[1]AGENCY
[3]RECORD NUMBER
[4]RECORDS SERIES
[5]AGENCY FILE NUMBER
[7]ORIGINATOR
[8]FROM
[10]TO
[12]TITLE
[14]DATE
[16]PAGES
[17]SUBJECTS
[19]DOCUMENT TYPE
[20]CLASSIFICATION
[21]RESTRICTIONS
[22]CURRENT STATUS
[24]DATE OF LAST REVIEW
[25]OPENING CRITERIA
[26]COMMENTS
[28]Date 01/14/98
[29]Page : 1
[30]JFK ASSASSINATION SYSTEM
[31]IDENTIFICATION FORM
[32]AGENCY INFORMATION °
[34]INSCOM/CSF
[36]194-10003-10335
[38]INTELLIGENCE /COUNTERINTELLIGENCE SOURCES
[39]PAGE 3
[41]DOCUMENT INFORMATION
[43]USA
[45]59TH ORD GP
[47]USA ADVANCED WEAPONS SUPPORT COMD
[48][ RESTRICTED ]
[50]11/17/71
[52]1
[54]KACZMARCYYK, GEORGE»
[56]RESULTS OF NATIONAL AGENCY CHECK
[58]PAPER, TEXTUAL DOCUMENT
[59]UNCLASSIFIED
[61]3
[63]RELEASED WITH DELETIONS
[64]03/09/95
[66]CONTINUATION SHEET INDEXED SEPARATELY.
[68]STAPLE HERE
[69]DEPARTMENT GQ? DEFENSE o~:
[70]“NATIONAL AGENCY CHECK REQUEST ~
[72]1 LAST NAME FIRST NAME - MIDDLE NAME
[74]SECURITY NUMBER
[76]A 1685
[78]4S0CIA
[80]1442
[82]Ho anurrany EM -
[83]‘CO eniuan
[85]Cammendian OF}
[86]RETURN Rammencing Officer - - (2 tNousTAiaL
[87]TO: 2 -Artiy Advanced Weapons Suppert Command
[88](Include ZIP ATEN: Intefiaence Branch
[90]LOCAL FILES CHECKED
[91]WITH FAVORABLE RESULTS
[93]© INITIATOR OF REGUES
[94]Commanding Officer
[96]HNC, 59th Ord Gp_
[97]1 a, PRESENT ADDRESS
[99]Code} [" ONY ¢ =
[101]ACCT 6124
[103]. This request for a NAC was completed by USAINTC on, ° 1:
[104]‘with results checked below: y » ROV 17 1974
[108]“
[110]: Th. FAVORABLE [al FAVORABLE DETERMINATION C] SEE ATTACHED SUMMARY |
[112]; Cl SEE ATTACHED COPY OF DOSSIER EE] KO DA FORM 873 IN DOSSIER,
[114][J DA FORM 873 IN DOSSIER FOR .
[118]reer wegeee a — ann iret,
[120]| GEORGE TOBIAS
[121]| : MAJ, MI
[122]CHIEF, USAREUR LN TM
[124](“Yes” answers must be explained in Jiem 18, below.)
[126]Le Is the subject an alien or naturalized citizen?
[127]ram o. Has the subject any foreign connections,
[129]x | ie Has the subject travelled or resided abroad other tha (for fi As
[131]18. REMARKS af eaaitignal space is needed, continue on plain paper.) : . 3
[132]ATie #12. Sep 7h _— present, OPR, Pirmasens, ermany See L
[136]Josef Kaczmarezyky, DPOE: 2 Nov 69, NYC, NY, Alien reg. #A7964415
[137]Dorota Iwanowa Kaczmarczyk, DPOE: 2 Nov 6¢, N¥C, NY, Alien reg ; ATHLEIE
[139]continued
[141]% GPO: 1967 0 279-094
[143]DOD, eens 1584 . j REPLACES DA FORM 3027, 1 AUG 65, WHICH IS OBSOLETE
[145]NW 88613 Docid:345297118 Page 2