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Released under the John F. Kennedy

Assassination Records Collection Act of

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

BR613 Date: 03-18-2025

Date :

Page

01/14/98

:1

JFK ASSASSINATION SYSTEM

IDENTIFICATION FORM

AGENCY INFORMATION

AGENCY : INSCOM/CSF

RECORD NUMBER: 194-10004-10403

RECORDS SERIES

: DOD-AFFILIATED PERSONNEL INCIDENT INVESTIGATIONS

AGENCY FILE NUMBER

PAGE 70

DOCUMENT INFORMATION

ORIGINATOR : USA

FROM :

TO : DCS, OPERS HOS,

USAINTC

TITLE : I RESTRICTED ]

DATE : 09/09/68

PAGES : 1

SUBJECTS : MARTI, MANUEL

RESIDENCES

EMPLOYMENT

SCHOOLING

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:34529219 Page 1

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STAPLE HERE

NATIONAL AGENCY CHECK REQUEST

S. EGAL-BI

LAST NAME - FIRST NAME • MIDDLE NAME

254-1448

9 Sep 1998

3.

MAKCI MANUEL (NMN)

ALIAS(ES) AND ALL FORMER NAMES)

NONE

A. SOCIAL SECUMITY

NUMBER

S. MONTH.

DAY, YEAR OF BIRTH

6. PLACE OF BIRTH

May 17 1946

SAN JUAN, PR.

PR

093-36-4601*

7. SERVICE NUMBER

BUNST COPY OF RESULTS OF ANY

US52773870

RETURN

INVESTIGAS, OPerANBLETED TO DAN

OPS WIL

B.a. SECURITY PROGRAM

OX MiLITARY

CIVILIAN

RESULTS

TO:

Headquarters, USAINTC

INDUSTRIAL

include ZIP

ATTN: ICOP-III-

Fort Holabird, Maryland. 21219

SAC-CT 1H1

FILES CHECKED

X WITH FAVORABLE RESULTS

C. INITIATOR OF REQUEST

• 0310

12.

CITIZENSHIP

MANUEL MARTI

&. MOTHER (Full Maiden Name)

10 August 10 UTUADO, P. Ro

1201 University Aver

US

REYES BADILLO

SPOUSE (Full Maiden Name)

GJanuary 15, SAN JUANPR.

DECEASED

US

N/A

13. RESIDENCES (List all from 18th birthday or during past 15 years, whichever is shorter.

A. FROM

b. то

G. NUMBER AND STREET

If under 18, list present and most recent addresses.)

May 1964

Sept 1965

d. CITY

Sept 1965

905 East 167 St.

C. STATE•

May 1968

May 1968

July 1968

1201 University Ave.

New York

New York

July 1968

D-9-2 (OPR)

New York

New York

Present

D-15-4 (OPR)

Fort Jackson

Fort Jackson

S. C.

S. C.

14. EMPLOYMENT (List all from 18th birthday or during past 15 years, whichever is shorter. If under 18, list present and most recent employment)

a. FROM

b. TO

C. EMPLOYER

Nov. 1964

d. PLACE

April 1965

April. 1965

Polly Perry

May

1968

New York, NY.

Huly 1968

Present

Mutual Ins. Adv. Association)New York, NY.

UNITED STATES ARMY

15.

i. FRO11

July 1966

YES NO

16.

Ig the

b.

Has tI

c. Has ti

d. Has tr

"DOD NAC Center

Igenly Checked Per Your Request

SEP 2 8 1968

c. 1s the

73/-11

FOR THE DIRECTORS

If. Hos th

&. Has &

18.

REMARKS, 1!! 41

G. Sitter

REF': Itemibe May 1968 • Present. US Army

SINGLE AGENCY CHECK AT FBI - IDENT

PLACE

EW YORK, N.Y.

17

REQUEST DATA

à. REQUESTER DESIGNATOR

ARMY

DASA

ent?

on?

Forces?

NAVY

DCA

AIR FORCE

DCAA

OSD

DIA

JCS

DSA

NSA

DISCO

BASIC TRAINEE

PRE-COMMISSIÓN

NUCLEAR

BI.

SECRET

•CLEARANCE

70

281

NAC COMPLETED 8 JULY 68 SHOUIS NAME CHECK

ONLY NEW FD 258

ATTACHED.

0903

ICOP

82c0)PS

8240,6019

DD

EORN

FORM

1 DEC 66 1 584

#GPO: 19670-247-527

NW 88613 Docld:34529219 Page 2

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