[1]Date : 01/13/98
[2]Page : 1
[4]AGENCY INFORMATION
[6]AGENCY : INSCOM/CSF
[7]RECORD NUMBER : 194-10004-10129
[8]RECORDS SERIES : DOD-AFFILIATED PERSONNEL INCIDENT INVESTIGATIONS
[9]AGENCY FILE NUMBER : PAGE 2
[11]DOCUMENT INFORMATION
[13]ORIGINATOR : USA
[14]FROM :
[15]TO :
[16]TITLE : [ RESTRICTED J
[17]DATE : 03/28/67
[18]PAGES : 1
[19]SUBJECTS : FROMER, DAVID REED
[21]NAC HISTORY CARD
[23]DOCUMENT TYPE : PAPER, TEXTUAL DOCUMENT
[24]CLASSIFICATION : UNCLASSIFIED
[25]RESTRICTIONS : 3
[26]CURRENT STATUS : RELEASED WITH DELETIONS
[27]DATE OF LAST REVIEW : 03/07/95
[28]OPENING CRITERIA :
[29]COMMENTS
[31]“NW 88613 Docid:34528532 Page 1
[33]| 97,2142 114] |S564-58-8137
[34]SEX, .
[36]DATE OF BIRTH SOCIAL SECURITY NUMBER MIL. SVC. NO.
[38]8,
[40]OTHER
[42]COMPLETED ®
[43]Oru aloe
[44]L HC Zee] ol | ZS fElzlofs/ ate
[45]‘ Bial2lalr ale elofele
[46]BM} =Zlol[oj—-ja u[E}olo
[47]COE oi OTHER AGENCIES
[49]. AIR RESERVE RECORDS CENTER, DENVER, COLO.
[50]. SECRET SERVICE
[52]. H_TERNAL REVENUE SERVICE
[54]|. BUREAU OF CUSTOMS
[56]i S.—_BUREAU OF NARCOTICS
[60]m
[62]Td
[63]Sune
[65]6.LU.S. INFORMATION AGENCY
[66]7% AGENCY FOR INTERNATIONAL DEVELOPMENT
[68]COE OE E [ L COE
[69]c c CC Epepert
[70]RATIONAL AGENCY CHECK HISTORY CARD
[72][ qj DO FORM 1546 c DEC 65 0 a?
[73]5OYS PEI BP [ | fl 0
[75]nam)
[77]NS
[79]DATE OF, |i SOCIAL PECUITY —Iaiitary| DAT is
[80]NAME BIRTH NU. BER- SERVICE | COMPLETED ol ele |ats
[81]1 gE NUMBER Sl [sees
[82]c C [ \ [ea] Mo Joay| YR Ja’ - = MO | DAY| YR Sie |Z}o|s|o]2
[83]P2245 6 7B 9 10 M2 131415 5 17 49 49 20 21 22 23 24:25 26 27[29}29/90. 32]32 39434 95136 37] 38 39 40 41 42 43 44 45 45 47 4Hfa9 50 51 S2]53 S155 96457 Salsa ial as}ael77|76{ 73 le9,
[87]NW 88613 Docld:34528532 Page 2