REQUEST FOR GREEN LIST NAME CHECK.
Originator: CIA
To: CHIEF WH/D
Document date: 07/16/1964
Document type: PAPER - TEXTUAL DOCUMENT

## Page 1

4-00000

104-10163-10116]

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

scon

Berzard a Mira Ir

€'€ 0-01195, E

c $

202-251504

BARKER

Terry, Bernard Leori Jr.

3. TATE AN? PLACE SE B:DIA

17 March 1917, Havana, Cuba (05 Amarican parcata)

S-8181988

3. FRESENT ACTINITO RAU LOCATION

Pr1ZS-TLEDE MARATes, MIRAI, FordIa

6. OCCUPATIONAL SPECIALTIES, EDUCATION

PEQUEST FOR GREEN LIST

NAME CHEERNº 151103

TO

CHIEF, FI!D

"CIGINATING CFFIÇEO

D. do WilllanA US

EFFICE LESIGNATE WE/SATES

NICH, GUILDING

0G-24

EXTENSICA

7646

13. TIPE LE RICEST ! CHECK ONE)

O FIRST TIME SUOMITTED

-ADDITICOAL CATA

18.

INTEGEST IN SUBJECT (CHECK ONE)

ESPICHACE

CE ACTIVITY

EPEPAYIONAL CLEARANCE

LICATICA

CATES

1. FAST ACTIVITIES INCLUOING MILI 'ARY SERVICE

ACTIVITY

Subjoct lost his U.3. alllzershly visen ho jossed

728 Cubar Polloo La 1950, but did sai soquiro

Cubes natlonal18y, Ho served as CapLela LA U.S.

D. OTHER SIGMIFICANY DATA (POLITICS, RELICICO) - AD0 ENTRA SMETS UMER MELDED

D. DEECRIFTION

(HEIGHT)

588 8 10

1D. SPOUSE (IF GIFT, GIVE MAIDEN WANG)

(GEIGHT)

(TEST

250 2b0

(MArA)

brorm

(OTHER)

OLITA HINES TIRHANDEL dO BARKER

1I. OTNER MEMDERS OF INANCIATE FAMILY AND ASUEGIATES

MarLa SLens BARXER (deebtor)

12.

INFORMATION REQUIREO (DEFINE SPECIFICALLY.

-Oi FUiLT MET icuikennis. i

GENERAL TERMS SIXIA AS DEROGATORY" MAY RESULY 19 I JEANCH TiM. 30IS

AZE PERTINENT INFORNATICK

INSTRUCTIONS:

INSERT CARSON: FILL OUT FORMS COMPLETELY.

SEND BOTH SHEETS TO FI/D.

GEORET

SEE CS! !A-?

201-25/689

RETURN TO CIA

Background Use Only

Do Not Reproduce

V/BR

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