[1]d92 [44 USC 2107 Note). Caset: Nw
[2]D- | 5-1)
[4]Date
[5]Page
[7]JFK ASSASSINATION SYSTEM
[8]IDENTIFICATION FORM
[10]01/14/98
[11]1
[13]AGENCY
[15]RECORD NUMBER
[16]RECORDS SERIES
[17]AGENCY FILE NUMBER
[19]ORIGINATOR
[20]FROM
[22]TO
[24]TITLE
[26]DATE
[28]PAGES
[29]SUBJECTS
[31]DOCUMENT TYPE
[32]CLASSIFICATION
[33]RESTRICTIONS
[35]: CURRENT STATUS
[36]DATE OF LAST REVIEW
[37]OPENING CRITERIA
[38]COMMENTS
[40]NW 88613 Docid:34529219 Page 1
[42]AGENCY INFORMATION
[44]INSCOM/CSF
[46]194-10004-10403
[48]DOD-AFFILIATED PERSONNEL INCIDENT INVESTIGATIONS
[49]PAGE 70
[51]DOCUMENT INFORMATION
[52]USA
[54]DCS, OPERS HOS, USAINTC
[55][ RESTRICTED ]
[57]09/09/68
[59]1
[60]MARTI, MANUEL -
[61]RESIDENCES
[62]EMPLOYMENT
[64]SCHOOLING
[66]PAPER, TEXTUAL DOCUMENT
[67]UNCLASSIFIED
[69]3
[71]RELEASED WITH DELETIONS
[72]03/07/95
[74]i
[76]} oe | _ NAKCL MANUEL (NMN)
[78].” STAPLE HERE
[79]core ERE
[81]— tT “NATIONAL AGENCS CHECK REQUEST
[83]1, LAST NAME - FIRST NAME - MIDDLE NAME
[85]a 9 ee 1968 >.
[86]RR ec wo See ga
[88]3. ALIAS ALIAS(ES) AND ALL FORMER NAME(S)
[90]4. SOCIAL SECUKITY NUMBER
[91]NONE
[93]?4 093 3621,601-
[94]Ss. MONTH, DAY, YEAR OF BIRTH 6. PLACE OF BIRTH 7. SERVICE NUMBER
[95]May 17 19h6 . __. SAN JUAN, PR, 738
[97]a ee Sai ee ca
[99]- 2 ope -upee
[101]_MaN UBL MARTI
[103]) REGU PY OF RESULTS OF ANY -
[105],[8. a. SECURITY PROGRAM
[106]OPS AW Le (4) miutary
[107]LNVESPIGARTOY. SONBUETED TO Dat H CJ ewiuian
[109]Headquarters, USAINTG
[110]TTN: ICOP-I-
[111]Fort Holabird, Maryland 21219 .
[113]ay i oo
[115]{ INDUSTRIAL
[117]foe LOCAL FILES CHECKED j
[118]WITH FAVORABLE RESULTS |
[120]MITE
[124]10 August 10 UTUADO,P.2. 1201 University Ave
[125]fd. MOTHER (Full Maiden Name) Reavy “
[126]REYES BADILLO
[128]SPOUSE (Full Maiden Name}
[130]éJanuary 1 JUAWPR. DECEASED
[132]ifunder 18, list present and most recent addresses.)
[133]@. city
[135]Cc NUMBER AND STREET
[137]Sept 1965 905 East 167 st. New‘ York
[138]May 1968 | 1202 University Ave. ‘New York
[139]July 1968 D-9=2 (OPR)
[141]Fort Jackson
[142]Fort Jackson
[144]Present Dei5=), (OPR)
[146]c EMPLOYER d. PLACE
[147]| Nov. 196) | April 1965 Polly Perry New York, NY,
[148]i April.1965 | May 1968 | Mutual Ins, Adv. Associlation)New York: NY.
[150]Huly 1968
[152]Present UNITED STATES ARMY .
[154]L
[155]— SW YORK’, N.:
[156]"POD NAC Center _ ———
[158]Agency Checked Per Your Request
[160]F/-ID SP 2308
[162]FOR THE DIRECTORY eres 3 ae I
[164]Gs Dibba xCLEARANCE a |
[165]Itemlee May 1968 « Present, US “Army _ ‘
[166]OWS NAME cH
[167]SINGLE AGENCY CHECK AT FBI - IDENT -~ nae COMPLETED 8 JULY 68 SH 3
[169]70 ONLY NEW FD 258 ATTACHED « _
[171]2 1 0903 s2
[173]“ OA St oe cise TREE on! Bey. sont ards oe WGPO: 1967 O-247-527
[174]1 5 84
[176]NW 60613 Docid:34529219 Page 2