FORM:REQUEST FOR GREEN LIST NAME CHECK
Originator: CIA
From: WE/3
To: CHIEF, FI/D
Document date: 04/04/1962
Document type: PAPER - TEXTUAL DOCUMENT

## Page 1

4-00000

104-10220-10233

2022 RELEASE UNDER THE PRESIDENT JOHN F. KENNEDY ASSASSINATION RECORDS ACT OF 1992

SUBJECT TIPE NAMI

I ROMA

fedro RUIZ quíntoro

ALIASE:, VARIANT SPALLING. ETE

SECRET

IN UPPER CASE.

22020

DATI-AND PLACE DE

D!9.1H

1937 • Lao 11llas, Cuba

9. CHTYZENSHIP

5.

Caban

PRESENT, ACTIVITY AND LOCATION

Subjaat Lo a nddloal atudent ln Parlo, Franco.

D. OCCUPATIONAL SPECIALTIES, EDUCATION

REQUEST FOR GREEM LIST

NAME CHECKNO 124210

DATE MADE Q

CHiEF, F1/0

ORIGINATING OFFICER

1AM1

Patty McDalna

KINIM, BUILDING LB. 01

INTENSION

5798:

LE REC OR REQUEST (CHECK ONE)

FO FIRST TIMÉ SÚBMITTEO

D' ADDITIONAL DATA

' RICHICK FOR CURRENT

INTEREST IN SUBJECT (CHECK ORL)

ESPIONAGE ON CE ACTIVITY

OPERATIONAL CLEARANCE

Точнін

PAST

VITIES INCLUDING, MIL

SERVILE

DATES

EXESZETE

A. OTHER JIGRIFICANT DATA (POLITICS, RELIGIODY - GOU EXTRA SHEETS WHEM REECED

Subjoot le considered atrunchty anti-lestro.

9. DESCRIPTION.

(HEIGHT)

TOITSHIT

TErEST

1U. SPOUSE TIR MIFE, CIVT. MAIDEN MAKC)

LI. OTHER MEMBERS GI IMMEDTATE FANIE: AND ASLOCTATES

(HAIR)

(RACE)

(SCHLP)

12. INFURMATION REQUIRED COFFINE SEGODFICALLY.

GET MESSES REIR DISAS TERMS SÚCH AS "DERCUATORY" MAY RESULT IN A SEARCH THAT SUES

Any infrimation which would supplesent the above.

INSTRUCTIONS: SEND BOTH SHEETS

iNSERT CARBON; FILL OUT FORMS COMPLETELY.

TO F1/D.

SEE CSI 10-7

8. 61

SECRET

(8)

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