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Date

Page

07/22/96

1

Heleased under the John F. Kennedy

Assassination Records Collection Act of

1992 (44 USC 2107 Note]. Case#:NW

BA613 Date: 03-18-2025

JFK ASSASSINATION SYSTEM

IDENTIFICATION FORM

AGENCY INFORMATION

AGENCY : INSCOM/CSF

RECORD NUMBER: 194-10012-10472

RECORDS SERIES

: DOD-AFFILIATED PERSONNEL AND INCIDENT INVESTIGATIONS

AGENCY FILE NUMBER : ZF000003W

- PAGES 915-917

DOCUMENT INFORMATION

ORIGINATOR : USA

FROM : [ RESTRICTED ]

TO

TITLE

: AGENT REPORT

DATE

: 10/05/67

PAGES

: 3

SUBJECTS

: SLOVODA, VLADIMIR

REPORT OF FINDINGS

FIELD 201 FILE CHECK

POSSIBLE SENSITIVE DESERTION

SIMONS, PETER KARL

DOCUMENT TYPE : PAPER, TEXTUAL DOCUMENT

CLASSIFICATION : UNCLASSIFIED

RESTRICTIONS

: 3

CURRENT STATUS

: RELEASED WITH DELETIONS

DATE OF LAST REVIEW

: 03/20/95

OPENING CRITERIA

COMMENTS : PAGES 915-917 ARE DUPLICATE COPIES OF PAGES

797-799.

NW 88613 Docld:34531181 Page 1

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OR DEBCIAL USE ONLI

AGENI REPORT

(AR 381-130; FM 30-17) |

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 k. Simons,

Specialist 4, RA 19 841 799, was examined and

revealed substantially the

following infomation:

Name:

Rank:

Service Nunber:

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:

Mother:

28 April 1965

27 April 1968

Single

Roman Catholic

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

Unknown; Fresent Address: Unknown.

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:

Weston-Super-Mare, Somerset,

England.

Physical Profile:

Physical Description:

Civilian Education:

PULHES 111 121, Code B, 28 August 1905

Age, 24; Sex, Male; Height, 73"; Weight, 1787;

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 59-Apr 62, Deurogubh, Berliner Alee 29, Duesseldorf, j

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

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

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

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

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

Ailmer, RL, quit; Sep-Oct 64, Sightseeing in New York;

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; Gi, 102; MM, 115, CI, 123;

Protective Practing is Exdude? From

GI, 106.

Automatic Terminaion Cler 10. Al 811-159

915

(CONTINUED)

3. TYPED NAME AND ORGANIZATION OF SPECIAL AGENT

WILLIAM F. MOCKIER, 501st MI Det (Ard Div)

Ô. SIGNATURE OF SPECIAL AGENT

Tilleine.

Pretter

DA

1 Are 32 341

NW 88613 Docld:34531181 Page 2

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## Page 3

- FOR DEFICIAL USE DA"

AGENT REPORT

(AR 381-130; FM 3Q17)

1. NAME OF SUBECT OR TITLE OF INCIDENT

Possiblo Sensitive Desertion

2. DATE SUBMITTED

5 October 1967

3. CONTROL SYMBOL OR FILE NUMBER

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

Military Education:

Rad Rel Carr Attend, MOS 311120, Signal

Corps, 12 wecks, 1965

Record of Non-Judicial

Punishment:

None

Record of Courts Martial:

None

DD Form 398:

Executed, unqualified dated 1 October 1955

DD Form 98:

Axecuted, unqualified dated 28 April 1955

Security Clearance:

None; Background investigation requested

oy the nois, G2, Fort Gordon, Georgia,

on 4 October 1955, UP AR 614-280 {01

retention of Simons in Military Service

Civilian Foreign Iravel:

53 to 54, Great Britain, Schooling; Apr 56

to Aug 55, Great Britain, Schooling; Aug 57

to Sep 57, Italy, Vacation; Jul 61 to Sep 61,

France, Vacation; Simons has also been in the

following countries for sight seeing purposes

from 1957 to 1965, Dennark, Austria, Belgium,

switzerland, Mexico, Holland, Iuxemburg, France,

and Spain

Foreign Service:

Pronotions/Reductions:

I4 Nov 65 to 27 Nov 66, USAREUR Germany

PVT El (P) 8 Ape 65 AR 601-210

FVT E2 (P) 25 Aug 65 Par 7-19 AR 600-200

1 Jan 66 Par 1 VOrk, Co B, 32d Sig Bn

APO 757

Chronology of Military

SP4 EL (T) U0H32, Co B, 32dSig Bn, APO 09757

Service:

28 Apr 65

USARECSTA (4075) FT POLK LA

10 lay

- 65

Coil.Bn2IngBDE Ft Polk Ia

17 Jul

65

StuCos USASESOS It Gordon, GA

16 Nov 65

CoB 32dSigBn APO 09757

25 Nov 65

Enroute to Conus

9 Jan 67 CoC WlstSigEn Ist AD Et Hood, Tex

Remarks

Remarks:

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

Sinons identification card reported lost to Provost Marshal,

17 August 1907, issued new identification card.

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

Fort Hood, dated 19 August 1967, authorized ordinary leava for Simons

effective 1 September 1967, for 20 days.

Leave address:

Oberlindau 89.

Frankfurt-rain, Gernany.

Special Instruction:

Ed will report to the

Army attache at the American ambassy, or to the Comander of the usa

Element, as appropriate.

simons enlisted under the buddy Assignment Plan, with one

Michael C. Morgan, RA 19 841 794, for further assignment to USARJUR.

Piu.

(CONTINUED)

3. TYPER OMMEANO DEGANGALION DE SERIA AGENA I 346-15)

6. SIGNATURE OF SPECIAL AGENT

WILLIA! E. HOCKLER, 501s0VI Det (Arnd Div)

Teres

Zi:!

DA 03 341

REPLACES NO AGO ONE NAS ACHARGIEF ON!

NW 88613 Docld:34531181 Page 3

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FOR QUICIAL WISE ON

AGENT REPORT

(AR 381-130; FM 30-17)

1. NAME OF SUBJECT OR TITLE OF INCIDENT

Possible Sensitive Desertion

2. DATE SUBMITTED

5 October 1967

3. CONTROL SYMBOL OR FILE NUMBES

A. REPORT OF FINDINGS (FIBID 201 FILE) (Continued)

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

at $60 a month for six months.

Protuative Marking is Excladed Prom

Automatic Termination (Par 10. AN 345-15)

S. TYPED NAME AND ORGANIZATION OF SPECIAL AGENT

ILLIAN E. MOCKLE, 501st 1T Dot (Arnd Div)

FORM

DA, 05 341

917

6. SIGNATURE OF SPECIAL AGENT

Tease,

NW 88613 Docld:34531181 Page 4

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