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Released under the John F. Kennedy

Assassination Records Collection Act of

1992 (44 USC 2107 Note). Case#:N

08613 Date: 09-18-2025

Date

:

01/20/98

Page :

1

AGENCY

RECORD NUMBER

RECORDS SERIES

AGENCY FILE NUMBER

JFK ASSASSINATION SYSTEM

IDENTIFICATION FORM

AGENCY INFORMATION

INSCOM/ CSF

194-10004-10147

DOD-AFFILIATED PERSONNEL INCIDENT INVESTIGATIONS

PAGE 389

DOCUMENT INFORMATION

ORIGINATOR

USA

FROM : DCOFS, OPERS HQS USAINTC

TO :

TITLE : [ RESTRICTED ]

DATE: 02/20/67

PAGES

:1

SUBJECTS : FROMER, DAVID R

DA FORM 3027

DOCUMENT TYPE : PAPER, TEXTUAL DOCUMENT

CLASSIFICATION

:UNCLASSIFIED

RESTRICTIONS : 3

CURRENT STATUS : RELEASED WITH DELETIONS

DATE OF LAST REVIEW : 03/07/95

OPENING CRITERIA

COMMENTS :

NW 88613 Docld:34528588 Page 1

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## Page 2

MUS. ARMY REQUES

BECKOND I

Reovich

DATE OF REQUEST

20 February 1967

Laved Need

SAT MONTH. FEARO:

21 July 1943

B. RELATIVE'S NAMES

FATHER

Javing Fromer

MOTHER (maidon namo)

Starine Rhodea

SPousE (mgiden none)

564-53-8151

C. PLACE OF BIRTH

3.

SERVICE NUNDER

Chicago, Cook, Illinois

D.

DATE AND PLACE OF BIRTH

12 Jul 1913

Cincimati,

Ohio

31 Dec $909

Esthnville, Iova

10. PRESENTADDRESS

13 Rhonda Way

MilL Valley, Celir.

13 Rhoade Way

MIl Valley, Callie

V. B.

LaS.

11. CITIZENSHIS

ENCES (List all from 1oth birthday or during last 15

whichever is shorler)

0. FROM

b.

TO

C. NUMBER AND STREET

d. CitY

STATE

1950

1960

1950

1961

1932 Cabrillo St.

San Francisco

Calif..

2450 Bencroft Way

Berkeley

Calif.

1951

1962

881 Clayton St.

San Francisco

Calit.

1962

219 N. Basset

Madison

Wisconsin

1963

215 Lake Lawn Ave.

Madison

Misconcia

1807

sort taiyersity Ave.

Madison

Wisconsalt

Vramed 20os

1509

SObEMPLOYMED in wornhahreirthday or during lust 15 years, will dagOshorter)

Tirisola

a.

FROM

TO

C. EMPLOYER

d.

PLACE

Lec 1959

Summar

1960

° 60

Dec

1959

Paul Dler Bookstore

San Francisco, Calff.

195÷

San Frencisco Council Cop Fire Girls Sau Francisco, Calir.

Fairmont Hotel

San Frascisco, Calil.

1951

1962

Foster's Restaurant

San Francisco, Calil.

Stunner 1962

& 1963

Madison Board of Education Rec:

Madison, Wisconsin

.N911 1962

Clan Service Station i

Madison. Misnontin

14. LAST CIVILIAN SCHOOL

FROM

TO

C: NAME

d. PLACE

resent

Univereity of Wisconsin

Madison, Wisconsin

5=I0I7I117543

YES

NO

15. ITEM ("'Yes" answers are expanded in Remarks)

.

IS THE SUBJECT AN ALIEN OR A NATURALIZED CITIZEN OF THE UNITED STATE5?

ANY FOREIGN CONNECTIONS, INTERESTS, EMPLOYMENT OR MILITARY SERVICE?

ANY FOREIGN TRAVEL OTHER THAN FOR THE UNITED STATES GOVERNGENT

d.

EMPLOYMENT BY A FIRM HAVING A FLASSIFIED US GOVERNMENT CONTRACT?

SAC -CT

FORMER US GOVERNMENT EMPLOYMENT OR MILITARY SERIOD NAC CENTER

%. ANY QUALIFICATÍON OF DO FORM 398 OR DD FORM 98?

a.

ANY ARREST OR COURT RECORD?

airfire

_ Ft Holabird

it Want?-

DCII reflects

P-NONI-RO54AF061, T-NONI-63-106790184

SUBJECT'S sister Ann Rhodes Spake, NEE: Froner; SUBJECT'S Father, Irving Fromer

No RECORD

ÖNI

REQUEST COPY OF RESULTS OF ANS

11027 FEB6?

INVESTIGATION CONDUCTED TO DATE

Agency

ONTO

сносно

List

18. FROM:

"FoRTh

-MAR

tesagura ters suSaie

ARIN: ICOP IT?

Fore Hoiabita, Hezgiland 21219

9. THBU:

389

4.1967

2163.

349г?

DEC SA.

WHICH

NW 88613 Docld:34528588 Page 2

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