CLEARANCE REQUEST
Agency: CIA
Originator: CIA
From: CHIEF, STAFF C/SPB
To: CHIEF, SPECIAL SECURITY DIVISION, I
Document date: 07/21/1954
Document type: PAPER-TEXTUAL DOCUMENT

## Page 1

104-10114-10115]

• in

• SECRET

SECURITY INFORMATION

CLEARANCE REQUEST

DATE 21 July 1954

2/TN

TO

: Chief, Special Security Division, I&SO

FROM : Chief,

Staff C/SPB

SUBJECT: NO.

53090}

080507 pen sTe

1. Character of Case:

0C300

CSC

PROJ.

2. CIA indices check required in advance

-Yes--NO--J*

3. Project name:

4: Proposed country of assignment:

(Costa Rica) 16-15

5. Contemplated type of contract or

employment agreement

(see C.F.R. 14.1)

6. Scope and nature of use or activity:

7. Subject's cover: Not cited.

Agent

8. Present whereabouts and occupation of Subject: Si

9. Suggested guide of I&S investigation: U.S. Gort.:.

Other:

Credit checks.

_Commercial

10. Special coverage desired in investigation:

Not cited.

Not cited.:

11. Limitation, if any, on investigation:

12. Subject aware of Agency interest,

13. Subject aware of pending investigation--

-Yes--NO-S

- Yes--Nort-

14. Subject briefed on "cover" story to be used in investigation----Yes-No-

15.

Probable investigative contacts informed of "cover"story subject will use:

Yes----No----.

If not, state reason.

16.

Return attached PRQ Part I-----

- 57°8-

-Biog. Data-Ce with results

of your action.

Certification having been made by the Chief of the interested Division that

operational files and documents contain no pertinent information of an in-

set to sort to then that furished to stare a

such information forwarded to your office-

18. Remarks: STC/SPB (has) (#8g-#0*) been advised if Green List initiated

ITIAL.

-ORM NO.

EB 1083 59-6

SECRET

101

ac

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