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Released under the John F. Kennedy

Assassination Records Collection Act of

11992 (44 USC 2107 Note]. Case#:NW

B8613 Date: 03-18-2025

Date

Page

07/19/96

1

AGENCY

RECORD NUMBER

RECORDS SERIES

AGENCY FILE NUMBER

JFK ASSASSINATION SYSTEM

IDENTIFICATION FORM

AGENCY INFORMATION

: INSCOM/CSF

: 194-10012-10409

: DOD-AFFILIATED PERSONNEL AND INCIDENT INVESTIGATIONS

: ZF000003W

- PAGES

797-799

DOCUMENT INFORMATION

ORIGINATOR : USA

FROM : [ RESTRICTED ]

TO :

TITLE : AGENT REPORT

DATE

: 10/05/67

PAGES

: 3

SUBJECTS : SLOVODA, VLADIMIR

REPORT OF FINDINGS-.

POSSIBLE SENSITIVE DESERTION

SIMONS, PETER K.

FIELD 201 FILE

DOCUMENT TYPE : PAPER, TEXTUAL DOCUMENT

CLASSIFICATION : UNCLASSIFIED

RESTRICTIONS : 3

CURRENT STATUS : RELEASED WITH DELETIONS

DATE OF LAST REVIEW : 03/20/95

OPENING CRITERIA :

COMMENTS :

NW 83613 Docld:34531096 Page 1

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INL

AGENT REPORT

(AR 381-130; FM 3Q17)'

1. NAME OF SUBJECT OR TITLE OF INCIDENT

Possible Sensitive Desertion

2. DATE SUBMITTED

5 October 1967

3. CONTROL SYMBOL OR FILE NUMBER

A. REPORT OF FINDINGS

(FIELD 201 FILE)

On 5 October 1967, the 201 File of Peter I. Simons,

Specialist 4, RA 19 841 799, was examined and revealed substantially the

following information:

Name:

Rank:

Service Number:

SSAN:

DOB:

POB:

Citizenship:

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.

BPED:

ETS:

Marital Status:

Religious Preference:

Father:

28 April 1965

27 April 1968

Single

Roman Catholic

Karl-Heinz Simons; POB: Saarland, Germany, DOB:

Unknown; Fresent Address: Unknown.

Mother:

Agnes Fries; POB: Essen, Germany, DOB:

17 September 1920; Present Address:

Cheruskerstr 49, Duesseldorf, W. Germany.

Step-Father:

Richard Westlake; POB: Unknown; DOB: Unknown;

Present Address:

England.

Weston-Super-Mare, Somerset,

Physical Profile:

Physical Description:

PULHES 111 121, Code B, 28 August 1965

Age, 24; Sex, Male; Height, 73"; Weight, 178,7;

Civilian Education:

Hair, Brown; Eyes, Brown; Scars or marks, None.

55-59, Martin-Buteer; Dierdorf, i. Germany, Graduated;

59-62, Dierdorf Handesischule, Duesseldorf, Germany,

Graduated.

Civilian Employment:

Apr 590Apr 62, Deurogubh, Berliner Alee 29, Duesseldorf,

Germany; Supervisor, Mr Grosskopf, Reason left (RI),

immigrate to US; Apr 62-Jul 64, Air Sea Forwarders Inc,

406 S. Main Sto, Los Angeles, Califomia, Supervisor,

Mr Rautenberg, RI, Better future; Jul-Sep 64, Liberty

Engineering Co., Culver City, Calif., Supervisor, Mr.

Kilmer, RL, quit; Sep-Oct 64, Sightseeing in Hew lora;

Oct 64-Apr 65, Harper-Robinson & Co., 354 S. Spring St.

Los Angeles, Supervisor, Mr Caranea, RI, Joined Arny;

Apr 65 to present, US Army.

Aptitude Test Scores:

IN, 111; AE, 103;

EL, 103;

Gil, 102; MM, 115, CI, 123;

Protective Marting is Excluded From

GT, 106.

Autornatic Tennination (Par TO. AT 345-15

S. TYPED NAME AND ORGANIZATION OF SPECIAL AGENT

79.7

S. SIGNATURE OF SPECIAL AGENT

(CONTINUED)

WILLIAM F. MOCKLER, 501st MI Det (Arrad Div)

D

FORM

103, 341

REPLACES WD AGO FOl

NW 88613 Docld:34531096 Page 2

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FOR OFFICIAL USE NE

AGENT REPORT

(AR 381-130; FM 3Q17)

1. NAME OF SUBJECT OR TITLE OF INCIDENT

Possiblo Sensitive Desertion

2. DATE SUBMITTED

5 October 1967

3. CONTROL SYMBOL OR FILE NUMBER

1. REPORT OF FINDINGS (FIELD 201 FILE)

(Continued)

Military Education:

Record of Non-Judicial

Punishnent:

Record of Courts Martial:

DD Form 398:

DD Form 98:

Security Clearance:

nad hel carr Attend, Mos 31M20, Signal

Corps, 12 wecks, 1965

None

None

Executed, unqualified dated 1 October 1965

Executed, unqualified dated 28 April 1965

None; Background investigation requested

by the AGofS, G2, Fort Gordon, Georgia,

on 4 October 1955, UP AR 614-280 fOr

retention of Sinons in Military Service

Civilian Foreign Travel:

53 to 54, Great Britain, Schooling; Abr 56

to Aug 56, Great Britain, Schooling; Aug 57

to sep 51, Italy, Vacation; Jul o1 to Sep 01,

rance, Vacayion; 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

Foreign Service:

Pronotions/Reductions:

I4 Nov 65 to 27 Nov 66, USAREUR Germany

FVT El (P) 8 Apr 65 AR 601-210

PVT E2

(P) 28 Aug 65 Par 7-19 AR 600-200

FFC B3 (P) 4 Jan 66 Par 1 UOirl, Co B, 32d Sig Bn

APO 757

SP4 E4 (T) U0#32, Co B, 32aSig Bn, AFO 09757

Chronology of Military

Service:

28 Apr 65

USARECSTA (4075) FT POLK LA

10 lay 65

17 Jul

65

COM Bn2IngBDE Et Polk La

Stuos USASESCS It Gordon, GA

16 Nov

•65

CoB 32dSigBn APO 09757.

25 Nov 65 Enroute to Conus

9 Jan 67 CoC HIstSigbn Ist AD Ft Hood, Tex

8 Jun 67 49thSigPlatoon, 198thIn Bde, FtHd, Tex

Remarks Remarks:

Simons identification card reported lost to Provost larshal,

17. August 1967, issued new identification card.

Special Order Number 31, Headquarters, 198th Infantry Brigade,

Fort Hood, datei 19 August 1967; authorized ordinary leave for Simons

effective I September 1967, for

20 days. Leave address: Oberlindau 89.

Frankfurt-rain, Gernany.

Special Instruction: EM will report to the

Army attache at the Americar imbassy, or to the Conmanier of the USA

Element, as appropriate.

Sinons enlisted under the Buddy Issignnent Plan, with one

Michael C. Horgan, RA 19 841 794, for further assignment to USARBUR.

Protective Working is

Bichided From

(CONTINUED)

S. ESPENORMELDO PECANZATION AF SEESIM AGENAR 340-15)

SIGNATURE OF SPECIAL AGENT

WILLIAM F. HOCKLER, 501stHI Det (Arra Div)

D

FORM

1ORS: 341

NW 88613 Docld:34531096 Page 3

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AGENT REPORT

(AR 381-130; FM 30-17)

1. NAME OF SUBJECT OR TILE OF INCIDENT

Possible Sensitive Desertion

2. DATE SUBMITTED

5 October 1967

3. CONTROL SYMBOL OR FILE NUMBER

&. REPORT OF FINDINGS (FIELD 201 FILE) (Continued)

Simons drew advance pay of $360, 16 Aug 67, to be repaid

at $60 a month for six months.

Protootive Marking is Exoluded From

Automatic Termination (Par 19. AR 345-15)

S. TYPED NAME AND ORGANIZATION OF SPECIAL AGENT

WILLIAM F. MOCKTER, 501st MI Det (Arnd Div)

FORM

341

REPLACES WD,

799

6. SIGNATURE OF SPECIAL AGENT

Miran F. Nockie

NW 88613 Docld:34531096 Page 4

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