FORM:PERSONAL RECORD QUESTIONAIRE PART 1 BIOGRAPHIC DATA/TEPEDINO GONZALEZ, CARLOS
Originator: CIA
From: WITHHELD
Document date: 11/05/1962
Document type: PAPER - TEXTUAL DOCUMENT

## Page 1

1104-10183-1005

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

1962

PERSON

10nz3

HANG AT BIOTH GET BOURNERE THE LORES

Bi-DATE OF BLATA

D:. PLACE OF BINTH.

11 October 1924

Nueritas, Canaguey Prore, Groa

RASOMAL MABITS (LIQUOR.

fablind, par

Mature, rellables uses liquor to moderation, smökes cigars, enjoys good

food, fishing 13 his hobby.

COURT RECORD ( COUrS..

тВ 1 Сн?.

40

•colos or tin

BE DONT

150

To, race (shapo,

I. POSTURE

• GEMION AOPIADANCE

Paranor provers

Ten no died

1040

RETURN TO CIA

Background Use Only

Do Not Reproduce

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SCOTION

RESENT CITILENSMI

Cuban

EMMAMENT ADDRESS CAT diSfarTNE e

!!. U.S. MATURLI сітівій.

18: TRAVEL' OUTSIDE COUMTAY. OF PRISERT RESIDENCE: (COMPeRieO,

dares did purposee)

lëxico 1959 member Cuban delegatlo dealing with: Sors. for, purchase agricultura.

quipmenti.: Now resident, N.Y.C.; Helsinki Youth Festival 1962; Europe nin Past'

on business; Canada 1902.

OCCUPATIONAL

AMO FINANCIAL

ENT OCCUPATiÓN

IT: TiTLE

Partner In CORLETTA Levelry, Lnc., N. Y.

VIMANCIAL STATUS (EO

познав.

ips, socuriedos and propoiiy)

Partner in Jevelry firm - firm doing. well (in build-up stage).

SECTION IN

20. MEMBERSHIA IN ARLIGIOUS ORGAMIZATIONS

ORCAMIZATIONAL AFFILIATIONS.

ANO PAST MIMACASMIO IN PROFESSIONAL ANO SOCIAL ORGANIZATIONS, POLITICAL AFFILIATIONS

sainer (per name

SECTION Y

MAME ANO LOCATION OF SCHOOL

EDUCATIONAL DATA

SCHOOLS

MAAr OF COURSE

DATES ATTEMULO

DEGREE

RECCIVEO

LANGUAGES AND DIALECIS

LANGUAGE

ComPERrACK

•{AD

80188

88 8 da

LODIRSTANO

* 8 8

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SECTION VI!-

COUNTAr

MILITARY SERVICE

DATES

UNIT

• ПАНИ

• 000

"IDENTIFYING COUNTAY, IMDICATE IMERE SERVICE PERTORMEO, DECORATIONS.

PRISOMER.

SECTION VAIL

SOTE,

EMPLOTMENT MISTORY

• INDICATE CHROVOLAGICU

MISTORY DF EMPLOYYENT LISTING LAST POS

LA, INCLUSIVE DATES (FROM-JOD: ML re* Partner in

18992169

28]

o. PrpE or nona.

He de ke

OR CARMINES

INCLUSIVE DATES

ADDRESS

PORTrAYIÃO

I. ADDRESS

disson too Tearge

Torior

2: 181000 co

18a0roe

absorns

DUTTO

GIVE

OVERNVENT FAPLOYHIYT.

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SECT.LON :8X:

M1: CHECK ONEIL jSINGÜE

IB:STATE"DATE: PLACE :AMO ALASDE: 8.00

ALLiSt!

WIFE

OR

HUSDAND:

IS. MAME OF SPOUSE

IF YOU MAYE DEEY

NARRTED

MÓRE

CIVINE DATA REQUIRED: BELON FOR.

:(Firse) :

A. DATE OF MNMRIAGE

1S. PLACE OF MARRIAGE

SO. DATE OF BIUTH

8S. PLACE CE BIATH

3а. NITIOMMLITT AT 'BInTH.

S9, SUASEQUENT CITIZEMSÄIPS:

AO. PRESEMT RESTORMGE (LADE reSidanGE, IT JAGCAREd))

•SECTION

CHILDREN

FULL MAME

VEAR

Of

BIRTH

PLACE OF BIRTN.

MATIONALITY AT BIRTAO

SUBSEQUENT

CITIZENSHIPS

HELd

AMY CHILD

addreas)

SECTION NI

A1. PUdA Adt

subdrodes col1prasa.es

SCTCo 1.

FLORIOUTOT CITIaDaNE.

FATHER

Fos. Tiaa de acora Tas. Prdir of orATu

lão ZRiuParIon

DA. MATIONALITY AT OSATM

-TAS, POTIRAS ARDISrOCE

MOTHER

¿r preáséao-a lio diärer oteia

wor оча af вата

ult1'4

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## Page 5

PETNO) Gonzi

SECTION XIY

RELATIVES: ACQUAINTANCES AND CONTACTS

39, MANES OF RELATIVES IN ANT GOVERNMENT SERVICEI INDICATE MALE OF GOVERNMENTS AND POSITIONS MELO.

IVES. FRIENDS, CORRESPOMDENTS IN U.S. (ExpIaen colORiOnaRip)

CLOSE RELATIVES IN U.S. (GITO MARA.

city and number of cartili

icato prentad)

T9A8EA

SERVICE.

MELATIONSMIP OF ALL PERSONS ANDRY TO DE CONNECTED IN ANY MAY DITH ANY INTELLIGENCE

SECTION.

XY-

'LIST CLOSE ASSOCIATES.

PERSONAL ASSOCHATIONS

• SECTION XVI

MISCELLANCONS

24 Novenber 1959 .

(carbined with C #80421) (Green List 4126948) (POA granted/later renered)

5 Moreher 1953

EzD Monahan

-#. D. Mornian

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