[1]992 [44 USC 2107 Note) Caset:Niw
[2]e 5-15-21)
[4]JFK ASSASSINATION SYSTEM
[6]IDENTIFICATION FORM
[9]: 1.
[11]Page
[13]01/20/98
[15]- AGENCY
[16]RECORD NUMBER
[17]RECORDS SERIES
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[20]ORIGINATOR
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[25]TITLE
[27]DATE
[29]PAGES
[30]SUBJECTS
[32]DOCUMENT TYPE
[33]CLASSIFICATION
[34]RESTRICTIONS
[35]CURRENT STATUS
[37]DATE OF LAST REVIEW
[38]OPENING CRITERIA
[39]COMMENTS
[41]AGENCY INFORMATION
[43]INSCOM/CSF
[44]194-10004-10145
[46]DOD-AFFILIATED PERSONNEL INCIDENT INVESTIGATIONS
[48]PAGE 387
[50]DOCUMENT INFORMATION
[52]USA
[53]DCOFS, OPER HQS USAINTC
[55][ RESTRICTED }
[56]03/15/67
[58]1
[60]FROMER, DAVID R
[62]NATIONAL AGENCY CHECK
[64]PAPER, TEXTUAL DOCUMENT
[65]UNCLASSIFIED
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[69]RELEASED WITH DELETIONS
[70]03/07/95
[72]NW 88613 Docid:34528586 Page 1
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[91]‘Katherine Rhodes Estherville, Iowa
[93]15, ITEM (“Yes” answers ore expanded ‘in Remarks}
[94]AN ALIEN ORA NATURALZED CITIZEN-OF THE UNITED STATES?
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[103]a ANY. ARREST OR. COURT RECORD? .
[105]DCofS Operations .
[106]Headquarters, USAINTC
[107]ATIN: ICOP III
[109]: i ac i i
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[112]FINGERPRINT CARD FD 258 MUST BE ATTACHED SA F
[113]~*. Fe co. | ' "REPLACES DA FORM 840.1 DEC 58. WHICH 18 O Tw. °° NS aA
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[116]NW 60613 Docid:34528506 Page 2