[1]992 [44 USC 2107 Note) Caset:Niw
[2]03-18.
[4]JFK ASSASSINATION SYSTEM
[5]IDENTIFICATION FORM
[7]Date : 07/22/96
[8]Page : 1
[10]AGENCY
[12]RECORD NUMBER
[13]RECORDS SERIES
[14]AGENCY FILE NUMBER
[16]AGENCY INFORMATION
[18]INSCOM/CSF
[19]194-10012-10472
[21]DOD-AFFILIATED PERSONNEL AND INCIDENT INVESTIGATIONS
[23]ZFOOOQ003W - PAGES 915-917
[25]ORIGINATOR
[26]FROM
[28]TO
[30]TITLE
[32]DATE
[34]PAGES
[35]SUBJECTS
[37]DOCUMENT TYPE
[38]CLASSIFICATION
[39]RESTRICTIONS
[40]CURRENT STATUS
[42]DATE OF LAST REVIEW
[43]OPENING CRITERIA
[44]COMMENTS
[46]DOCUMENT INFORMATION
[48]USA
[49][ RESTRICTED ]
[51]AGENT REPORT
[52]10/05/67
[54]3
[56]SLOVODA, VLADIMIR
[58]REPORT OF FINDINGS
[60]FIELD 201 FILE CHECK
[61]POSSIBLE SENSITIVE DESERTION
[62]SIMONS, PETER KARL
[64]PAPER, TEXTUAL DOCUMENT
[65]SNCDASSTETED
[67]RELEASED WITH DELETIONS
[68]03/20/95
[70]PAGES 915-917 ARE DUPLICATE COPIES OF PAGES 797-799.
[72]NW 88613 Doctd:34531181 Page 1
[74]rs,
[76]“"AR QEFICIAL LISE ORLY
[77]aad AGENT REPORT
[79](AR 381-130; FM 30-17)!
[83]2. DATE SUBMITTED
[85]5 October 1967
[87]3. CONTROL SYMBOL OR FILE NUMBER
[89]1. NAME OF SUBJECT OR TITLE OF INCIDENT
[91]Possible Sensitive Desertion
[93]4. REPORT OF FINDINGS
[95](FIELD 201 FILE) On 5 October 1967, the 201 File of Peter K. Simons,
[96]Specialist 4, RA 19 841 799, was examined and revealed substantially the ,
[97]following information:
[99]Name:
[101]Rank:
[103]Service Nunber:
[104]SSAN:
[106]DOB:
[109]Citizenship:
[111]BPED:
[113]ETS:
[115]Marital Status:
[116]Religious Preference:
[117]Father:
[119]Mother:
[123]Physical Profile;
[124]Physical Description:
[126]Civilian Education:
[128]Civilian Employment:
[130]Aptitude Test Scores:
[132]Peter Karl Simons
[134]Specialist 4 (E4)
[136]RA 19 841 799
[138]550~-66-6254
[140]5 May 1943
[142]Cottbus, Germany
[144]German, Alien Registration Number, A 13 022 527;
[146]Date of entry, 8 August 1962; Port of entry, New
[148]York, New York,
[150]28 April 1965
[152]27 April 1968
[154]Single
[156]Roman Catholic
[158]Karl-Heinz Simons; POB: Saarland, Germany, DOB: j
[160]Unknown; Present Address: Unknow. ;
[162]Agnes Fries; POB: Essen, Germany, DOB: i
[164]17 September 1920; Present Address: r
[166]Cheruskerstr 49, Duesseldorf, W. Germany. .
[168]Richard Westlake; POB: Unknown; DOB: Unknown; i
[170]Present Address: Weston-Super-Mare, Somerset, i
[172]‘England. a i
[174]PULHES 111 121, Code B, 28 August 1965
[176]Age, 24; Sex, Male; Height, 73"; Weight, 1784;
[178]Hair, Brown; Eyes, Brown; Scars or marks, None.
[180]55-59, Martin-Buteer; Dierdorf, W. Germany, Graduated;
[182]59-62, Dierdorf Handesischule, Duesseldorf, Germany, |
[183]i
[185]Gradua ted.
[187]Apr 59=Apr 62, Deurognbh, Berliner Alee 29, Duesseldorf,
[188]Germany; Supervisor, Mr Grosskopf, Reason left (RL),
[189]immigrate to US; Apr 62-Jul 64, AimSesa Forwarders Inc,
[190]406 S, Nain St., Los Angeles, Califomia, Supervisor, _
[191]Mr Rautenberg, RL, Better future; Jul-Sep 64, Liberty
[192]Engineering Co., Culver City, Calif., Supervisor, Mr.
[193]Kilmer, RL, quit; Sep-Oct 64, Sightseeing in New York;
[194]Oct 64-Apr 65, Harper-Robinson & Co., 354 S. Spring St.,
[196]Apr 65 to present, US Army.
[197]IN, 111; AE, 103; EL, 103; GM, 102; MM, 115, CL, 123; |
[199]GT, 106
[200]Protective MGorténe is Miscluded From’? °
[202]i
[203]|
[204]Los Angeles, Supervisor, Mr Caranea, RL, Joined: Amy} |
[206]6. SIGNATURE OF SPECIAL AGENT
[209]a a
[210]LL ECCED RE Fo LAME LE EL
[212]SOAS
[214]Automatic Tormingtion (Per TO. AR OA
[216]5. TYPED NAME AND ORGANIZATION OF SPECIAL AGENT
[218](CONTINUED)
[220]|
[222]WILLIAM F. MOCKLER, 501st MI Det (Armd Div)
[223]FORPA
[226]DA 1 are 52 3 4) i REPLACES WD AGO rords fo) Pavel La sii Nagle useb | e C a \ | Y
[228][vn Seerrener Tru 11 - wae SON eee ee =
[230]NW 88613 Docid:34531181 Page 2
[232]oe FOR QEEICIAE HSE Ake
[233]7 AGENT REPORT ~~
[235](AR 381-130; FA 30-17)
[237]2. DATE SUBMITTED
[238]| ; 5 October 1967
[239]| Possible Sensitive Desertion 3. CONTROL SYMBOL OR FILE NUMBER
[241]« MroROFrmONGS (PIEID 201 FILE) (Continued)
[243]Military Education: Rad Rel Carr Attend, MOS 31120, Signal
[244]Corps, 12 weeks, 1965
[245]Record of Non-Judicial
[247]Punishnent: None
[248]Record of Courts Martial: None
[249]DD Form 395: Executed, unqualified dated 1 October 1945
[250]DD Form 98: Executed, unqualified dated 28 April 1965
[251]Security Clearance: None; Background investigation requested
[253]by the ACofS, G2, Fort Gordon, Georgia,
[254]on 4 October 1965, UP AR 614-280 for
[255]retention of Simons in Militery Service
[256]Civilian Foreign Travel: 53 to 54, Great Britain, Schooling; Apr 56
[257]to Aug 55, Great Britain, Schooling; fug 57
[258]to Sep 57, Italy, Vacation; Jul 61 to Sep 61,
[259]France, Vacation; Simons has also been in the
[260]following countries for sight seeing purposes
[261]from 1957 to 1965, Denmark, Austria, Belgium,
[262]Switzerland, Mexico, Holland, laxemburg, France,
[263]and Spin
[264]Foreign Service: 14 Nov 65 to 27 Nov 66, USAREUR Gerzany
[265]Fromotions/Reductions! PVT El (P) & Apr 65 AR 601-210
[266]PUT E2 (P) 28 Aug 65 Far 7~19 AR 600-200
[267]PrCE3 (P) 4 Jan 66 Per 1 UO4, Co B, 32d Sig Bn
[268]APO 757
[269]SPA EL (T) U0#32, Co B, 32dSig Bn, APO 09757
[270]Chronology of Military
[271]Service: 28 Ape 65 USARECSTA (4075) FT POLK LA
[272]. 10 May 65 ComlBn2ngBDE FL Polk Ia
[273]17 Jul 65 StwCoS USASESCS Ft Gordon, GA
[274]16 Nov 65 CoB 32dSigBn APO 09757
[275]25 Nov 65 Enroute to Conus
[276]9 Jan 67 CoC lAlstSigdn lst AD Ft Hood, Tex
[277]8 Jun 67 A9thSigFlatoon, 198thInfBde,FtHd, Tex
[278]} Remarks Remarks: ,
[279]1. Simons identification card reported lost to Provost Marshal,
[280]17 August 1967, issued new identification card,
[281]2. Special Order Number 31, Headquserters, 198th Infantry Brigade,
[282]Fort Hood, dated 19 August 1967, authorized ordinary leave for Simons
[283]effective 1 September 1967, for 20 days. Leave address: Oberlindau 89.
[284]Frankfurt-iain, Germany, Special Instruction: EM will report to the
[285]frmy attache et the fmerican Embassy, or to the Co:mander of the US
[286]Elenent, as apvropriate,
[287]3e Simons enlisted urder the Buddy Assignment Plan, with one
[288]Michael C, Morgan, RA 19 €41 794, for further assignment to USARSUR.
[289]cavr da Machited From | © (CONTINUED)
[290]5. WPL OMY IANO BEGANATION, OF PEUM AGENT, 345-15) 6. SIGNATURE OF SPECIAL AGENT
[292]Protcciivas Thork
[294]tho 9
[296]| WILLIAM FP. MOCKLER, SOLeSMI Det (Armd Div) Yo tebe
[300]DAL BAT ce wo nco Gay METER MRE CNTY
[302]delle ibe asian cilia - sw eecibevaa indepen eee ~ at ee teen instal
[304]NW 88613 Docid:34531181 Page 3
[307]AGENT REPORT”
[309](AR 381-130; FM 30-17) . ‘
[310]V. NAME OF SUBJECT OR TITLE OF INCIDENT ~ ~
[312]‘2. DATE SUBMITTED
[314]5 October 1967
[316]3. CONTROL SYMBOL OR FILE NUMBER, _
[317]J 4 erorrorrinoincs (VISLD 201 FILE) (Gontinusd)~ a -
[318]4. Simons drew advance yay of $360, 6 Aug 67, to be reraid
[319]at $60 a month for six months.
[323]1
[324]i
[325]Protuctive Marking is [xcluded Prom
[326]Automatic Termination (Pur 19 AR 345-35) g 1 7
[328]5. TYPED NAME AHD ORGANIZATION OF SPECIAL AGENT 6. SIGNATURE QF SPECIAL AGENT 2!
[330]‘ oe Z - ve H
[331]STLLIAN Fy MOCK, 50lst MI Det (Armd Div) a A :
[333]Se ane DSi poner ene a
[335]& “ dee aay
[336]DA. “aim 3 A REPLACES WD folded sal Vouk Ly jE vnfl marle : beep. i |
[337]| meat Jv Ie Gree Ua |
[339]a a © Anat ah acted al wn nn -— ee ee a en
[341]NW 88613 Docid:34531181 Page 4