene cee ten mr cree eens mene ne areas eee re enn rs te ee ee ee a ee eee egeuanes, 1%, DATE OF APBIVAL int U.S. 18. PORT OF GeerRy [i OM PASSPORT OF WHAT. COUNTHY a gg —_———— 18. LAST U8. visa (Ne, Type. Place of frauds : (9. DATE vide issued @ SECTION I¥ EDUCATION _ _ ~ T. CHECK (x) Hig: HIGHEST LEVEL OF EO OF EDUCATION. ATTAINED. OvEa tan vEaARs OP COLL ESE. BO OR GHEE REBS Tees wi gee senoan CHADUATIEL ‘sete -on nae neat ene anne werner eee - _ Fumes MIGH BCHGSL sHa0u | | aachevons oaanea cane 10 enetnnmenee, a ce anceeeN etee” etennaheseneesttter tetera TAAOR. Suse sd, OF COMMAREIAL BCHOOL GRADUA TER a ne rs tren erent Aen eect ye THO YEARB COLLE GH OM LESS | GRADUATE STUDY LEaGING TO miGHER pearce i 5 oe) oe i | wagrees OFGREt V joscrosws oneace rr ctetnnenerenrer aan a. ELEMEMT AKT SCHOOL . Fo anette ere ener * et ene a Nn reer re eer renrte enn eset etree aaenana [ 2. ADRESS (Crip, Sinto, Coumiep) 1 NAME OF BCE MENTARY SCHOOL » cor een a ett tne of etree nena ee ef tetera ns 3. DAVES AT TESGEO UF pum-ansdt-Fo) 4. GRADUATE 3, HIGH SCHOOL , . BE rrr a ae ar ee nt et nt reese einer renner ese 1. NAME OF ban SCHOOL 1 2 AOORESS (City, Seate, Country) YS £ fg 3. silt ATTENCED (Fram and-To) H 8. GRADUATE 2 ot oo i en settee oof Cl Ler 1. MAME OF MeGH SCHOOL st oe ene 2. OATES AT TE BSED fF comand fo) 4. COLLEGE OR UMIVERSITY STUDY $¢urgra HOURS Specity) ree cecred i care BREE \ enna NAME AND LGC&PiGt OF COLLEGE OR UNIVERSITY
74-90000 A @RITTERN THESES, \ INDICATE tHe Terug . . 6. TRADE, COmmE RCI AL AND SPECIALIZED SCHOOLS MAME AND a C : . eee I 5 DORESS OF SCHOOL } Sruovecea SPECIALIZATION FRO ro MONTHS i | NAME AND ADDRESS OF SCHOOL. ne ene ne @ | SECTION VY COMPETENCE . in OROER Listeo R-Read, W. Write, $-Speckh * HOw AcQuIRED SDEQUATE/ Limtren PRO. Leowractheaneu FOR a NATIVE | oncen twith | STUDY RES- arente, fall COuNTAY! | NES. Pee loveray 1 LANGUAGE (Liat defow each fargenage dr. WHICH you'posaene anv degree of competence. Indicate Pour Heaticioncy 1 Read, Wests op FOREIGN Speak by flecing a check {X) rs ft the appropeiate bax(ea). R TH Ts — er ee tnt pnae epee = + ADEQUATE FOR OovIOUSLY RESEARCH ee. a ETP “0 P YOU WAVE Cube rere eee it — oo wah 3. 1P YOU HAVE CHECKED “ACADEMIC ST UDC UNDER “HOw ACSUIMED®, INDICATE LENGTH AND INTENSIVENESS OF SPuoy. “Y. 1? YOU HAVE INDICA a YOU WAVE INDICA PED COE WO Fr ANT DIFFERENCES IN OBIE nr TEO FLUENCY FOR A RANGUAGE HAVING SIGNIFICANT DIFFERENCES in SPOKEN AND WRITTEN FORM, EX. ' PL4In YOUR COMPETENCE THEREIN, : . LE VOOR COT eee we ae ee. Se UL ARIE 8 Po a o 4. DYUSCRIAE your ASiaat 7oo SPECIALIZED LANGUAGE enme INVOLVING VOCABULARIES AND TERMINGLOGY th THE $C1B Ne TeRPEc, ENGINEERING, TELECOMMUNICA TIONS. MILIF AQT, AND OTmMER SPECIALIZED FIELDS, 3. 1 YOU HAVE NOTED a PROFICIENCY IM LANGUAGE, BOULD VOU'A YOU MIGHT BE SELECTED?
shar? i I SSI Ue oe L 123 en meee e SECTION Vi : GEOGRAPHIC AREA KNOW EOGE AND FOREIGN TRAVEL RESP EL OW ANY FORPRIGN REGIONS OR COUNTRIES IN WeITN YOU HAVE TRAVELLET On GAINED KMOWLEDGE As A RESULT OF REGENCE, STUDY OF ROR ASSIGNMENT. INDICATE TYPE OF KNOWLEDGE SUCH AS TERRAIN, HARGORS, UTILITIES, RAIL? ROADS, (MOUSTMIES, POLITICAL PARTIES, ETC, 7 - we ne pct at mene age ieee een KNOWLEDGE ACQUIRED AY DATES OF | ae np ener ree — Mame OF TYPE OF : «SIDE : |}. DATES ano I ! REGION OR COUNTRY SP F RESIDENCE * } . | | MORK 5 ECtALIZED KNOWLEDGE 1 OOH AS ol evace ur Stupor | oor, TRAVEL STUDY | ASSIGN: ; i | i MENT - — mma femaresareeenramanare mare rs aman naan ~ pe te? ’ . | f Mele ao 44 od wa aot . 7 INDICATE THE PURPOSE OF VISIT, RESIDENCE, OR TRAVEL IN EACH OF THE REGIONS G8 COUNTRIES LISTED AROVE. _ ; : . : : y) Deel tre whee vbe eal nen ner SRE ES Bree TE EE I ee pe a 3. UNITED STATES PASSPORT NUMBER AND EXPIRATION OATE, IF ISSUED. SECTION VI TYPING AND STENOGRAPHIC SKILLS VOUS iwpmy | 2. SHORTHAND (wprd 3. SHORTHAND SYSTEM USED - CHECK 1X) APPROPRIATE ITEM Le Free (Specily)s GREGG SPREOWRETING STENO YT 78 2. INDICATE OTHER BUSINESS MACHINES WITH WHICH YOU HAVE HAD. OPERATING EXPERIENCE OR TRAINING (Complomele?, Minmugmpn, Card Punch, Ete. SECTION Yili . SPECIAL QUALIFICATIONS 1. LIST ALL HOBBIES ANDO SPORTS IN WHICH TOU ARE ACTIVE OR HAVE ACTIVELY PARTICIPATED. INDICATE YOUR PROFICIENCY ih RACH, 3 IGICATE ANY SPECIAL QUALIFICATIONS RESULTING FROM EXPERIENCE OR TRAINING WHICH MIGHT FIT YOU FOR A PARTICULAR POSITION OF TYPE OF WORK, . . fos wy _ —— ome et S. EXCL UOMG BUSINESS EQUIPMENT OF MACHINES WHICH YOU MAY HAVE LISTEO IN ('YEM 2. SECTION Vil, LIST ANY SPECIAL SKILLS TOU POSSESS RELATING TO OTHER EQUIPMENT ANG MACHINES SUCH AS OPERATION OF SHORTWAVE RADIO (Iindi« cate CW apecd, sending and saceiving),OF FSET PRESS, TURRET LA THE, SCIENTIFIC anD PROFESSIONAL OE VICES. - i eae a re rr . She ee . ‘ ON VI CONTINUED TO) PAGE
14-00000 * SECTION VUES ED PROM PAGE 4 4. AGE VOU Now ON NAVE VOU ECER” LEM A LICENSED OR CEATIFIED MEMNER OF ANY TRADE OR PHOFESSION, SUCH AS PILOT, : ECR CTAICIAN, RADIO GMERATOR. TEACHER, LAWYER, CPA MEDICAL TECHNICIAN, ETC? -o ‘ Lojves LipNe To) AGOVE. INDICATE KIND OF LICENSE ENO STATE ISSUING 3. 1F YOU NAVE ANSBERED “YES® TO ABOVE. UICENS# (Provide License Nagistry ' Number, it know, wo eset pe Se eee a ne — & Finest LICENSE OR CERTIFICATE (Year vo 7. LATEST LICENSE OR CERTIFICATE (Yoar of feaue} a ee WRT ERIE Br te be ca ce eee 8. L197 any SIGNIFICANT Bu LISHED MATERIALS OF WHICN YOU ARE THE AUTHOR (Do NOT aubmir Copies unleas request TOATE THE TITLE, PUBLICATION DATE, AND TYPE OF WRITING GN, Stottee, Hee), . or F rctiue ot Screntitic articles, General Interest aubjecta, No vols, Short vole ee 9. INDICATE ANY DEVICES WHICH YOU HAVE INVENTEO AND STATE #METHER OF NOT THEY ARE PATENTED. “PUBCTE SPEARING BND PUBLIC RECA TIONS BOPERENEE 10. Liar Puslic SPEAKING AND PUBLIC RELATIONS EXPERIENCE, sO (?  . ’ va hethd tue Ld Ae ‘1 v . ‘ eb, - ‘ : ——— SESSION AL. ACADEWIC OB ene reir FO ————- : : MN LIST ANY PROFESSIONAL, AC AQEMIC OR HONORARY CIA TIONS OF SOCIETIES IN WHICH YOU ARE NOW OW WEDE FORMERLY re ‘ A MEMBER. LIST ACADEMIC HONORS YOU HAVE RECEIVED. : q i f ' : 4 7s , : @ '| SECTION ix : EMPLOYMENT HISTORY Ses ; eo: . : ~ ae weed edition theta dink A a , NOTE: (LIST LAST POSITION FIRST.) indicate chronological history of employment for past 15 years. Account for aif petioda a) . including casual employment and ail farelods of unemployment, Give addross and alate whae you did during periods of . unemployment, List all civilian employment by a foraign Govemment, regardless af dates, in completing item 9, "De. : acription of Duties” conside ° your experience cordtully and provide wneaningful, objective statements, [Oe ae ae ee a Cormtey} 3. ADORESS (Mo., Stree, City, State, rota “3 & TITLE OF 308 ta 4 po oowe , 4, f ft te Ay we fee rrr ne ET 8. DOESCRIE TION OF Du tres te ben he & bis e ne On . ‘45 f - ~ tt esc 6 PEAIONS FOR LEAVING ( ~ ! Pal . (fa ited eae : * pat, CONTINCED TU PAGE @
14-00000. ‘¢ 4 eEION AR CONTINGED FROM PAGH 4 a fh Afer seook Ve MAME OF RUABL Oy y lias F Upehe Cabs BGEMEY a ee Bethe ee im Lem anton sent a 2 Haty, a Bate, Fonaiey) a es - POA PAE “oe Sure BEV ESO EE - MAME OF EMPLOYING FIMM ON AGENCY of s ee uy Mo. and ¥e.) INCLUSIVE DATES (Frees seed To . ‘ é - - nw es j aate, Country) - 2 : lL Pad: Of. Leet fo ra _ “, : a a AMe OF BOS hn nee eget 4. KIND OF dusinesa [Ss Viawe oF GUPENVisON : a a te + eaten et me ae af ne ce cae tn a ee 7. SALARY Of @ARNINGS 8. CLASS. GRADE (I Poderal 3 Service) — 1 TITLE OF JOB : nant ee et poe Ht (een ene ‘ g Pree re INCLUSIVE DATES Prova ond To + fiy Ma. and Vr) Seer Hue UT RI Be et A “— J.ADOK z iNo.. a Street, C Cty, State, Camtey) . a wef -" “Co 7 ’ ; woes tict ht [vet tal MO AMERY TOY Oe at a. “KING oF BosNESST 13. AME TUE OF DOR & TITLE OF yOoR _?: SALARY on Eanninos | 6, CLASS. GRADE at Federal ‘Servieo) Peet oan . ¢ ELE eri oe. eee {4 ree ee o. DESCRIP Tron OF OVUTIES Peete n met oe tam NG ete ee Lay 16. ‘REASONS FOR LEAVING | | L. wv INCLUSIVE OATES From and to - a Meo, and ¥r.} a ‘fe 2 a“) “ wif s nt rs a et 3 aes {¥o., Sicoel, cay, Stare, — fog are * al . ete 4. AING OF BUSINESS 6. TITRA OF soe ¢ 7 SAL any oR al Abe? SINGS i8. CLASS, GHADE (ht Federal Service) Ppa |
meneame * SECTION IY CONTINGED PROM PAGE ft D. DRSCHIBTION AF CUTIES ” — ~ 8 ' 1 INCLUSIVE DATES (Paw and Fu. Ov Mo. and vel 2, NAME OF EMPLOFING FIFM GO AGENCY .3 ee RR we (CS Bo ws ee pe Tt ee ee cel een nate eam a nan nil po gen ne tun anemanen  p ee  e . S48 (No, Stewet Ware. State, Counter) ™ oe. ° - . Siete ee ee eS 2 eee. note beter arch enn 4 meeeatbetatdes eee eave (eee here ene tee men oe SWING OF BURNS SU NAME OF SUPERVISOR i : ae ERD fh nate genie anes at neat ae nen S  eenamels D-Siaietinall enietneemmeneeniemmntmeanmenansamintenmmtemametaneeerasmenaeed ‘e Tite ‘f oF you 7. SALARY OF & ARPNINOS @. CLASS. GRADE (i Federaf “he ~ open eae eng ee eect: eet a eee, Service} tomes Sane AP [een —- _ ts O. DESCRIPTION OF DUTIES ° i mem \ . VO RR ASONS FOR LEAVING | . NAME OF EMPLOYING FIM OF AGENCY “SF RDOR UST (Na. Si 4. 00UND OF DUSINGSS cor A a te mm ee ei ran ma NAME OF SUPE RV ISD ONE i OV CE OF 687 — 7. SALARY OR PARNINGS 3. CLASS. GRADE (11 Fader! Jo eens ere een gear Oe nea Sere ee ot eee AE Service} 1 [ren | : . 9. QESCHIPTION OF DUTIES TO REASONS FOR LEAVING & FEDERAL GOVERNMENT 13 NOY EO ABOVE, INDIE @. IF PRIOR SER ¥ AULE TOWARD U.S. ClviL SERVICE RETIREMENT, NUMBER OF ed 4 a z ap zc > z we zo mz g ar &. MAVE YOU EVER BEEN DISCHARGED OR ASKED TO RESIGN FROM ANY POSITION. RAVE YOU LEFT A POSITION UNDER CIRCUMSTANCES WHICH YOU OFSINE TO EXPLAIN? (cjres ene lf YOUR ANSWER TO KITHER OR BOTH QUESTIONS 18 °VES°, GIVE DETAILS wee ne totes 1 | }
SECTION X AFT STATUS 2. SELECTIGE SERVICE CLASSIFE . ARE yOu AE GISTEREG FoR, THe: neagt UNDER: THE UPsiVERGAL MILITARY TRAINING AND SERVICE. ACT OF 19aB fae memento) ie DEFERPHED, Give REASON | “| 2. MILITARY SE@VICE RECORD . CURHENE. AND/SUR Past CBG AMSERTIUHAL MEMD ERS: up CHECH IX} AD [ee te, naan, NATIONAL APPROPRIATE HAVE SERVED Se NOW SERVING a 2. BRANCH on 3. DATE SEPARATED FROM Ext Toe ” PAST Senvice VE DUTY age fh t,o we wb. Cones OF Aagove cwece EO ORGANIZATIONS). oan ny y Prnet aon (eugent aervige) 18. TOTAL LEM 4 OF ACTIVE outy oh FOREIGN MILOF Any on CURRENT SERVICE | GAwzZaTIV 7. RANK, GRADE On | PAST service Ave ce, FO RIAL oR ‘yice numDER (il now eeoring, geuvide cure eA LD CURRENT SERVICE ee SEAviCE oS ears nesrbias) 9. PRIMARY MILITARY OCEUPATIONAL SPECIALY ¢ (Aue ur Designates) AMD TETL See PAST "skavice VPAST SERVICE to. SECONDARY MEL. OCCUPATIONAL SPECIALTY fitas of feaignnior) AND tt, DRIEF DEGCRIF TION OF MILITARY purties Unlte ale sheer applicnbls to pret ur Curecent service) 12. CHECK (4) 1¥be OF SEPARATION FROM ACTIVE C ouTyY HEY INE AE CT FOR s Rvice TETine MENT ‘FOR compat ‘Oremnicirs ICAL PiGhBILil UNOUE HARNSHIPS OTHER: "RETIREMENT FON PHYS 7 Wattonad Gunes o THER fine fading. AUS) D ROTC STATUS 3, ARE YOU NOW A MEMBER OF) THE ROTCH lane You NOW A MEMBER OF ree| NAT'L, GAD. OR AIR NATL, oO. you HOW HAVE RESEAVE STATUSE [eel . iF You HAVE ANSWERED “sy ese Oo ITEMS 1,2 or} ABOVE, CHECK COMPONENT MEMBERSHIP BELOW mura Rore ‘Ain FORCE Rote erie CORP NaTiowAL Guard COAST ONARD! ARMY ROTC $. CURRENT RAMK, GRADE OR, 8. DATE OF APPOWTMENT IN CUAR ERT a> Bern ATION, DATE OF ‘CURRENT RESERVE OBLIGA: 3 TAN ODY (Active) ‘SECONDARY LULITARY OCCUPATIONAL SPECIAL Ti (Moe of Dea- gnatay AND TITLE . 8. CHECK 14) CURRI 9, PRIMABY MILITA nator) AND TITLE aC SRECIALTY fea a Doula: io) sevecrive Seevice so. I FOREIGN CuG an, oo sail, ERVICE (Syme tlypt i ‘nw NATL Guano ENDED Active purr {Past servica! 4, ‘Torar Lreagre OF CXTENDED ACTIVE DUTY IN U.S. ARMED INDICATE ROTC CATEGORY Patatae BER "|StANDAWZinacrreos| | RETIRED 11. BRIEP DESCRIPTION OF MILITARY RESERVE OU 3, 6 YOu MA VE “ANSWERED "YES" To ITEM 12, GIVE UPEry on AGENCY $2, ARE ¥Gu CURRENTLY AasiGnto Osa AT TACHEO TO A RESERVE, WATOL. pouane OR AGTC TRAIN- . FNOIAGORESS ie Vat 2 ear ANSWERED “YES Tana AD DELS MOOILEZATION ASSICGH- i F 14. HAVE YOU & MILITARY Vane ter, AE ¥7U6E SERVICE RECORDS mE pre ARY SE RVIG t vt? PURPCSES INCLUD: AHD IN ACT TOTAL MILIT FOR LONG mans
rs STATE DATE, PLACE, ry PRASON POR ALL S SEPARATIONS, 8. IF YOUR ANSWER IS "VES" 79 THE ANOVE. GIVE PARTICULARS. INC i Bee ey @ . . FINANCIAL STATUS THRE Ay o FPR PDE ae von rE te yo UR ANS@ER ure RAL ARY ? JUR ANSMER IS UNO Ty Tue ANOVE, STATE SOURCES OF OT NE ‘CR IHC OME i ce rs eet at a nan eee Neem a ee ne ee mene es fee et ene * ' 3. AN ING INGTITUTIONS WiPM WHICH YOU HAVE ACCOUNTS . \ MAME YP Ge tat area rn te nan coe a ee ee ttn re eemm mm te BEEN tM, Ga BE TEONED FOr, UANKRUPTCY¥, et) eee HN ern mn nee nd ce nl a ae atte eaten. ene enone ree ING COURT AND OATEIS ' 6. GIVE THREE CREOIT REFERENCES 1h THe UNIT EA a oeereermemerte rrintarenaratnenan it Bn ti at etme tt Be a Smo 7, oa Oo you RECEIVE. an AWHUIT? FROM THE UNITED STATES OR OisTRiCT oF COLUMAA GOVERNMENT UNOER ANY ACT. PENSION, on COMPERMSATICN # OFF MILITARY OR NAVAL SERVICE? REFIRE CLT Le jveo i F YOUR ANSWERIIS “YES TO THE AUOVE GUEITION, GIVE COMPLETE DETAILS |. Ino 1 9. DO vou MAYE_ANY FINAHGIAL INTBREST IN, OF OFFICIAL CONNECTIONS WITH HOM, 3, CONPORATIONS OR HUSINESSES, On te . OR WITH U.S. CORPORATIONS OF DUSINESIG HAVING SUNSTANTIAG POREIGN INTERESTS? 'f7) ves. ono SECTION XH PRESENT Sra rus iSinate Marriad, Wieluwedg, Separatad, Bitvare oul, ot Annullod) SPE Cin y: (Hf anawar ° YEA, fumiak deraile on separate ahe ot.) . . MARITAL STATUS ras ne a eee ce et ne mane eee ee Me RR BE tt SR ugh Arete eerste rerenpnre tee ar DIVORCES OA ANNULMENTS W 6) a TPR, HUSTAND ‘ RORIANCE: Hoyou have been murrled more thun ance - including aunulments - use a sapurate ahee hunbond giving dute required below for all peevioun Mustiuges . information for fine t tor farmer wife wr . I marriage cantemplated, (ill in appespaiote ftedstto } fheety — _ . State, Countev) ves i j ee mtrere arnt pe te et ne . CURRENT ADDRESS (Give faot abdrons, 14 decane) 3 CAUSE OF DEATH REE tn . SECTION NU CONT Foy +9.
’ t : 4 1 ' 1 & i ‘ coe -10- ‘ i SEOTION NED OIA TINGED rRoy PACK O | tate BORN Out yor US DATE UF Ehtie it Poace or extny Tee ee mt . " { ' - se al. Wii wee 1 . a bee cee ete ee wo ee ~ 4 Nee te ete eee ee 16, EORMPH CITIZEN SMAPIg) it%, gare ts. PPI EN SHIP I 18 ang ACQUIRED (ne 8 a ieenite ge ‘ sCouitrripoay ' ACqUINED © 3 i EC ACQUIFED (EWS, Bente " ) 4 i ‘ : eae - oa wt ee ee net oe Pe te ee oe : i 8%. OccuPA tig {279. PRESeN? EMPLOY Arve teeter smptoves. ot tf epmtiae . vi | Mee taved S100 baal te emutovnpe) ; : : : Se - Born occ dee ee ee ee fe nen oe Hare cn enn an i VES°S ON gUSINESs, ADOMESS (No, Street Cher, Mtate. Cosmetey) : ] . . ! Se aiatarmnrtd peti eee ee rte me eee nee ee ey ae tet oe ere et ey ee tae eee nm at rte H 43. DATES OF MILITARY SE VICE (From and in cy ita aid ¥ : ' } 4 | i ai. OMANCH OF RY SERVICE APPRICIATED t : were So Oe ms ne ets eee ree Bn ante et i 28. Qe Tate NEW GOVERNMENT SrAVICE, . . t i 4 iy roe : 1 1 : : i © [SECTION xin | CHILDREN AHO OTHER DEPENDENTS ; f° enema cane ayy “ : ; ie Sree eg tere ce ee EVER f ones ca tenn i. 1, PROVIDE THE FOLLOWING INFORMATION POR ALI, CHILDREN AND OFPEMDEN TS bi ti “MAME PELarionsmie | oATE ano PLACE OF OFT " CATIZEN SHE ADDRESS 1 rene as Sovran ements etaematitaie Bo 8a ee stent oy ne — AE are pnt eee re an ar Fenner te tee AA A nt ent er eee j ‘ b: 1 i i Le j ‘ i LL y 1 n 1 | 5. HUMBER OF Ornen ORPENCENTS (eluding spewse, - i 7) SUNDER OF odopred ehitdeony ge ate” FOU PON AT ERE Lett BNO DEPENG Ome ‘ UNMARIIED, UNE w 21 YRS. OF AUB. CHIL OREN Ovem ST wRS ‘Gr Roe wad Ase wos? ; ANO NOT SEL PSUP PORTING. SEL P-SUPROR TING. ' i Z @ SECTION KEY Steplathor and/or Gunedian ON © acparate sheer) ns aaihelnehy et rene pe nino ene eS toto oe, 7 i. LIVING 3. OTE OF DEATH 4. CAURR OF Dean | 3 , ‘yew ! ° : ‘ t DC CUNRENT ADORERCT Cte bh BY a 2 — ner ene eee ee \ os 5. CUNRENT ADORESE: Give faaé addroaa, tf dlacsasad (Nu,, Steaas, C44 tato, Country) I , BONE OF IRF i Ce aty, Santer a ep on none ee rte £8 OATE Of BIRTH: vv 7. PLACE GF Ginths (City, Sinte, Cosmtrys a. Civizensne : i . i ’ t en, a TORE OF BND QT we — a ae ene ween , : 9.1" BORN OUTSIDE U.8.- OATE OF EN YRY [° PLACE OF ENTRY : : 18. FORMER CITIZENSHIP) 42. NATE U4, CITIZENSHOP | 18. WHERE ACQUIRED (City. State, Countey) } . 74 ountrytisey? : { ACQUIRED . : L _ de a "pee ents te et ee ee 4 '6. OCCUPATION uo 48. PresenmT EMPLOYER (Give fast employer, if Father is deceased or unemployed) . Deere irra TS De PON ee ' . MPLOYER'S BUSINESS AOORESS OR FATHERS AUMNESS ADORESS IF AEC POE MPLOVEDT rn i ‘ : Seem _— mete — gr et ge a SU ne j 18 COUNTRY a ate ee eee. 7 wt rn een ee be : I THEM GOVERNMENT SERVICE, U3. Of FORE .
ILA eb sete t nt Seay Te yon ea ENTER OL Tk Urea cenit ny peg © SFE TION RX VE oe FOS ane INF UR) PRAT {have read and understend the instructions, | Certify that the ineaygsuing ine ward ree true ond correct fo the best of m CERTIF ICA Titre Oe MESS UWE Atey stat mEat Cave In THIS APPLICATION Pete, 2 WILL BU INVESTIGATED, < cee Ae bnowledye ams beliet | i ugeee Phat ang misstatement of omigeinn us ty sustariol besos will cosnatitute grounds for immediate dismissal of rejection'sf my uprlicatign, fuw (U.S. Code, Title 28, Section 1001}. 2. S5GNBO AT (City and Staca} a SIGHATUE OF mrGets ee a las Sigua rune OF sPouicant § ulen understand thut any fulee stetemard made herein muy be punishable by HOTE: Yao the following space for exttu detaiie. Kelerence each Continued stem by eeeticd end item number (a which it relates, I sign your name at the end of the added maternal Ui adibitional spate 19 requires see extra pages the sume siec as thir peye ond sign each euch page. 4, . o 1 ; wile (YO Se et wf? "4. So & wiedpa mia? PHl ae LEDS E28 @ 8 ene
f a & 3 5 - | _é tsi fe Pat Sue ig. ais wage ‘ “Fa rd 4 a-@ AG a t va al 4 « Nae aan a eto 4g mf Shets OK Jue” ® & --)4u < dog at == nite moog i untill Juy,- @ nig! | u . a a le 7“ ee, : ® Aug? nd ec) . x wie ee a . « SECIRETY 4 Sep” € aie Set ee 2 ™ Va rt ‘al en & ie 15 | Qa CF Status | § Nov! 2 if . 8 Deg;> @ wes ee cee nee ee ee pS Lab ty cet OE: ‘Task Force Commander ( Cy) (cometeney Code: i Insurance | (gis #0 an vw *{E) GW y{(2) nest quatirs oe se i ow. Bae - E-Restotance Officer( ,) } 3} Expericneced one or more years Type of Pass port ; ” a a. -Plan ,Tactice ,Strategy (?) 1€3) Prained (Orr or on- ~the-job) Power of Atty./:° ee a b. Weapon, cpneral, F2-) Cleared for availability by: , Wilk)” ee = wit] anc alae, sea ecm) on ae ¢. Reception In: L-exft 1” =F ep —— eas a.Techn.ques ,cach. ,surviv( , ) . isis ; Saal Air Operations Officer (, ) iol “= won|” [sew Sear ws eee ee a : a Eh a. Planning,tactics { ‘) Present Militar. Status: . Ri : jd. Pilot ( ) Past Military Experience: I-Intell~Tech Support { ‘oon aie : Ely € I>) ce Parachutist (). a. Intell Process ( NE) id + oe d. Balloonist ( ) Security Limitation: b. Target. Analysis = ( 8 aan -} -, wl ‘ 7 € - 4h ( )prop ( ) Pilot( ) Launch (¢. Ops Tradecraft = 2 a 7 ew Check with: a. Agent Handling  { ee Maritime Ops Officer é j “a. Planning ( ) i. Political Action ortteer( yn CF Pus. {tilon: ek bd. Operating ( ) yet eo @: Re. Support ( ’, . =" “, ie a. Training ( Communications Officer ( eo iat Sabotage Officer. ~( i yo . logistics Officer ( * ~ ae "i Ge Plan. ,Target. ,Train( 1) Medical Officer Cer: a Dem: ore» amare ce ; e g Pebevlont weodehas (nediven Other ( yas “ : wie - eee aaa eee, ae: LL i fg UDT. | Order of Battle (44 ad ea yO — rong! : ° »-| SU Support ‘Officer ( ) ee fntermgation i = ; Ore Be Personnel, Admin ,PersAft(_ ) Home Address: Sas Toa ee a“? dete, E oa) : : @-8 7 Peyeterilly Me. on E y Home Phone: ole exe & . ce I _Records and Reperts (  ) ft wire Be rs] sa Headquarters jorrace Address . be te fans an d Ee er Field 4 Location iPosition: - er i ° cat e re SECRET | Revised ppl” @ Co fad falas * a td & 4 haf ry rt Dyed ts eam ees L a ue LE T# a) “260 8 @ weulvuuvuvvuvevcwucuuevuld is
14-00000 ho ee mye, . : ee yy “y ¢ N r IYNCH, Grayston L wo, a . T for a. MILITARY Exe a trae tne r. : Oot. '3U = Oct. "al Enlisted cervice, 2a Infantry Division, 23d Infantry ‘ , oe Rogiment und 2d Reconnaissance Troog ™ ay Dec. 41 = May "hs enliotea service, 2d Infantry Diviaton, 2d Reconnaassance or. . Troop, Platoon Sergeant, Wounded {rn Eelguim. \ mo May '45 - Sept 'h7 Patient United States Anny Hospitals. . ‘ a in Sept'S7 - June '&5 Civilian - Sold Insurance and managed a Naval Officer's a Club, Houston, Texas. \. 4 '  June'h8 - Sept'so Platoon Sergeant, 2a Armored Division, Ft. Hood, Tex. “ an _ Sept'50 - Oct. *§1 Entered active duty as 2d Lieutenant, cent to Korea, . er" ' Saw combat as Platoon Leader, 2d Reconnaissance Troop, : : ; 2d Infantry Division. ; : Sy Oct.'51 = Sept.'53 Company Commander, Reception Center, Ft. Sam Houston, Tex. ¢|/ ; : Sept.'53 = Sept'56 - Instructor, 7th Army NCO Academy, Munich, Germany. By Instructed in Tactics, weapons, Leadership and Engineer : 5 equiprent. . a Y Sept'56 = Oct. '60 7th SF Gp (aba), Ft. Bragg,; Attended SF Officer'a Course \ . . : 1956, served as Air Operations Officer and Team Leader’ c 4 of a Speciul Forces Operational Teas. Trained team {n all ¢° subjects of unconventional warfare to include training mo ida all veapons, both American and foreign; demolitions « ' and sabotage; Escape and Evasion; Guerrilla and Antic | € , i Guerrilla tactics; Supply and adminietration; Medical ° 7 i? ae ; " subjects; intensive study of selected target areas; a : , language of ‘target areas; Political, Zconomical and a on militery situations of target areas. A one year study : nd of SouthEastAsia: Particular attention to Guerrilla te », Warfare operations in this area, Conéucted training ‘| . oe dn radio cormunications work; Air resupply and Air : : 5 sd Ft infiltration of denicd areas. 25% cf thie training was : my et _ in classified subjects. Has had traicing in intelligence ()' i . 2 ae nets and allied subjects and have teen an instructor ind - ; in oll the subjects covered. Also lead his team on a St tateeecies oe ee hey six (6) moath classified mission in SouthEnstAsia, we : where very valuable training was received in an actual - po area of operation. aad i) Se tod Por a little more info on subject eee 201 file, SS a Nofe : Duk . woos lave wed b ica \~ Pinscce Ye Des gon : jt — 0 ; % ws 4 ieee Ww ey Not yoy $ | H : i. toe 3 Nae ub ae Neane, Lad We io, 4 ch ts : . Ree 1 ~ eet . 4 - ww wd we Vee ee I eT Ow OSH eSKReOKdHBEY w