[1]14-9000
[3]104-10222-10042 | 2025 RELEASE UNDER THE PRESIDENT JOHN F. KENNEDY ASSASSINATION RECORDS ACT OF 1992 |
[5]MATERE Fysiszp AS CIA HEADS ARTES fy
[7]~ ROUSE SELECT COIUTEE OY ASSSSSTIOG LUXS STAEE EE Rees
[8]SECRET
[10]Frur trrue/ymamernoure: Reg tea - Ladlele. €. 2
[15]INCLUSIVE DATES: ? so — 'N.
[17]CUSTODIAL UNIT/LOCATION: _ALeice of Personne!
[18]ROM: Fe 13 | ___.
[20]DELETIONS, IF ANY:
[22]ATE
[23]RECEIVED
[25]he
[27]ETE RW B98 ss §
[28]Z 9 VISGIASOLS4a i
[29]UTADA RRENE oy Rorareame anrvasemens eeangySluis
[31]No OSMENTS MAY BE COPTED OR RIMOVED FAM THES TELE
[33]Sh
[35]Poa Ran
[37]megan eer et
[38]5 Ten TGS
[39]ARSE Win EON oes 7
[42]14-0000
[44]~ SECRET .
[45]a . FR bea Veiled tn}
[46]Cate retrarta .
[48]“ REQUEST FOR PERSONNEL ACTION 31 ‘July 1973
[49](hata Feeu~ Middle}
[51]BustoseVidela, Cheetopee i.
[53]4 _emective DATE aPONTETED
[55]. RAMAL Peuesber
[57]007667
[59]2. MATURE CF PERSONNEL ACTION
[61]S$ CATEGORY OF EMPLOYMENT
[63]Reassignment Regular
[65]10, LOCATION OF OFFICIAL STATION
[67]of
[69]DDO/WH Division
[71]FI Staff Washington, D.C.
[73]12. POSITION NUMBER 1). CAMETE SERVICE DEHONATION
[75]1). POSITION Tite .
[76]OPS Officer (af 0640 D
[77]Va CLAMMINCATION SCHEDULE (GN, 1R, et.) 113. OCCUPATIONAL Semmes | 78. Gta ane o1tr 7 SManORMAM
[79]Gs ~ | 9136.01 13.7 + 23642 aaa
[81]1G, REMARKS
[83]Home Base: Wil
[85]alt wort
[89]\ Jul 73 LISA. a Chonan td fo wr
[91](oat “CA
[93]MES ALPHABETIC
[95]29110 Sido ten ic 0c) an io Poa
[97]a Ca RNS SO
[99]Tt Le ESSA
[101]fanvions Civrtian covenant went aaa 8
[103]pre a 1 ote BE:
[104]f gesg parvIOUS Sbaite : Faas
[106]Go duted Ha SPtVCE i }
[108]VO AES Pea) YY :
[110]A (Home "aan 388) | !
[112]erst te a
[114]bt
[116]y DATE st8OVEG.
[119]i
[121]I
[122]78 ATE Pines 19 seria x. RED MEMIMT CATA ctrl VWoaarion n. 12. CORLC HICH / CAMLELLATION ata sd 03. UT your
[123]- - ACH ence Ee Yee bald coat Treg uO GA ta EOD DATA | HO NO
[124]| tt L
[126]‘cout lad “an (Stale
[128]7. YAH AND NECA 0 MOM AUINORITY (Complesed by Office of
[129]jus > . Porrenvel)
[132]whee ween LE saa ee
[133]| a5 See (Quy OTE {37 tans ‘cour “att ait 13s 3 UNH Gnon | ” AAGC1/ ELEN Ua RAKE 2h SOCAL SerUaITY Gt
[134]tr CR ~—treoel HEalin eS CODE |
[135]I , pee tae | i ' ft |
[137]14-0000
[139]3
[143]Crone
[145]“ened
[146]EVES CULY 1? Jan 1973
[148]MEMORANDUM FOR: Chairman, GS-13 Evaluation Board
[150]SUBJECT : Recommendation for Promotion to GS-4 -
[151]Charlotte Bustos-Videla
[153]L Itis recommended that Charlotte Bustos-Videla be promoted
[154]from GS-13 to GS-14,
[156]2. The performance of this officer has been characterized for
[157]many years by all of her supervisors as consistently strong to out-
[158]standing, She has been able to establish herself as indispensable in-
[159]each Headquarters Branch or Field Station asd gnment, usually :
[160]functioning as the backbone of the unit to which assigned, Since return
[161]to Headquarters in Scptember 1972 from her field assignment in Mexico,
[162]her performance has been entirely congruent with the thrust of the
[163]Field Station's énthusiasm over her ability, performance, attitude and
[164]growth potential. She is currently chief ofthe Cuban and CA Section
[165]of her branch, and has established once again her mastery over her
[166]assigned duties, She is the kind of sound, dependable, yet
[167]imaginative officer eyreatly appreciated by her supervisors, In
[168]short, she is a true professional who performs beyond her peace level,
[170]8. In regard to her potential, she has served in the Agency
[171]since 1951, starting as a secretary/stenographer , and adyancing
[172]brilliantly with, each new challenge offered, She achieved professional
[173]Status in 1953 and has spent the bulk of her time since then specializing
[174]in Latin American affairs, demonstrating total Hexibility In assignments,
[175]a voracious appetite for work and a penchant for exceptionally precise
[176]and thorough production, A review of her carecr to date can lead to the
[177]conclusion that she has always risen successfully to each new
[178]professional challenge, and is still far from reaching her maximum
[179]capacities, While she has had Little supervisory experience in the
[180]field, her supervisor was of the-ophion that she is a “natural leader",
[181]This has been borne out in her‘perfermance in her current capacity
[182]as a Branch Section Chief, In which she has demonstrated exemplary
[183]supervisory ability, Notwithstanding her drive, aggressiveness and
[184]professional aplomb, she is a popular co-worker, is receptive to guidance
[185]and sensitive and responsive to the needs of her subordinates.
[189]lolar oly ie meme Tr
[190]sctnel Mae ceric
[192]the j
[193]~ EVE: in.
[195]ted y eee vaccine
[197]i
[202]14-00000
[204]LammaeY
[208]ined SECRET
[210]EYES GELy
[212]4, . This employee has utilized her fluency in the Spanish language
[213]to maximum advantage in her work, Formal testing recently confirmed
[214]her high proficiency in that language. Coupled with a comprehensive.
[215]training record and her Invaluable experiences over a twenty year
[216]period, she has become particularly effective in Latin American
[217]operations and operational support, demonstrating excellence in each
[218]of several recognized specializations, including CI operations,
[219]functional support, reports and requirements, area support and varied
[221]covert action activities,
[223]5. The officer's adaptability, high intelligence and mastery over
[224]her trade was of inestimable value to Mexico City Station, and over a
[225]five year period from 1967 to 1972, she functioned as the Station's
[226]internal troubleshooter. Her duties included the maintenance of
[227]watchlists, screening of travel documents, processing of raw
[228]technical take, target analysis, reperts writing, operational support,
[229]handling of outside contract agents, and special assignments as the
[230]Chief of Station's Executive Assistant,
[232]6. The employee is occasionally called upon by the Office of
[233]Training to administer specialized training, and she was chosen
[234]recently ta attend the Mid-Career Course ending in December 1972,
[235]Meanwhile, her absence from her new job {s felt sorely by the
[236]Branch, Df is expected that her current assignment will Last about
[238]two years,
[240]7, Wi summary, we have here an exceptional officer who has
[241]been performing at the level of a GS-l4 for some years; it is now
[242]tinie to promote her te that grade commensurate with her performance
[244]and which she so justly deserves,
[246]“3 pn Q = pb j \y ,
[247]“Tieodore G, Shackley 2
[248]Chief a
[249]Western HemisphereDivision
[252]Eras GULy
[255]14-00000
[257]Noe
[259]MEMORANDUM FOR: Chairman, QSI - Honor and Merit Awards Panel
[261]SUBJECT - : Request for Quality Step increase (HR 20-37)
[262]Mrs. Charlotte Bustos-Videla
[264]1. On the basis of the information presunted helow,
[265]1t 1s recommended that a Quality Step Increase be approved
[266]for Charlotte Bustos-Videla.
[268]- 2. As noted in the attached fitnoss report, Subject's
[269]performance of.her duties has been uniformly outstanding.
[270]In addition to her responsibilittos in the Cuban section of
[271]the Mexico City Station, she has recently heen made the exec-
[272]utive assistant to the Chief of Station at Mexico City. In
[273]this job, she screens all incoming material for matters of
[274]interest to the Chief and Deputy Chief of Station. She also
[275]continues performing her past functtons in the Cuban section
[277]for the Station,
[279]3, Subject's present high quality of performance is
[280]typleal of ber performances since she entered the Agency in
[281]195), It is fully expected that this ievel of performance
[282]will be matntained,
[284]4. Although the present Chief of Station was not the
[285]reviewing official on the attached fitness roport, ‘he has
[286]commented that he considered Subject an outstanding officer
[287]and has recommended that she be considered iov a Quality
[289]Step Increase,
[291]Cf iA
[292]Lo ihigeet [, Kh me
[293]William V. Broe
[294]Chief
[295]Western Homisphere Division
[297]OPP
[300]he
[302]“a>
[305]14-0000
[307]EVES C Only
[308]SECRET
[310]MEMORANTUN FOR: Secretary, CBCB Panel (Section A)
[312]SUBJECT: Recompende+ioa for Promotion to Grade 8-13
[313]Charlotte Z. Bustos-Videla
[315]1. The promotion of Charlotte Z. Bustos-Videla from G8-12 to
[316]GS-13 is hereby recoumended,
[318]2.” This exceptional officer has now been performing at a
[319]senior level for several years and, while recognition through a
[320]Quality Step Increase was granted her last year, her sustained |
[321]perféruance clearly exceeding the requiresents of a GS-13 qualifies
[322]her for a promotion at this time. Subject is one of the outatanding
[323]women vho Nave demonstrated their capacity for even further
[324]advancement within the Agency and will probably continue to advance
[325]in the future. The present recommendation is based on already
[326]demonstrated ability to operate at a senior level.
[328]R. Sifect is Jo yeara old and has bean in grade as a GS-12
[330]for the past five sud one-nal? years,
[332]4 \ G
[333]Boi Decherd
[334]Deszond PitvOsrald
[335]Chief,
[336]Weatera Hemisphere Division
[338]EVES ONLY
[339]SECRET
[342]14-0000
[344]~ ToL CRE -
[346](When Feird ta}
[348]DAT Paerarto
[350]30 August 1972
[352], cattoot Of En oretnt
[353]Regular 7
[354]. 6. LEOa AUTMORITY (Compleend by Ose of
[356]Cnasoeanid
[358]19. LOCATION OF onnicnas $1anGe
[360]2. and (Law Frev— Maddie)
[361]Bustosvidela, Cf Z. |
[363]2. MATURE OF PERSOROSR ACNON:
[364]Reassignmont and Transfer to
[366]Vouchered Funds
[368]7, PIMANGIAL ANALYTES MQ.
[369]Lt
[371]DDP/WH Division
[372]Branch 1
[373]CA Section
[375]Wash., D. C.
[377]11 ROURON Ime
[378]Ops Officer
[379]$4, CLASHARCATION SCHEDUAE (G5, 15, ets.)
[381]18. GRADE ANO STrP
[383]7
[385]13 OCCUPATIONAL BEES
[386]0136.01
[388]FROM: DDP/WH/BR 1/MEXICO CITY STATION/0418 om BASE; WH
[391]1 - Finance. pa Ascronst Prontad by fice 29/08 Cah 1 7a
[393]7 t coe ,
[394]tssuttirny WZ (Concur: CCS Crt ) OAL £5 SEP
[397]E 2 IMPDET
[398]a CL BY 007034
[399]a eR Fag a SLE (a BET ET TOD CH GH TERETE
[400]ieee Te, 3
[401]hong {nor theta, c/w pees
[403]Ue
[404]Twols b
[406](to oa a kt
[410]5 \ meer bios den lez ail a
[411]at Mik n. merrarii) {? CCR a / (ARID G3te stat ae. NT fies
[412]ed ee nae
[414]pon lien
[416]7,
[419]ae tt com sear Call
[421]he a
[423]6 me ence meme,
[427]os
[429]Oy
[431]14-00000
[433]SECRET,
[435]pe gee 79
[437]MEMORANDUM FOR: Charlotte Buatos-Videla
[438]THROUGH : Chief, WH Division
[439]SUBJECT : Quality Step Iecrease
[441]1, 1 was pleased to learn that you have heen
[443]granted a Cuality Step Increase. Such recognition is
[445]proof. of tho high esteem in which you nre held by your
[446]supervisors in the Clandestine Service,
[447]2. Please accept my personal best wishes, I ap
[449]confident that your future performance will be of a
[451]eontinuing high quality.
[453]mon . : -¢
[456]Thomas H, Karenossires
[457]Veputy Director for Pians
[461]eRe poo + mrs
[462]Be tb ede ; = ad
[464]{ a 7
[467]14-0000
[469]SECRET
[471]“=~
[473]12 DEC 1969
[475]MEMORANDUM FOR: Head, Clandestine Service
[476]Career Service
[478]SUBJECT : Notification of Approval of
[479]: Quality Step Increase - -
[480]Charlotte bustos-Videla
[482]1. Lam pleased to send to you tho attached official
[483]notification of the approval ofa second Quality Step Increase
[484]to be awarded to thia employee. The previous Quality Step
[485]Increase wan effective March 1964.
[487]2. May Caygain ask that you arrange an appropriate
[488]ceremony for the presentation of this Quality ‘Step Increase
[490]which is in recognition of her continuing excellent performance.
[492]f Nerd ¥ SSSA ES meee
[494]f Kobert 3, Whttles
[495]Director of Pe raonnel
[501]~ S b (; RET errle wa
[502]hsserceplilbaood
[504]tee na ee
[506]14-0000
[510]Beene
[512]ce Te ra
[514]SUBJECT:
[517]CoAT
[518]Paste Pee
[522]Request for Quality Step Increase (HR 20-37)
[524]Mrs. Charlotte Bustos-Videla
[526]APPROVAL RECOMMENDED:
[528]12> Doc Y4UI
[532]: _— SECRET a
[534]FM hea belted bey
[536]Dale PHPAttS
[537]bad sirery EAN oc - . vache
[538]REQUEST FOR PERSONNEL ACTION 17 OCTOBER 1968
[539]1 Stat NUMeEE amt Lait ber Mddle,
[540]_ L ‘ M 3. _*
[541]007667 BUSTOS-VIDELA, CSSiEmSEE Z,
[542]3 NATURE OF PLESONNEL ACTION @_Erectivt Dart Bequestig 5 CAIEGORY OF EaNOTAENt
[543]. : mest bar vias
[544]REASSIGNNENT 11 | 93 REGULAR
[545]‘ ~ || 7 FINANCIAL ANALYSIS MO [@ LEGAL AUTHORITY (Completed by Diffie of
[546]. 4 PUNOS » ChARGLAKE Pevcmnet }
[547]“ [Jour [x ]owo | 9108 000 |
[548]9 ORQANIZATIONAL Gf 2ONANONS 10. LOCATION OF GFFICIAL STANON
[549]DDP/WH
[550]. FOREIGN FIELD .
[551]i BRANCH 1 ‘ . °
[552]; MEXICO CITY, MEXICO STATION MEXICO CITY, . MEXICO
[553]VE. POSITION fing 12 POSITION NUMBER 33 CAREER SERVICE DESIONATION
[554]OPS OFFICER 3) 0413 D
[555]Pe ciassuncatices SCHEORE (GE TAL ete) 1S CLO *Aroriat sEmes [16 GRADE AND STEP 17 SALARY O8 RATE
[556]an Gs 0136.01 13 4 5 15849 7
[557]19 REMARKS ; rs
[558]u
[559]. starr EMPLOYEE SPECIAL .
[560]. FROM: POSTION # 1528
[561]; ON LL
[562]Y O4fl HOD 18S SHAT uF CaRten § sernct ‘SPrROV: NG Pret!
[563]1 Hen ry L. Bertiold; we | .
[565]bez) h ié ak, a
[566]eect timed mate,
[567]. SPACE Show O08 EXCLUSIVE USsi oF THE OFFCy OF PERSONAL . _
[569]-C/Wi Personnel = /
[571]3 ganar fn” Ot tio a Stee a wits Ti rates Ty ;
[572]es ie Pg aonaaeg |] et (cot tot gp AP os. joes
[573]‘ a ' thin es pe
[574]SO EON O| ol wee geld geleehs Ld tt.
[575]«* nm att bans hemo sy Cite Reey Gala gub UFACabAR 17 (GaP aegiaati alk a HCuaITY i wa
[576]Speech a Ba ae ae pam anitl eas
[577]2 cre ee a Se f  seecoot fT oa = [roo DATA ae
[578]' | Hee , i
[579]eee Saar nes Se Ce: Oe —t- dn jo
[580]nat nba [a ite Oe can |v ioe Goa 7 Caney atc ab Kia SEU 2
[582]pi cee Hand 8 weet
[583]tO. Gad oF waved os rene PPh
[584]Po- Ta Ae acetal? em
[586]nies WEDD os etre ney ancien fet SECRET -
[589]14-0000
[591]“ SECRET
[592]+ . - 19 dew Filled bad
[593]7 Cath pwe2aeto
[594]\ REQUEST FOR PERSONNEL ACTION 13 OCTORER 1967
[596]Vo Setuky NUnte 2 NAME CT te Fer Medley
[598]07667 4 BUSTOSSVIDELA , cursors 8 Lan 2 PED.
[600]3 NaTuRt re) PRRSONTAL ACTION a uncuv'part Mts TID
[602]> CattGGr? OF EMPOTAINT
[604]REGULAR*
[606]o Ga autnooily y (Lempland by Ofis of
[607]Vorwaud)
[609]monte
[611]i REASSIGNMENT a. ee |
[613]: pe fee aa
[614]f 6. FUNGS
[615]Pi Joo ——[alowe |. 2198 0000
[617]10 LOCATION OF OFFICIAL STATICS
[621]DDP/WH
[622](| FOREIGN FIELD
[623]21 BRANCH 1
[624]S| MEXICO CITY, MEXICO STATION _MEXICO CITY, MEXICO
[625]‘ . Ub POSITION IT 2 POMTION IN NUMBER LF) cane wait Otsecrea tion
[626]OPS OFFICER _ 1528 D _
[627]1a CLASSINCATION SCHEDULE (GN, EAL rte.) 13. OCCUPATIONAL BERES [18 GRADE AND S117 17 Balaey 08 #ate
[628]Gs 0136.01 _4x122 | 3 13,769
[629]YO REMARKS . *
[631]OPS OFFICER OCCUPYING INTEL ANALYST.
[632]. o ay an
[633]Yo STAFF EMPLOYEE XKE& SPECIAL, wre . aos
[635]free Mi éay heer
[636]ONASY Cy ert LA anck
[638]EX CONCUR: .
[639]wl bees bls 1 - Pinance
[640]ccs f
[642]a PCR a fie PoC ren Ceo ee
[643]eld °
[645]Honty, L. Berth 172 Oct)
[647]Dae i Yigg lt
[649]C/Wil/Personnel
[650]_ "_SbACT BELOW FG8 LKCLUSIVE USE OF THE OFfIGy G+ erRsonn
[651]th cape) [0 pnt n arn te Fo " sSnOR 73 etecett Ad
[653]« |
[655]UME ES - APES tet cote
[657]WT wirananiow 97 Cope’!
[660]a ; ra a
[661]— fee lane On Dees fo ade.
[662]4 ” rican w BenSistiNT EAA
[663]CATA Go PT]
[665]BiiTees eg _ fr
[667]* a ret iverers 7 168G (08? ot
[671]com a5 Ge fun e08 tour Tones
[672]“ i 7 Moy fee 41 -riy
[674]—_ aoanen Geena Soman Davita fro Oran een eee
[675]" ry a Gavgtestst tnt par Ute (at a iF a Od pare
[676]aan See eee a pe
[677]oe yA yoke t Dewey cco Pa Te pene rges face trestle
[678]| Vag ,
[679]3 3 i ree) 7
[680]jena Seeereres) ‘ pun ! } ma ! ; :
[681]wee ee wee ae chee creme bce ee ven nee ee te de ee
[682]AS PENTA. COnthca Cea ura “|e OP awrarsee. You BPTRIVTO
[683]H
[684]! i
[685]: A
[686]. i Lif
[687]n\ sha” “of ,
[688]SUAS On A SET a smnee
[690]rots USD vat revecus erviene mo, SECRET
[693]14-0000
[695]23 June 1967
[697]sa ne heed
[699]HELVEANDUM FOR: Central Covers Group
[701]Syussac? - 3 Cover for Charlotte 2, Sustos-Vidcla
[703]1. Neva. Charlotte 2, Bustos-Vidola as being tranufersed
[704]PS to Koxico City in starf capacity. She will £111 slot
[705]1523, : , . .
[707]2.0 Urs. Custos-Vidola is travelins undexs Travel Order
[708]No. $9465. (See copy attached) Mor coves will Go that of
[709]n Cependent wife entering Meuico on the Yisitente visa of
[710]hos wha, 22. Cosivr Tastou-Videla, whs is receiving a.
[711]Vastitante viss da connection with a tecching cantrset he has
[713]with the Lag Améviens Univeruaty, © ere)
[714]Mniaworsity da payin for the travel wutos-Videla
[715]oniy anc for all documentation, Who Uni sity alco wiil
[716]ive no quarters of quarteyss allowance. Under the
[717]Looxceoyr Meg. Dustos-Videla will reesive mileare and
[718]¢ gesdiea fer the tein to Mexico City. Linited
[719]aald effeets wilh be sent, the vecsinins iteas (also
[721]1 3
[722]) will bo stored at Covornneat expense,
[724]Bee Leo hu
[727]ae PreOe SVLCNOI Sa COv an
[728]. sassye
[730]maphoymené Wath the U.
[732]4 wey Tas
[733]3. Jotuativ, Uys.
[734]Status as a Siasa Saploey
[736]3, Due te the cha de, A is requested
[737]they SCG ye tahe anpres Sant the cainvy
[738]ssceedived tovourh 15 Jui yin Arne bo,
[739]ang that effactive 15 ¥ Oo tax no loayer
[740]nt and ALb ot covered by a
[741]LOL yement of soveynnent
[744]3 ho.
[749]ay 2
[751]ty
[753]pas
[754]a)
[755]a
[757]SSELQCUT ERT Rieter reser meee
[759]14-0000
[761]. MEXICO CITY, MEXICO STATION MEXICO CITY, MEXICO
[763]- SECRET
[765]CW Rew biditd bad
[766]OATE peteaRtD ‘
[767]REQUEST OR PERSONNEL ACTION | 10 JULY 1967 iN
[769]y Samay ump 2 eae bat =f ret Middle)
[770]007667 BUSTOS | YVIDELA, CHARLOTTE a. ‘
[771]D Naruer oF PrESCNNEL ACT — «_UIHtCTIvE DATE EGAASTIO [5 CATEOORY OF EMMOTMENT
[772]RE ASSIGNMENT AND TRANSFER TO monte vine
[773]CONFIDENTIAL FUNDS 07 REGULAR
[774]7 VietaNCial aMALTSMS © UGm aUIMORItY (Completed by Office of
[775]NO, Cancdaced Perwand)
[777]¢ ORGANIZATIONAL OTRONATIONS To. “TOCATION OF OF o ry STATION
[778]G DDP/WH
[779]FOREIGN FIELD
[780]fl] BRANCH 1
[782]“TTY POSTON Numees 12 CARTER SEAVICE OLSIGNATION
[784]11, POSINION nTue
[785]OPS OFFICER UD | asee |
[786]V3 CCL PA TONAL SERS. 19 GRADE AMD $499 eo" '? SacaRY OW RATE
[787]a a“ _ _
[788]<a __ 0136.01 13 3 $13,769
[789]eS oF fice? oCMP TIAL FE, Ended Menke £7 Pasi tio
[791]Ke OP,
[792]at DDP/WH/1/Pos, No, 1201
[793]PRA IN ACCORDANCE WITH HR20-17d Cb) , NOT TO EXCEED TWO YEARS,
[795](2 Finagee —
[798]180 Wea y nny g aa aT he ita pena Yea Sana tone 6 CaS TEEVAE APPROVING GHFICET Walt Gla
[799]Wit heraolin le br, y 2
[800]taal LL ite Yh
[802]Robert D. Cashman pup “a
[803]_ “SPace BLOW fon Fravwaran vst me oF THe orf Hasonrat eae 2
[804]ire aciaw |* yarios u ort, togray . af stele {3 te it ORG DS Pas “4 ae it te GAEE GF int ty .
[805]Numede aapnacenc | Ud 4008 Ln rr errs Pai OBA we | Wo oa ma
[806]Sere 2 yy |
[808]£2626 | bot lege)s
[810]ara hag HUH eal ESE
[812]AS, Ij
[813]AL ALE
[816]TH Geriiatien fay (OraCtiOkstachuat we tale | NO [a wei The
[817]tata cout [" “Te. es a fgop DATA | nia np |
[819]j Wo ba a ANAL Toad u |
[820]ras “ Cc, -
[821]g Inu
[822]ODLIET CY tu 4 BoA | !
[823]~ Sp esi Sn a OO Bic nr Sn wee fee we beets eee
[824]31 Uta WW ioe6 tow tate Ute aucaar 1 sete ceteatn 2 Lad Sian MEURITY a
[825]een eenncnee fener are eee pa mover pe ane nn ae
[826]ve] ta re fo fae Teovt cot [award fea iay coe, ~|
[827]wl Lo j for. tar | | it :
[828]~t. [ieee prunmeiiamear pee pe
[829]sé PGE tab ey pected Tato data var that oat ry
[831]face Ma Teel sate coos
[833]1
[834]j
[835]y Le H ~ - .
[837]2oad pares at i ‘Gd feu tncune leon Two Yer Cha? nm Tote None A fog ase
[839]fi Pea eCe Tit : | lant i eri | con
[841]rye te sch ESS Pete freee | oe { pkg | i j
[843](2o Ehadd od Mted wOad Sane) FLARES; tL | t j i H i
[845]as ps moi CONTEC: featcancn Ma OF amiga aim APPLOVED
[847]-
[849]! .
[850]i “rs
[852]fp of b Fahd i eee oe,
[853]a v4 Se Le ey
[855]WOT NSD ust eeevces reron ; SECRET ™
[857]14-0000
[859]CETER,
[861]om Protea
[862]1 DATE PECraMeD
[863]REQUEST FOR PERSONNEL ACTION 19 OCTOBER 1966
[865]TNA | Last Fert— Media)
[867]f
[868]BUSTOSVIDELA, C.Z.
[869]2 MATURE OF PERSONNEL ACTION |
[872], meat
[873]PROMOTION . . 10 23 [66
[874]pL ake [Pee ean
[875]o ApoE a -
[876]| fem | fewe | __7235 0620
[878]$ CATEGORY OF EMPLOYMENT
[880]REGULAR
[882]@ LEGAL.AUIMORITY (Complered by Ofie of
[883]Prrmneel) na m
[885]4. CEEQTIVE Date RRQUESTIO
[887]10. LOCATION OF OFFICIAL STATION
[889]9, ORGANIZATIONAL DESIGNATIONS
[890]DDP/WH
[891]BRANCH 1 —_ Ft
[892]FI SECTION ? WASHINGTON, D.C,
[893]V1 Potion File [12 POSITION reumoee T19) CAREER SERVICE DESIGNATION
[894]_ —
[895]_OPS OFFICER (13) 12017 de _D
[897]17 SALARY Of RATE ,
[899]A
[903]TS OccuraniOnal seaus [16 Geave ano sit
[905]Gs
[907]10. 9LMARKS .
[908]FROM: GS-12/6 ($12,822)
[910]A
[911]a
[913]acy ©. AFinaneg : . __.
[914]5h pe
[916]184. BGT THRE OP Ee OFFAL Pate SGNeo
[918]Matas, tw. ok :
[919]Shears. © Lratisg Loetey! ( 0 = be/aule
[921]Robert Db, Cashman C/Wi ES
[923]‘0 Shana TURE, , CAaitR SaVAKE APE ROW INR OHTA
[925]eee eee _ SPACE BLOW FOR EXCLUSIVE U cece neue enue
[926]w icine | mM Garon {9 CHALE coving TD STUN TD ACRE __ SME OF itt
[927]wat cone tee meres coat ie >. . . . . OA oy
[928]Q . a a n°
[929]2d) /2 Beal day P2se ral Ol PA 24) co} Pale [10 193] G
[930]Te oWTE EXP a arf gal Cla Mo OSUPARATION 23. Sct Sta
[931]are TREE —— ATA #4 kD
[932]6 " ‘ pe bala CORR as [roo pata >
[933]oo t——-—} Peck ——
[934]8 VE PeutHME No otdss, (oar O47 3a anit cancory La PEGE MEATS pau 40, SCOIAL tee aiPt eo
[935]cuce ew at “Oba " OA. ve fear ase vor cone Jo-wanee WEAN INN, GOCE
[936]| | ev-uap tant
[937]ee = oe a Ln _
[938]Hh #26 VIOUS CIA GOVEINMEMT SERVICE 42 et a p HeoUPal Sax pata sna ta x pala
[939]eerenreren camer £00 Weta CAACUND| CODE nO TAR ALEMPTIORS [ree OURLUD pce feng sexpctane COO
[941]eFC NT Ta Oe PoE | | io
[942]a 3° , — ° Toate aPraOMe
[944]es T52 ust etevoes damon SECRET
[946]cry
[948]14.90000
[950], , , ASEP 1965
[952]MEMORANDUM FOR: CSP8/A
[954]SUBJECT : Recommendation for Promotion of
[955]‘ Charlotte Bustos-Videla
[957]1... The promotion recommendation to GS-13 of Mrs,
[958]Charlotte Bustos-Videla is herchy submitted, Mrs. Bustos-
[959]Videla entered tho Agency in August 1951 as a G8-5 and
[960]rapidly and desorvedly rose to a GS-12 by 1959, She has
[961]now been almost seven years in grade and has been recom=
[962]monded for promotion to the SPS/8 by WH Division five
[964]timos previously.
[966]2. This outstanding officer has continued to per-
[967]form at tho exceptional level which has by now hecome her
[968]standard of porformance, Her past four annual Pitneas
[969]Roports have cach given her an overall rating of outstanding.
[970]In this connection it is noteworthy that no two Fitness Re~-
[971]ports wore written by the same rating officer, She con-
[972]tinues to occupy a GS-12 officer slot and her performance
[973]cloarly continues to exeeed the requirements for that
[974]postition, Shea ds congic dig be one of the sutstanding
[975]women who havo demonstrated thouiv capacity for Lurtner
[976]advancement within the Agency. :
[978]3.. Mrs, Bustos-Videla sot only continues to bring
[979]continuity to the Mexican Branch through her long experience
[980]on Mexican affairs, but consistently contributes to the
[981]smooth functioning of the Branch through her highly cffLicient
[982]organizational capabtlities., She hag been called upon to
[983]handla all manner of difZicuilt desk probtems, She invariably
[984]responds quickly, cheerfully, and effectively. She has been
[985]instrumental in on-the-ich training of a number of officers,
[986]both for desk assignmenze and in preparation for field assign—
[987]ments. She has excellest rapport with innumerable persons in
[988]other areas and staffs, thus adding to the efficiency and
[989]speed with which she aceseplishes her daily tasks, er pro~-
[990]motlon at this time is urged. .
[992]a ad , we
[993]| A ee re
[994]a
[995]ia ney
[996]rn
[998]eS barct | William Y. Broe
[1000]fe
[1001]welh.
[1003]EN Chief,
[1004]Western Hemisphere Division
[1007]14-0000
[1009]SECRET
[1010](When Filled In) 31 Auguot 1966
[1011]MEMORANDUM FOR; Gharlotb de BustoseVi tela “a.
[1012]THROUGH : Head of @ career Service
[1013]SUBJECT : Notification of Non-eligibility for Deslgnation as a
[1015]Participant in the CIA Retirement and Disability System
[1017]1, AS you may know, we are in the process of reviewing the employment
[1018]history and current career-field of all employces in the Agency ta identify
[1019]those who are cligible for designation as a participant in the new CIA
[1020]Retirement and Disability System, In thir process, the initial review of
[1021]each case is made by the individual's Career Service, If the Head of his
[1022]Career Service nominates him for participation in the System, this nomina-
[1023]tion is reviewed by the CIA Retirement Board which recommends final action
[1024]to me. However, if the Head of the Career Service advises that the employee
[1025]docs not meet the basic requirements of HR 20-50 for participation, I have
[1026]accepted this finding without further review by the CIA Retirement Board.
[1027]This practice has been adopted in the Interest of expediting this screening
[1028]process so that those employees who are clipible ta partici{pate in the Sya-
[1029]tem may be designated partics{pants as soon an possible,
[1031]2. Im your case, ‘the Head of your Career Service has advised me that
[1032]you do not meet the requirements of HR 20-50 for designation as a partict-
[1033]pant and 1 have accordingly made the formal determfnation required by the
[1034]regulacion that you are not elfgible for designation. From a review of your
[1035]record it appears that the decision of your Carcer Secvice was bascd upon
[1036]the face that you do not have sufficient time prior to completing 15 yeara
[1037]ot service with the Agency in which you could complete a minimun of 60 months
[1038]of qualifying service as required by regulatton. My determ{natlon that you
[1039]are pet ctisible at this €fine for designation ino ne vay affects your current
[1040]status under the Civil Service detivement System, nor docs fl preclude reson
[1041]sideration of your eligibl itty to partleipate in the CLA System Lt you shuld
[1042]moet the requirements for designation in the Cuture.
[1044]3, Should you destre further tnformatien concerning the requbeements
[1045]for designation as a partfefpant in che CfA Retirement System, T suggest that
[1046]you read paragraph « of HR 20-50 and paragraph 5 of the Pmployce Bubletin
[1047]dated JO Faly t965, entitled "public Lav 8-643, The Central Intell lpeace
[1048]Agency Retirement Act of 1964 for Certain Umployecs."
[1050]4. Tt is always possible that the records upon which the determination
[1051]made in your case may have been tncompleate or {nacenrate regarding your actual
[1052]emp toyment histery with the Agency. If, afler studying the materials eited
[1053]above, you have questions regarding the determination that you are noc eligh-
[1054]ble co participate in the CIA Retirement System, please foul free to contact
[1055]officials of your Carcer Service. They are tumfliar with che detatls of your
[1056]Case and will aladly discuss thes with you, fa addiction, vou may wish ta dfa-
[1057]cuss your case with the CIA Retirement Staff located tn Roow 205, Mayusine
[1058]Buiiding (extensivn 2847). if sueh discussions do net resolve any questions
[1059]you have regacting your eligibility, you may request that your case be torwualiy
[1060]considered by che CLA Rettrement Board, However, this request auat be made
[1062]within 30 days of the date of this memorandum,
[1063]GP
[1064]Ee
[1066]co oD CLA netae
[1067]Fasten ee
[1068]Director of Personnel avempe tg and
[1069]LL Area ree
[1071]SECRET
[1073]a
[1075]14-0000
[1079]1 MAR 1266
[1081]MEMORANDUM FOR: - Secretary, CS/CS Panel (Section A) ra
[1083]SUBJECT : Rocomnondation for Promotion to .
[1084]Grade GS- 713, Charlotte Z, Bustos-Videla
[1086]' 1. The promotion request from GS-12 to GS-13 on
[1087]Mrs. Budps-Videla is hereby submitted.
[1089]2. This outstanding officer has continued to
[1090]perform at the exceptional level which has by now
[1091]becomo for her a standard of porformance. She now
[1092]formally occupies a senior (GS-13) FI Officer slot in
[1093]the Mexican Branch and her performance clearly continues
[1094]to exceed the requirement for that position. She is
[1095]: still considered to be ono of the outstanding women who
[1097]have domonstrated their capacity for further advancement
[1098]within the Agency, independently, of the experience on
[1099]Mexican affairs acquired through continuity in her :
[1100]present assignment.
[1102]jf _ 3, The comments mado in connection with the four
[1103]: Y previous promotion recommendations continue to be
[1104]. entiroly applicable,
[1106]4. Sub fect is 37 years old and has been tn grade
[1107]ae uv GS-L2 for the pust Six years,
[1109]: , 4 -
[1110]f Oc retome
[1111]fatittion V. Broe
[1112]Chief,
[1114]Wostorn Womisphere Division
[1117]14-00000
[1120]Lise Viabl
[1121]SENET
[1123]Q «Fe ‘S65
[1125].
[1127]MEMORANDUM FOR: Secretary, CS/CS Panel (Section A)
[1129]SUBJECT : Recommendation for Promotion to
[1130]Grade GS-13, Charlotte Z. Bustos-Videla
[1132]1. The promotion request from GS-12 to GS-13 on
[1133]Mrs, Bustos-Videla is hereby resubmitted. :
[1135]2. This outstanding officer has continued to
[1136]perform at the exceptional level which has by now
[1137]become for her a standard of performance, Sho now
[1138]formally occupies a senior (GS-13) FI Officer slot in
[1139]the Mexican Branch and her performance clearly continues
[1140]to exceed the requirement for that position. She is
[1141]still considered to be one of the outstanding women who
[1142]have demonstrated their capacity for further advancement
[1143]within the Agency, independently of the exportise on .
[1144]Mexican affairs acquired through continuity in her
[1145]present assignment.
[1147]3, The comments made in connection with the
[1148]three previous promotion recommendations continue to
[1149]be entirely applicable.
[1151]“ke Sabrect 1s 36 years old and has been in grade
[1152]as a GS-12 for the past six years.
[1154]o . Up FB
[1155]Day Rebel ere ae
[1156]William V. Broe
[1157]Chiet,
[1158]Western Hemisphere Divéion
[1161]14-000004
[1162]3
[1164]SECRET
[1166]18 dem Belted ded
[1168]DATE PeRPARLO
[1170]REQUEST FOR PERSONNEL ACTION . as JULY 1965
[1172]1 S$6Wa, tt 2 MAME Mata irtn Mastelley
[1173]007667 “ | BUSTOS-YIDELA, | Ciepcaec ea fe
[1174]; 3 CATEGORY OF EMMOTMENT
[1176]3 meatlRe CP PL ESONNEL ACTON
[1178]REGULAR
[1180]GO LIGAL AUTHORITY (Complried by Ofay of
[1183][GNMEN'
[1185]§235_0620
[1187]$0 LOCATION OF OFFICIAL STATION
[1189]WASHINGTON, D.C.
[1191]12 CAREER SERVICE OLSIGNATION
[1193]1) posites tre
[1195]12. POSITION NUMBER
[1197]2s es ee)
[1199]PS OFFICER . ——_- --—-- -
[1200]13 CORK CUPATIONAL SERIES 16 GRADE AND STOR
[1202]17 SALARY O@ RATE —
[1204]s-hyars 1/6 70
[1206]14 CLASGIMNTALION SCHEDULE (G9. FR, en.)
[1208]0136.01 12 45
[1210]18 Pease
[1212]PROM: DDP/WI/MEXICO SECTION/1202/
[1214]YRS, BUSTOS-VIDELA WILL REPLACE Mit. RICHARD SCUTT WHO WILL BE
[1216]REASSIGNED TO DDP/EE. a
[1217]TO BE EFFECTIVE 1 AUGUST 1965 [ieoos 4 el
[1219]i- Security - }
[1221]rae Oe ai aie te core “e. DATE SIGNED Ties sxariarunt OF Cantha Seavick BAKO
[1222]oF be CASINE AN | | Be ded MAR
[1223]’ me
[1225]SPACE BELLOW FOR EACLUSIVE USE OF Ht OFFICE OF pias NMEA ate 44 i
[1226]NE BE ee pid le sa an aa
[1227]ir sation Us, EEG ate a woatES hay Date aa a Tore \ a as ot LE
[1228]_ i" i OA Mek. ——
[1229]wrt (OBE (008 “0. ua { is pa. “
[1231]len aN Shee Rae tute f a | al al. Le a ret i rae
[1233]CE Cs) Vyi ePRaATiON | [22 eatin “ORELGHICN GAR aan
[1234]- a HET TaENCE {rm ~ fe ma mnt bo I vars : EOD Dara | | 7)
[1235]Qe [ |
[1237]Je HR
[1238]bt ti ul Mace coe? Salt Hn CaREED CUEGORT »” de Naa ieee 40 yocat =e 10
[1239]‘Oo ta. re (it ee Tone coud | a— bed mEaii ins, CODE —
[1240]t meu is? | tes i
[1241]ee a a
[1242]'@ tua oi fa a5 CATA fee
[1243]fa cans [rom acum
[1245]ean Pina ' cont town aia
[1247]CA wD SEM 2 MOTI tees { oT
[1248]# ane a 1-0 H |
[1249]- 25 ts 1 . 4 wood co 4
[1250]oo ween Ee ee ee pee eee a gee hs
[1252]rere on Cont, epic ancn” 1S OP Arewoval
[1255]ae POLLS
[1257]LE
[1259]SOP GE wes pereous tetow SECRET
[1261]'
[1264]14-0000
[1266]4 SEP 1964
[1270]: MEMORANDUM FOR: Secretary, CSCS (Panel A) -
[1272]SUBJECT ¢ Recommendation for Promotion to GS-13
[1273]Mrs. Charlotte Bustos-Videla. — :
[1275]r
[1277]1, The promotion to. GS-13 of Mrs, Charlotte Bustos-Videla
[1278]is recommended. Mrs. Rustos-Videla entered the Agency in
[1279]August 1951 as a GS-5 and rapidly and deservedly rosa to a
[1281]GS-12 grado by 1959,
[1283]2. This recommendation is based on Mrs. RBustos-Videla's
[1284]performance during the past three years as the senior ussist-
[1285]ant to the various chiefs of the Mexican desk/branch, who ,
[1286]unanimously have found her to be extremely competcnt and ree
[1287]liable both in her routine assignments and special tasks
[1288]occasionally levied on her, such as country studies, compila-
[1289]tion ‘of programs, requirement reviews, etc, .
[1291]3, Mrs, Bustes-Videds has consisteithy responded with
[1292]intelligence and clarity and bas materially centributed to
[1293]orderly imaginative administration of Headquarters support to
[1294]: ad most active station. In the -precess, she has been instru-
[1295]rental in training on-the-job innumerable officers both for
[1297]: desk assiynments and in preparation for field assignments.
[1299]} 4, for her outstanding performance she received a quality
[1300]. step tncreate in April 1964, This deserved recognition should
[1302]now be followed un at this time by a promotion to the next
[1303]grade in accordance with the consistently sood performance at
[1304]the GS-13 level over a prolonged period ef time,
[1306]5 a t ate
[1307]Rasa G
[1308]Noe RG a aS
[1309]Desmond FitsCerald
[1310]Chief
[1311]Western Hemisphero Divisioa
[1313]Ved
[1316]14-0000
[1318]SEENES
[1320]~ CONFIDENTIAL
[1322]_ 14 APR 4964
[1324]MEMORANDUM FOR: Head, Clandestine Services Career Service
[1326]SUBJECT : Notification of Approval of Quality Step Increase «
[1327]Mrs. Charlotte Bustos-Videla Los
[1329]1. Iam pleased to send to you the attached official notification
[1330]of the approval of the Quality Step Increase which you recommended ©
[1332]for this employee,
[1334]2. The salary increase accomplished by the award of a Quality.
[1335]Step Increaso is important and tangible evidence of the esteem in
[1336]which the employee so recognized is held, However, I believe the
[1337]commendatory and incentive benofits of this award will be partially
[1338]lost unless it is presented in an appropriate ceremony which will
[1339]afford the individual recognition among co-workers and supervisory
[1340]officials, “Also, believe such recognition sorves to inspire other
[1342]guployeas ta aspire to Hata BUCH Paco ation,
[1344]3, May Tank, tiereforo, that you arrange to have this Quality
[1345]Step Incevaso presented at an appropriate ceremony,
[1347]fo Kp
[1349]ease Mell
[1351]tt D, Echols”
[1352]/ Director of Porsadnel
[1353]a
[1356]14-0000
[1358]SECRET
[1360]20 March 1964 :
[1362]PESTELNDUM FOR: DDP/OP . :
[1363]Tex. DICH : Chief, Clandeotine Services Personnel Office \
[1365]DU hed 2 Charlotte 2. Bur
[1366]a ¥ , Quality Step Increase
[1368]oaVidelg -~ Seen wat for
[1370]2. It is recommended that a Quality a tes inerease for
[1371]Fee. Charlotte 2. Bustos-Videla he endorsed ty pou for the reasons
[1372]nved in the attached memorandum prepa: cared he the Chief, Western
[1374]Eenlsphere Division. .
[1376]2. A review of Mrs. Bustos i-Videla's AfNiciad Personnel File
[1378]Sole St ee WIth
[1380]sol : .
[1381]hag haer euiifled by v
[1382]and “Outstanding.” [ikewlse, ne
[1383]by the Uffice of Personnel cont:
[1384]imrestive record made by Mrs. Bugtos-Videla.
[1386]ne te the
[1387]gies ude offiesrta work i
[1388]wo the Larch flewals of fl
[1389]weed ef bat threa of
[1390](ag wel pee vision of th
[1392]CIA approximate!
[1394]1982 became
[1396]ne enemas onary
[1397]PHART I: eae
[1398]8 oh isha: 5 aersce
[1399]Vaid, Ef he tne St
[1400]Fe Ne
[1402]See
[1405]14-0000
[1407]wleacd
[1409]6 March 1964
[1411]MEMORANDUM FOR: Deputy Director of Plans
[1413]ATTENTION : DDP/oP
[1415]SUBJECT : Request for Quality Step Increase for
[1416]Charlotte Bustos-Videla ;
[1418]1, On the basis of the information presented below,
[1419]it 18 recommended that a quality step increase be
[1420]approvod for Charlotte Bustos-Videla.
[1422]2. As stated in the accompanying Fitness Report,
[1423]Subject's performance of her duties has been uniformly
[1424]outstanding. In addition to her responsibilities as the
[1425]desk officer for Mexico ¥I and Operational Support Projects,
[1426]she carries a heavy burden in the areas of adwinistration,
[1427]preparation of special reports and training of personnel,
[1428]Bhe frequently representa the Wexico Section fn dealings
[1429]avith other elements of the 4 cy and aete far - Onjeek
[1430]ef Section in his aboence, Uvject’s perfrorse ehearly
[1431]exceeds the norwal reqitiresents ef the asaAignment anu of
[1432]her presunt GS grade level. -
[1434]3. Subject's present high quality of performance
[1436]typifgics her performance over 4 period of several years
[1437]aad it is fully expected that this level will be satutsainod,
[1439]4, Consideration was ylven to the granting of a
[1440]Merit Award but the quality. Step increase sens morg
[1441]appropriate in this casq. Subject nas been papsed over
[1443]fer promotion tn the pant, and duoc to limitations as to
[1446]14-0000
[1448]Wherein st
[1450]Sn tee emt we Ak
[1452]‘area of assignment, tt is unlikely that a promotion to
[1453]grade GS-13 can be obtained, The salary increase is
[1454]therefore thought to be the most fitting reward for her
[1455]outstanding service.
[1457]CONCUR:
[1458]IES MO, Mleetee
[1460]BOR "Tate
[1462]APPROVE:
[1464]lA
[1465]| _ OM, PY MARCY
[1467]i -$5 eator I pee “HOnnel ~“~Hate
[1470]14-0000
[1472]. SECRET
[1474]CATE Pacrasto
[1476]& REQUEST FOR PERSONNEL ACTION
[1478]1. SUTROAL NUMBER 2. maur fLast-Picet. middie)
[1479]7 007667 _~ BLSTOSVIDELA,_C = —-
[1480]a. CHUL Tif COTE MEQUCSIED, 4. Category oF CePL Ovetar
[1482]3. MATURE OF PEMBONNEL acTIED
[1484]wore bow veae
[1485]InEASSTGXVEN The 163 GULAE
[1486]a Ce a Ee y, COST CARTER WO. Crancts [@. LEGAL auTnoRnITy (Completed by
[1487]¢. FUNDS > ane Office of Persennel,
[1488]cr to
[1489]- 4225..1600_100¢
[1491]S. ORCANMDTATIOMAL OERIGNAT OWS 10. LOCATIZ@ OF OFFICIAL STATION
[1493]DDP WI .
[1494]BRANCIL 3 .
[1495]MEXICO SECTION WASHINGTON, D. C,
[1497]$3. CAREER staviCt OtSiGenTs ON
[1499]58. POSTTEOM TITLE 12. POSITICE ay
[1501]OVS OFEICER 0 _ PaaS 15 ES )
[1503]14, CLASSIFICATION SCHEOULE CGS, £m, ete, 1 46. OfLMATIONAL SERIES [16. Geant sed STEP
[1505]}GS_ ae OLEH OL. 1Z
[1507]18. ALMARKS
[1509]FROM: = DDP AI /3/607/sexico See/lys
[1512]“ws Ge i 1
[1514]Tne eee ne sane got
[1515]ba feng ”~ Cabicw seaeace apPRaving [a pate de user
[1517]oo eat 7 4 aefict
[1519]Ra fete rae se
[1520]ap ane see
[1524] Peeet tes Caetam fears
[1526]H
[1527]a
[1529]t
[1530]Hl
[1532]CAR.
[1534]14-0000
[1538]SORE.
[1540]we gay wee een beeen eee,
[1542]15 March 1963
[1544]MEMORANDUM FOR: Secretary, €8/C8 Panel (Secticn A)
[1546]SUBJECT: Recommendation for Pronotion to Grade GB-13
[1547]Mes. Charlotte Bustos-Videla
[1549]i. Mrs. Charlott2 Bustos-Yidela entered on duty vith WH
[1550]Division in August of 1951. She has served on a variety of
[1551]desks covering South American a9 well as Mexican and Ceatral
[1552]American affairs. In each of her assigmeents ashe has demonstrated
[1553]exceptional competence and devotion tu duty.
[1555]2. Since December 1957 Kau. Bustos has been assigned to
[1556]the Mextoan Desk and at present ia Acting Gilef. She is the
[1557]soul and motor of that desk, managing many of its oparntions and
[1558]guparvising its sterf, many of wham sha haa trained. Sho is
[1559]psst mistress of administraties preied aed nh at :
[1562]neteasary do whise peal tng tha aust enmplicatc’d cyperational
[1563]eapecta of prejects Is yhoncetnal. Her work autput ia enormcus
[1564]and yet everything is dena sinply and modestly with a minimun of
[1565]axcaaa moti. She 4a an outatanding eeployse and ahould bo
[1566]deserving of reciguition.
[1568]3. Is da yecommended that Nra. Buaten be praxoted to
[1569]grade 68-13.
[1571]J. &, Xtna
[1572]Chier,
[1573]Hestora Eaaiaphery Division
[1575]* ‘ o . \ 7
[1576]SG a“ cay? Vite
[1578]ody th
[1579]wee
[1581]14-00000
[1583]. SECRET
[1584]amen - 7 LMhen Fitted tn)
[1585]. CATE PREPARED
[1586]REQUEST FOR PERSONNEL ACTION
[1587]1 June 1961
[1589]$. SCRIAL NuMgeR 2. maur (Last-Fivet-middley
[1590],
[1592]f :
[1593]107667 BUSTOS-VIDEIA, C. Cc. 2 ‘ ae : :
[1594]3 CATEGORY OF CuPLOYMENT
[1596]2. mature OF PERSONNEL ACT I Oty 4a. tfrective DATE et quester 3.
[1597]nae
[1598]“ if
[1599]ob |e [é- REGULAR .
[1601]HAME CHANGE FROM-CHARLOITZ L, Zed
[1602]7.,COST CENTER NO. CHaRce> |e. Lecat auTHoR ITY (Completed by
[1604]. v Tov vito cr.
[1605]6. FUNDS lx | * “ane (Office of Personnel)
[1606]Depa tw | |
[1608]9. ORGANIZATIONAL DESIGNATIONS $0. LOCATION OF OFFICIAL STATION
[1610]DOP WA
[1611]BRANCH 3
[1612]MEXICO SECTION
[1616]WASH., D. O,
[1618]- 12. POSITION NuMOTR 124 PCR CONTROL WO.E 23 CAREFR SERVICE
[1619]BE SIGHATEON
[1621]OPS OFFICER D BA-607 4
[1623]12. SALAQY OR RATE
[1625]49. Position TITLE
[1627]Th5. occurariowac SERIES (16. GRADE AND oTer
[1629]0136.01 2 be * S955- 92747
[1631]$4. CLASSIFICATION SCHEDULE (63, LI, ofe.7
[1633]ag 12
[1635]ts, SEMARKS
[1637]By Marriage,
[1639]a a
[1641]FEt 1CF APPROVING GrF ict
[1643]jy '420 StGmatuwe oF es
[1645]Yee. SisShaTuRT of eFaou. 4 i
[1647]Pb UF FIC
[1649]Leos mm)
[1651]a ane ee
[1653]Fat yrles
[1655]+c obs A adavar te
[1656]veg BZ TN
[1659]14.90000
[1661]od
[1663]we
[1664]oO
[1665]Pat
[1666]a
[1667]a
[1669]2° “tay 1961
[1671]MEMORALTUY FOR: WH/Personnel
[1672]SURJECT: Change of Name
[1674]It is requested that all records in the Arency,
[1675]including tha gecbien wnich issnea payroll chock., ba chanj,od
[1676]to.raflect sy married name: Charlotte Z, Pustoss/idelas
[1678]This chanpa is effective immediatoly.
[1680]“1 w ? >
[1681]_ an
[1682]C4 a cde die hes shee kets ha
[1683]uhovlotte 2, Oat s-7idela
[1684]KA/3/texheo
[1688]14-0000
[1690]} tame
[1693]; _ REQUEST FOR PERSONNEL ACTION \
[1694]1. veal Kio, &. Nome (Last-First- Middle) Je - 20K o. £3 -tO0
[1695]Mo. | Da. | Ye. ee icode i Mg] Oo. | Yr.
[1696]b 07667 ZEHRUNG CHARLOTTE. ort 12| 29 1607 | 08 L2t 51
[1697]7 _ G, CST Roem. (9. CSC Ge Other Legal Authority [10 Apat Alfiday.[ 71, FEGUT | 18. D CES ee
[1698]Mo. | ba. | Yt. | ¥e3-1 | Code! , Mo. | Da. | Ye. |y¥op1 [Code Do. | vr. «3 [Code
[1699]O% loz [51 |No-@1°1 | 50 USCA 403 v No-2 27/51 Nola [2
[1700]PREVIOUS ASSIGNMENT
[1701]14. Organizational Detignations Code | 15, Location Of Officio! Station Station Code
[1702]DOP WH
[1703]RANCH 111
[1704]\ MEXICO SECTION 4613 |WASH., DO. C, 75033
[1705]‘ 16, Dope. - Fi 17, Bositton Title 18. Position No, 19 Serv. 20. Occup. Sories
[1706]a
[1707]fign «12 AXKXAXRMX OPS OVER i BAR I21 S| 0436. 51
[1708]“1, Orode # Stop (22. Salary Or Rate [93. SD 24, 4 Bate OF Grade 95. 5. PST ia ) | 25 Appropriation Number
[1709]$ 27 5a ‘Mo. Da. Mo, Da.” Yr, | 0235~1000-2000
[1710]112% Sine 9530. ol 0% {40 155, o4 (0S 155 1h aeop eg
[1711]. ACTION
[1712]U7, Mature OF Action (28. Elf, Dato £99. Type Of Cnployee Code} 30. Separutica Data
[1713]Mo. Da. Yr.
[1714]PROMOTION 2 ne RUGULAR
[1715]e131 4
[1716]RESENT ASSIGNMENT ?
[1717]fom Cade E62” Locman Ct Orion pation eC
[1719]i
[1721]| .
[1722]1
[1723]me
[1725]. ee es in an a
[1726]a8 “Ta “fesdon Pika 437 Botion UN a ff 36. Sarl 37. Coup. Senses
[1727]vole & 0,
[1728]2 OFS OFGR Akt gs 0136.01
[1729]; de 2 ep! 3, Salary Or Pag 40, ee Of Giada (47, PS. __ [a “Aégropriction Manber” ~
[1730]$ a
[1731]- |
[1732][ Ae nee ~ 2330 LDL hone
[1733]fA . Pen: wi hy @ a ‘ame Api Rafedyea ay a ” fo OUEST By 8:
[1734]tor ota fe
[1735]P.O, Bowerg  Yi'P Pefuoakol Ui te ae ve
[1736]‘ ga Call (Name & Telephone Cat.)
[1738]ee EE Ae
[1740]Vara 's, 1152 ernnny
[1741]- wh.
[1746]14-0000
[1748]Sit 1
[1749]~ SIS a
[1750]16 July 1959
[1751]Pa f- ™ ‘, ay ¢/ 4
[1752]fotcdta. fa adiite - 2
[1754]-MENORANDUM FOR: Secretary, CS/CS Panel (Section B) '
[1756]SUBJECT: Recoumenisation for Promotion «
[1757]‘Nisa Charlotte L. Zehrung
[1759]1. Miss Charlotte L. Zehrung entered on duty with CIA on 27 August 1951.
[1760]— She waa asoigned to the Mextcan Section of WH Divivion, Brauch III, in June
[1761]Ye, " 1957. During the past two years she hag been the responsible Case Officer
[1762].. fo several FI and CB Projects,
[1764]“ .°2, Miss Zehrung is a loysl and dedicated employee. She has displayed
[1766], considerable initiative and has been able to carry out her duties with a
[1767]minigun amount of support. Ste readily accepts responsibility and is a high-
[1768]ly offictent worker who thinks clearly and logically, Her knowledge of Head-
[1769]quarters and Fiald proexiures in addition to her ability to organize her
[1770]work greatly facllitates the smooth functioning of tho Mexican Desk, She
[1771]hae denomotrated a superios cosprcheasion of tha numerous and varied projects
[1772]of the itexico Clty Station « nt to tha ovceelh Readout rg
[1773]support of the stations pevtommanco. Beesvee of her gouud understandiag of
[1775]- operationa and her outstamling capacity for work, Miss Zehrung has an excel~
[1776]° dent potential for Aséiciihg greater responsibilities. - ;
[1778], 4, IA recognition of her outstanding performance Lt 1a recommended that
[1779]y Misa Zehrung ba protiotal to grade 45-12,
[1783]s 4 ae
[1785]Weatern He Jephere Division
[1788]Be
[1790]q
[1791]a
[1794]14-0000
[1796]_ S-B-CoR-E-T
[1798]Pape we
[1800]. ; Ay marco 1973
[1802]MEMORANDUM FOR: Charlotte Zehrung
[1803]VIA : Chief, WH/3/Mexico
[1807]t
[1809]EE fats aye
[1811]1. You have been selected by your division, and authorized by the
[1813]' Clandestine Services Records Committee, to act as Records Officer for your com.
[1814]ponent. Your appointment ie based on your professional qualifications to carry
[1816]Be Neaag ae 7
[1818]out an assignment requiring experience, Judgment, and a knowledge of the
[1820]Clandestine Services objectives for your component.
[1821]2. You are to act on behalf of your Division or Staff element in authori«
[1823]Aemenmeieanan = SNORE,
[1825]zing the destruction of materfal of no value to the Clandestine Services in”
[1827]- accordance with criteria established for this purpose. You are empowered to
[1829]. i authorize. the destruction of documents and Index cards recommended for destruc-
[1831]tion by other members of your branch, and to desensitize KAPOK and RYBAT material
[1833]which 19 no longer sensitive or which has been restricted in error. Your signa-
[1835]ture will ba recagntzed by RI as that of an officlally appointed Records Officer.
[1837]3. A series of mestlugs vill be held in Rooa tur, £ Butlding te bries
[1838]3 "you and your colleagues on the detalla of your duties_as Records Officer. You
[1840]sve been acheduled to attend the meeting to be held on Wednesday, 2 April 1955,
[1841]1300 - 1645 hourn ; if it is nob posaible ror you to attend on the date
[1842]: designated, please call Extension 3325 to arrange for an alternate date.
[1844]Please veview the attached mterials prior to this meeting.
[1845]3 4 7
[1846]a IC Le
[1847]t. _ . UG 2. CUNNINGHAM
[1848]LDP Records Policy Officer
[1849]Attachueant
[1851]As stated
[1853]ee: Peraciunel Jacket of Addressee
[1856]14-0000
[1858]Tem soe
[1860]ad Claratly Aecontin,
[1861]ve \ SECRET. "Fa Contents
[1863]REQUEST FOR PERSONNEL ACTION
[1865]1. Seria Ne, 2. Home {Lont-b iret-Middlo)
[1867]Zen, & Charlotte L.
[1869]PREVIOUS aes
[1871]4. Oraonizsational Designetions 15, Location Of Official Station Station Code
[1873]DDP/WH
[1874]Branch III
[1875]Mexico Section Washington, D.C.
[1876]136. Oept.- Fiold [17. Position Title - 18, Position No. |19. Sore] 20. Occup. Serios
[1877]° xX [Cod
[1878]BA-0072.0L Ss 013? ahd
[1879]Zi. Grodek Stop [22. Salary Or Rave .[23. O 2a. Bore OF Grose 25, PS) Ove 26. Appropriution Number
[1881]biso Mo Ba wr ; .
[1882]ene lore pr] 3500-20
[1884]ACTION
[1885]27, Natura Of Action 28. EH. Date 29. Type Of Employes Code] 30. Separation Dara
[1887]ASSIGNMENT
[1889]oO ~ PRESENT ASSIGNMENT
[1891]ition OF Official tretien
[1895]Liateen Cada}
[1897]TE bes
[1899]Sura Daayart hans
[1900]Lbe/wH
[1902]Franen IIT
[1904]Maxitéo Saction
[1906]i Gg
[1908]33 rear Field 44. 4, Position Title
[1910]Bape Code
[1911]ie 1.0. (FI)
[1912]Toda & Stop 39. Salary Or Rota 146,
[1914]y $ 6605, L
[1916]e
[1918]SOURCE OF REGU
[1920]trey ena werenry veneer aerate ea manne rE phn ae
[1921]A, Roqvested Ay oon And Tiploh, 3 af UF av al tated ED
[1922]PLO, Onin ii/ I aradine CTiicer
[1926]Ramorks
[1928]se oe ae mn iy
[1932]B-57 { 2 nominees eoeop
[1935]14-0000
[1937], .
[1938]$ EG R EI be an
[1940]REQUEST FOR PeRsoWveL ACTION
[1942]1. Serio No. [2, Nome (Lavt-Firar-Middle) Fe an
[1943]CEHRUNG, Charlotte “ Py. in
[1945][8. CSC Rotme] csc [ 8. CC Ror] 9 CSC Or Other Legoi Authority oa Apmt. Aiiidaw TLFEGU ‘
[1946]. U 4 y * od °
[1947]2
[1949]Organizational Designations : . 1S. Locotion Of Offtetol 5s
[1951]DDP/AWH
[1952]Branch II ’
[1953]Argentina Section Washington, D. C.
[1955]a Position Title . 18, Position-No, 19. Serv] 20. Occup. Series
[1957]8 rey Y A957
[1959]Reports Officer — BAS,
[1960]21, Grode & Sep |22, Sotary Or Rare 173, 24. Dore Gt Gea 25. PSI Dus
[1962]_ C8~11~-2
[1964]27, Moture Of Action Coda] 30. Seperation Data
[1966]Reassignment
[1968]_ MOUCHERED
[1970]Seotton Onda
[1972]bOP/ aH
[1974]Braneh IIT (fo be
[1976]a
[1978]Hexico Section Vashir ngto 1s Dae. 2
[1979]32. Dapt.- Piel Field 134, Position Title 35, Fasitica No. a7, Occup. Serlos
[1980]Gort, + Ke {Code |
[1981]Jsftd- a Reports Officer . . BR-72.9) J 32
[1982]33. Giada & Step [Ad, gales, Gy 40, SD . Date 2 os Ts. PST Cue 43, Appropriation Number
[1984]0a. Ye
[1985]pr few betes. lant vt [sv
[1986]SGURCE OF REQUEST
[1987]> Feo quatied iby (tome Aad Tirto) (7 wera dpc | Rewwes Approved By (Signatu
[1990]Shion fot (Home & Tolaphone Ext.)
[1992]i X 22 -
[1996]Clearance Signature
[1997]a pon
[1998]A, Carvar Boord i petted oe Fee,
[1999]8. Pos. Cantsat
[2000]C. Clansificotion
[2001]Remarks
[2005]i=? 4) §2q , ~ x) PCRET w
[2007]Sete
[2010]14-00000
[2014]y
[2016]TINE MMOmeTTEB END gate»
[2018]er
[2020]we Saat
[2022]t
[2024]ab eerie
[2026]an aaewenitn (= Meson Sus eng pte rae ,
[2028]Be
[2030]the
[2034]cia - smee ne a SSF ons
[2035]ca
[2037]REPRODUCTION MASTERS
[2039]Handle
[2043]sri? ‘ BIOGRAPHIC PROFILE
[2044]Citt Cm ck ns ne el eS |
[2046]with
[2048]13aD3S
[2050]Care
[2051]aero
[2053]ay
[2054]1
[2059]14-0000
[2061]Charlotte BUSTONS-VIDELA
[2067]'
[2069]LEFT HAND SLDE
[2071](numbered top to bottom)
[2073]S manemneeneient atime hiatal wenetararaiee a
[2075]1.
[2077]Admin and finance documents - March 1974 - Jan 1978
[2078]Admin and finance documents - May 1951 - April 1956
[2080]2.
[2082]3.
[2084]Bio profile (sanitized form in file)
[2086]of ’
[2090]Ty ee
[2094]ne TERE OTE, ere empecrimtn meen emma re Ta eae mam cm mg oS
[2095], an wo s
[2098]14-0000
[2102]bo -
[2103]io
[2105]i - 4 Charlotte BUSTOS-VIDELA é
[2106]4 RIGHT HAND SIDE FILE [
[2107]; : (nunbered top to bottom) F.
[2108]to s
[2110]Toate
[2112]pe tn iB se oo nse mrad ITC
[2114]1. Personnel/cover - after 1973
[2116]2. “Actions - Personnel actions - after 1973
[2117]3. “Actions” - Personnel Actions - Before 1957
[2118]4. “Fitness Reports" - May 1973 - Nov 1977
[2120]5S. “Fitness Reports" prior to 1957
[2122]6. “Other - admin material - after 1973
[2124]7. “Other"-admin material-prior to 1957
[2126]8. “Medical” - all medical material related. to clearances
[2128]9. “PHS-SEC’ - document related to cover legend
[2130]Kahne aaa deneudisa se be
[2133]q
[2134],
[2135]Donte 8
[2137]i
[2140]i .
[2141]wad 2
[2143]i 4
[2144]4 a
[2145]i ;
[2146]A S
[2147]4 2
[2150]: 5, i.
[2151]7 g a
[2152]4 : an :
[2153]. 3 be t
[2154]. er +
[2155]: en -
[2156]H ea oa
[2157]4
[2158]4 et
[2159]wee &
[2161]. ge 2
[2162]of "t
[2163]& 4
[2164]4 _ 3
[2165]i = i
[2166]Be +
[2167]j e- Fi
[2168]a a %
[2169]a Fy 8
[2171]j eo 4
[2172]; - 2
[2173]_ a ote Et beet Pt — “3
[2176]14-0000
[2180]: SECRET | ceaseeae oy
[2181]TS ~ ——— _ —
[2182]NOTIFICATION OF ESTALLISHMENT OR CANCELLATION , 4 —_
[2183]OF OFFICIAL COVER BACKSTOP =~ Li Sep 72 3190
[2185]ss MUMS
[2187]TROL DIVISION ' 69-24-3138
[2189]to: |
[2190]check)
[2192]ATTN:
[2194]-amond A aun
[2196]1322 dated § Ma
[2197]BUSTOS-VIDELA, Charlotte Z
[2199]OFFICIAL
[2200]CovEeR
[2202]REF:
[2203]72
[2205]UNIT
[2207]Joint Operations Group
[2209]Sue2tcT
[2211]CANCELLATION CE OFFICIAL COVER UNBLOCK RECORDS
[2212]EFFECTIVE DATE:
[2214]fax) er error Aug 62 SUBMIT FOR 328A we2
[2215]JO BE ISSUED. (8B 20-12)
[2217][]restattonsy COVER PROVIDED mene
[2219]ESTABLISHMENT OF OFFICIAL COVER BLOCK RECORDS
[2221]POR. tov. ormen (Specify) SUBMIT FORW 22 TO CHANGE LIMITATION
[2222]CATEGORY. (HAR 10-7)
[2223]aan Ol
[2225]CATEGORY tI
[2227]| SUBMIT FORM 642 TO CHANGE LIMITATION CATEGORY. ~~ EAA: CATEGORY 1
[2229]| ung 20-7) . pone
[2230]A} eee rere nn RETURN ALL OFFICIAL DOCUMENTATION TO CCS
[2231]saute. Tf ORE aesa ARMY oy Ya uF TSsurn, SUOMI T FOSw 2683 FOR
[2232]MD 49-9735 i Beet san TETION CARD
[2233]Xe pee cee ee Be ee
[2234]LO Aor aPITF FS THT Ade
[2235]i suger fOnM 1322 FOR ANY CHANGE ARFLEOEING THIS
[2236]Xo lloven. tur 240- ze) - . 7
[2237]+ a poe eet
[2238]*PSUBSIT FORM 1323 FOR TRANSFERRING COVER
[2239]TRESPUNSEMILITY. (NR 249-24)
[2240]$--——-____- a “
[2241]xX: ENA. CATEGORY 1 | i CATEGORY Ht .X
[2242]x sSUSMIT FORM 2653 FOR * hose rat ization caro
[2243]4EMAUNG AND/OR COVER HISTORY ~ eee
[2244]Aug 51 - Aug 62 Has/OVERT woe see
[2245]Aug 62 - Jul 67 Has/DAC _ apt
[2246]Jul 67 - Aug 72 Mexbco/ State. i -
[2247]Sep 72 - Present aay Bas oooh
[2249]COé/kas  ./ y . _
[2251]Bist eiagricn. come ye ea
[2252]AeOy 2 See eati OG Camrentat
[2254]saer So. acee
[2256]Feee os Os eR aS
[2260]saree OG - tes. ree wt ak bts Sake
[2264]LBS 4 cre epsstens tar tees
[2266]7 Fae foo bards en
[2267]29a f
[2270]14-0000
[2272]eo SECRET _
[2274]cate
[2276]HOTIFICATION OF ESTABLISHMENT
[2277]OF MILITARY COVER BACKSTOP
[2279]7 August 1962
[2281]CSTABLE UNTO FOR
[2283]| CATER, RECOMDG AND SERVICES DIVISION (NEE: ZEKRUNG)
[2284]CHIEF, OPERATING COMPONENT . WH IBUSTOSYIDELA, Charlotte
[2285]- FILE NO,
[2286]90
[2287]-] BLOCK RECORDS: :
[2288]a (opsEMO 320-800-435)
[2289]: a. ‘TEMPORARILY POR ____ DAYS, FFFRCTIVe.____.
[2290]XoX .CONEINULING, 2° 0-TIVE_2 August 1962... -—+
[2291]ye ; [] SURMET FOPM 642 TO CHANGE LIMITATION CATRCORY TO 3.
[2292]. (HB 20.800.2)
[2293]_ ASCERTAIN THAT ARMY d-2 BEING ISSUED.
[2294](HO 20.661.4)
[2295]CO bourees pata be 0 CC ARE CHANT Ao OD ENG ATS COVER,
[2297], le ra 240)
[2299]| SUBMIT FORM 122? FOR PRANGFNBRING COVER RESPONS LNLLITY,
[2302][ | REMARKS 3
[2304]penne)
[2306]as os os 0
[2307]ee af iv. at :
[2308]3] Otay ? wat ot y _
[2310]rv ry ar i wep ees
[2311]Bea? Poa lg. re
[2313]and s os
[2314]; . a
[2315]3 -
[2316]Mya: a
[2318]Cc ] cerry 70 cro/oe , SE
[2319]#2 2h Fe mn agai wears Bes
[2321]bistel wert Tae 4d OSB et ,
[2322]ee ee RET I Nt a a a TN LE
[2323]. ~ Laeeas)
[2324]ee DUS} seagsert sagvroue sastiess "ECRET cana Fs aeaee 4
[2326]14-0000
[2330]THES FMDLAYTE HAS CEE POENTIELED As
[2331]A Coleda FMPLOYER FOR PURPOSES OF
[2332]WITHOLDING STATE: AND FERERAL TAXES
[2334]NATE DESIGNATED JANUARY 03 1962
[2336]N7667 CHARLOTTE L 2ERRUNG 235100010
[2338]ed
[2342]Prettareecerwytpc entrees eur eis x were
[2344]14-0000
[2346]oS, PSC HIKE
[2348]1 Abad UREEE
[2350]C764
[2352]9 CASERUZATIONAL OESIGATIONS
[2353]OD9/wH OIVISION
[2355]" | 7 RAM (AST FAST BIDDU)
[2357]2 RSTAE OF FEONNR ACTH
[2359]OPS OFFICER
[2361]T6 CASTRATION SOMDUAL (GR UA oh)
[2363]SUSTOSVIDELA
[2364]O8
[2366]1S OCCUPATION, S273
[2368]SECRET —
[2370]{een Ftled In}
[2372]© SS 08 ORG: Sa ATOR
[2374]30 LOCATION OF OFIKIAL STATION
[2376]WASHe,s Del.
[2378]Pe aad Werks ineaadl a
[2380]9
[2382]sh UM CEL
[2384]1294
[2386]Ta GRADE AND SHOP F MY 8 ta
[2388]13
[2390]t
[2391]ne a he EE RS A am ERE FE Ame Stem ene ne Cement toe “ene monn”
[2392]te Lise Fgenmut StCR
[2393]oy ae secRet comer art oe
[2394]pe er
[2398]14-0000
[2400]"PAY SC Justmear IN « KU AN wilh § »
[2401]GORE CE ! L.S5.C : x ULIve CHOER
[2402], : ere. SIC ANO Cae
[2403]Liest PUSSUANT tu ALTHURTTY UF CCI ay PRUVITEE IN TRE CIA Act oF 1945,
[2405]“AS AMLNOtU, AND UCT GIKLCTIVE vATEG ca nc TOUEW Lgeean
[2407]EFFECTIVE Date GF PAY ACJLSTYENTS O7 JANUARY 15973
[2409]EFFECTIVE pats OF Fat
[2410]S DATS FAC ADCUcTMENe CORRECTED FR
[2411]. pr Dares a eet 19.2 UNDER EXECUTIVES ORDER
[2412]. a2 122 aon
[2413]aM ee Ltt URGA. Fun iad tan
[2414]7 eo Funs Unmstep SALARY
[2416]BUSTOSVICELA CZ GCTo67 $1 3c0 y GS L2 7 $23,642
[2417]U \
[2419]tea eee : t
[2420]a a a es one renrerenencneemnernees lumens!
[2422]SECRET
[2423](When Filled In) -_
[2425]MOP: 26 SEPT 72 _
[2427]ace NOTIFICATION OF PERSONNEL ACTION '
[2429]1 SEMAL NUMSEO: 2 MAME (LAST 2193 f auD0Ul)
[2431]07667 | HUSTOSVIDELA C 2
[2432]D NATUR OF PetsonN Ach Denne
[2433]REASSIGNMENT AND TRANSFER cer eae a
[2435]TO VOUCHEREO FUNDS : (| 12,7 REGULAR
[2437]————— tisansorawsjonts encgeawe TTC Be Sind TSR Wain
[2438]af |
[2439]“mes P "3235 OUE conn 50 USC 403 J
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[2578]FFFECTIVE NATE SF PAY ADJUSTMENTS 10 JANUARY [971
[2580]MEW
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[2614]“oa “37 e67 51 a2c SALAay :
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[2624]AS PKUVIDED IN THE CLA ACT CF 1949, AS AMENCED, ANC OCI OLRECTAVE
[2626]DATED O€ UCTOBER 1962."
[2628]EFFECTIve UATE UF PAY ACUUSTMENTS 14 OCTUBER 1973
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[2633]NAME SERIAL “URGNe FUNDS GR~STEP SALARY
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[2704]EFFECTIVE DATE CF PAY ADJUSTMENT; 13 s.uY 1989 i
[2706]20 CTPA ROMS Pre Reema emer em
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[2730]9 ORGANIZATIONAL DESIGNATIONS
[2732]DUP/WH
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[2737]TT OORTION TLE — 12 POSTION NUMEER 12 SERVE ORGAN
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[2790]EFFECTIVE DATE
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[2931]REASSIGNMENT AND TRANSFER TO wo bee | _ 7
[2932]CONF ADENTIAL FUNDS O7 1 16:67 REGULAR
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[3094]‘EFFECTIVE DATE OF PAY ADJUSTMENTS 10 OCTOBER 1965
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[3203]i ' | ~
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[3205]137 110 {51300 we __I7so1g!_ ty it ouuzigza ob ot fd
[3206]Te NTE Euenees itt SPECTRE 13 rani Bais ty, TRS ue ;at CGPRELIICSCAMCEL ai tom CATA (32 SdQ0dHY 38 SER
[3207]7 ry arene THEE FS a fe —— ye Repo obra cope Tere - Tet EOD DATA | 855 8 |
[3209]"3 we orifentace fi M4 fhe, Cow ty 4Oae Cour ears {2 esate Sart SGRY 1 Ww Feeahs ath InSUeAREE 1 Pe icant SELIG Y BD
[3210]= we rae ee TT
[3211]1 ' H H | bot. | i
[3212]Hi few row | ! Do. _
[3213]ja heave Liat a FECERet fad BATE ‘ gate tag Gara
[3214]Tp ana vas TEEig pai ood fataey wae
[3215]te bance | 7 en { peace j
[3219]14-0000
[3221]i a SECRET a —_ @
[3222]} {0 es Fite bay .
[3223]t a
[3224]H .
[3225]1 WANE AST FOG ORE)
[3226]AUSTOSVIDELA C2: 7
[3227]| 7 (O51 GINIER WO CHARGIARE _) © GX CR GUGR LIGA AUTNORITF
[3228]i ~
[3229]i | 5235 0620 9008 .
[3230]| 7 OSGANIZATIORAL OL GRATIONS 1 LOCATION OF OFFAL STATION
[3231]| JODP/WH DIVISTON : OQ
[3232]; . WASHee De Ce
[3233]f DV pownontine eo. __. | SS CRRSER SERVICE DENGRATION Lo. a tot ee
[3234]i [OPS OFFICER ; v Co
[3235]7 . . .
[3236]£ [Te CiassricaTiow SeHtDUE (6S 18, oe TS QKCUPATIONAL SiS 6 GRADE AND STEP WF Sanat G8 RATE
[3237]os 0456,02 42 . Porte
[3238]! .
[3239]j .
[3240]i
[3241]- | “Ty
[3242]i
[3243]i
[3244]i -
[3245]i
[3246]r au
[3247]TGNATURE O8 CIEE AUTHENT CATON _ i)
[3249], | wot
[3250]reenter er: ene RR eS not ame ant sn memerenrnnnnmr eran —
[3251]: : he} Use ® SECR 1 eras 4431]
[3252]. Pan t ue Prana t = +8 eh .
[3253]ral MAG 14) kg ime ~ fwggee 2 ayn ;
[3254]da ete [Wren fied wy,
[3257]14-0000
[3259]tenth eee mnneneeey canene nepeelenelentien ttt
[3261]sateen amen he
[3263]eee Bh me oe
[3267]ADJUSTMENT OF SALARY-RATE IN ACCORDANCE WITH - THE
[3268]SCHEDULES OF THE GOVERNMENT EMPLOYEES SALARY REFORM
[3269]ACT OF 1964 PURSUANT TO THE AUTHORITY OF THE DIRECTOR
[3270]OF CENTRAL INTELLIGENCE AS PROVIDED IX THE CENTRAL
[3271]INTELLIGENCE AGENCY ACT OF 1949, AS AMENDED. AND POLICY
[3272]DIRECTIVE ISSUED BY THE ACTING DIRECTOR OF CENTRAL
[3273]INTELLIGENCE DATED 8 OCTOBER 1962.
[3275]2
[3277]SALARY CONVERTED TO RATE SHOWN FOR INDIVIDUAL'S GRADE
[3278]AND STEP AS INDICATED IN CHART BELOW. mo oo 7
[3280]GENERAL SCHEDULE RATES
[3281]Federal Employees Salary Act of 1964 _
[3283]-- mane 1 _ Per Annum Rates and Steps
[3284]-—_!ij 2/1 3 | #15 1] 6! 7) 8 | 9 {20
[3286]. as- 11S3,385 $3,500|$3, 3.618873 730 $3, 845 $3, 960/$4, 075; $4,190 |$4,305 |$4,420
[3288]Gs- 3 4,005} 4,140 4 293 z no 4, 545 4,680! 4,815! 4,950! 5,025} 5,220
[3292]GS- 7) 6,050} 6,250) 6.450) 6,650) 6,850} 7,050) 7,250) 7,456) 7,650! 7,850
[3294]GS- 9 7,220| 7,465; 7,710 7,955} 8,200} 8,445} 8,690; 8, 935) 9, 180! 9,425
[3296]GS-11} 8,650) 8 :945| 9, 240] 9,535! 9,830/10,125)10,420 19, 3 Rsvevrp S| 7305
[3298]10,605 ;10, ‘915 13" "315}11, 670|12,025|12,380: :12,735|13,690.13,445
[3300]GS-12) 10,250
[3301]13,335)13,755)14,175|14,595:15,015|i5 435/15, 855
[3302]GS-18) 170/14,660!15,150/15,640/16,130|16,620/17,110} 17 ,600}18,050/18,530
[3303]GS-15 '16.460/17,030:17, ‘600/18, 170|18,740|19,310119,880' 20 1450121,020; '21,590
[3304]GS-16}13.935]19,590)26,245/20.900/21,555/22,210 22,865) 33,520/24,175) 22...
[3305]GS-17}/21,445/22 +195/22, 945/23,695124, a5 ees eee eee | Lees |
[3307]a en re
[3309]GS-18/24, '500] Lee
[3311]ntti Hee ATH RPE Te
[3313]ae es .
[3315]Neg
[3317]14-0000
[3319]AMO ae j %
[3321]B.D. mcwngs fe Eg
[3323]PAY CHANGE N
[3325]sae re cos een NE Lae Tt
[3327]d ~ : , SECRET
[3328]. . ‘, “ hn aN
[3330]2, SEatAt MUMS 2. MAME (RAST-FIEST wupatgy
[3332]007667 | BUSTOSVIDELA cz
[3333]rs. uature OF PERSOMNEL-ACTION
[3335]REASS | GNMENT
[3337]& Carteoar oF Faneregat
[3338]- REGULAR
[3340]A CSC GR QTRER LEGAL ACTHORTY:
[3342]50 USC 403 J
[3344]To. LOCATION OF OFFUCIAL STATION
[3346]{OOP WH
[3347]eran 3
[3348]EXT CO SECTION
[3350]i
[3352]ee Oe
[3353]12 Position mumAeR S12 SERENE Pistaarow
[3354]O32t Oo
[3356]| V7 Satady om RATE
[3358]Ty, Postion TIRE
[3360]OPS OFFICER
[3362]" Chassin ica tion SCHEDULE (6%,
[3364]1S. OCCUPATIONAL SERIES Ve GRADE AND STEP
[3366]0136.01 ji24 j 10820
[3368]oe seems ses me we" SAGE FLOW TOR EXCLUSIVE USE OF THE OFFICE OFF
[3370]TE ATaHON”, 77 ENTEGELE 4 24 Magne | 25 GATE OF Haat
[3371]“come | (OBE te TS
[3373]if nan 12 asi”
[3375]ib WHATS Eebs
[3377]w
[3379]i WH
[3381]Bowen,
[3383]Jsilieg |
[3385]para
[3387][aa
[3391]re a Piet at
[3395]> Vers ste ce : oa eee Nae ater goes Se aw nagei ter
[3396]Sb ad beeoe satan ct ! jor Gy nL
[3398]Pee See iy Oe ee : : aw '
[3400]Bo watbe faeeew a eee ee ! H
[3402]NATURE Ot OTHER AUTREN'
[3405]14.90000
[3407]IN ACCGRDANCE WITH THE OAQY
[3408]wEwORaNCUn DaTeD 4 august PaaETSLONS.OF Pus te yoy £7,755 ann det
[3409]ECTIVE S$ samursy sone, JUSTED AS FOLLOWS,
[3411]a
[3413]ane SERIAL © ORON FUNDS’ GReST sactey gataay
[3414]a ’
[3415]8USTOSVIDELA C7 007667 51 400 Vv G9 124 San,ezy $100970 7
[3417]Pte gee A Ree any yO 3 a a BRE FEE AE REE EDI eT
[3420]‘eed ld ta od )
[3421]: 1 Seat ese a ce oe ee Oe Eater emia La WP Hows
[3422]’ DIS fe ee
[3423]007607 | BusTOsYIDEGA Gz | 64 4008 i aed
[3424]3 _O sauasr ae 6 “NEW saiany sare _
[3425]: : 7 | Oroue, | Sa | “Saey | tee _te#-#H, Date Gide | Seep | Solory
[3427]of BB) as 12 3 s10,s05 107147671 ce a2] 4 20,420) 20713708 ~
[3428]7 2 Bt Wicd Memos - .
[3429]i408 7 ¢ NG EXCESS LWOP ~ :
[3430]; kd 7 7 IN PAY STATUS AY END OF WALTENG PERSOD ;
[3431]3 4 7 GOP STATUS AT END OF WAITING PEATOD -
[3432]i S CLERKS INITIALS AUDITED BY ~
[3433]i a ; : -
[3434]i § YW? _
[3435]AT THe wonk-DF THE Rove WANED EMPLOYEE 15
[3437]! CERTIFY.
[3438]OF AN ACCEPTAGLE LEVEL OF COMPETENCE,
[3440]STEMATURED vies Pied ay B fe He af gyre ee | _ |
[3442]PAY CHANGE NOTIFICATION A,
[3444]sar $00 Ten es
[3447]14-0000
[3449]| | pany Spans GF pyalie LAr $ ac TsGethhs ect t nS,
[3450]13 M RY |
[3451]} mw accO@pance Lhe 3 a gukT Years SaLary .
[3452]1 ott we ORAND eetdEe 1OA2 :
[3453]‘. ERFECTIVE 16 \ NeW NEW
[3454]i . Oo RrST SALARY
[3455]y SavarY ee
[3456]SERpaL ORGN FUNDS Gre 3 . [
[3457]NAKE net : :
[3458]L . e
[3459]cy vez 89218 122 89700
[3460]pores? 44600 ‘ :
[3462]. ‘ _
[3463]a - a - ND
[3464]ee a sass OO
[3465]_. po oe enrctencens y apa at
[3466]a
[3468]dene asa Lanter mae ie &
[3469]: |
[3470]i La d0Q | a
[3471]—_ Maw SALaSy GATE
[3472]Dore | Quads [ee | Seton Uren Son et ty f aor ,
[3473]2 Be nd a as ao ;
[3474]of
[3475]Tehbedeal |.
[3476]r) “Ramars ung fomencawea : 4
[3477]4 7. #,N0 EXCESS L3OP _
[3478]/ 74 YN Pay STATUS AT EN OF PALTING PERO: .
[3479]vos “4. £,4%0P STATUS AT END uF WatTING PEN}OD
[3480]CLERKS NETEALS | AUOITEO BY ~
[3481]_ | CERTIFY THat THe wore Om The anOVE NauEp ENPLOTEs ~
[3482]OF gf ACCEPTABLE LEVEL UF CCMFETENCE, °
[3484]+ ras ce i :
[3485]. ee _ oe RE WEN S32 ae ES Me vee ererentrmtnee cuenta te fee 7
[3486]PAY CHANGE NOTIFICATION
[3491]ate
[3494]14-0000
[3496]an . aul
[3498]i : SECRET _ on
[3500]| en . (Whon Pied fa! i
[3501]NOTIFICATION OF PERSONNEL ACTION ~
[3503]¥. Maas woesee 2. AME (CART.01aST i001 8) . .
[3504]BUSTOS-VICELA C Z ; ~
[3505](07667 BUSIOSVIDELA C Z
[3506]4 Eseecisvt Sait $ CATEGORY OF CUPLOTmENT
[3508]¥. natoat G9 GhesounTL ACTION
[3509]NAME CHANGE FROM* CHARLOTTE L. “sete
[3512]revo > Pe ,w oO 7. Wot anita wa. CHANGE | UGH OW Onda LOGAN AgTRORITE a .
[3513]peor [ieee 2235 1000 1000/ 50 USC 403 J | |
[3515]; | oneamitatonay BESieNATiONS WA, CSCASAO OF OFFICIAL STATO
[3516]i . i)
[3517]’ | OOP WH : . . : .
[3518]/ | BRANCH 3 . _ . far) _
[3519]_ an MEXICO. SECTION oot ‘WASH. , O00. ee oo _
[3520]V0 Ppsitiom ThTt8 oe ~~ mee paseo epeste Ti) Candee teavice otindaation
[3521]_ wet e
[3522]. os ; ; — ; en
[3523]. OPS OFFICER loser’ D of,
[3524]> 0s Css cation MMCOULE (GS, WE, re) 95, OCLUPATIONM Stalls 16 $4404 FD STEP 17 SAUMRY 08 BATE . .
[3525]? Gs |o136.01 112 2 9215 ~
[3526]is, Manes . .
[3527]#* BY MARRIAGE ON 18 MARCH 61, . :
[3528]#% THIS ACTION CORRECTS SF 1150 EFF 12 JUNE 61 ITEM # 2, NAME, WHICH
[3529]READ BUSTOSVIDELA C Z TO READ BUSTOS-VIDELA C 2, FOR * PAYROLL
[3530]PURPOSE ONLY.
[3531]CT STL BRACE BELOW FOR EXCLUSIVE USEC NEL. —— +
[3532]19 ACtiea; 29 Eepley.| a “OHA "COIKG jor Malton “my inttgneg | | 34 ze Date G) BittN 24 Dale OF GHA0L 2 DATO OP LED
[3533]ose i fade " “Rumen atenapatse ot | coor aon COE oe eC “~—
[3534]_ sinew | foi dejeof yr |
[3535]a. are ma 1. Pec Ce Gate in Suraeation [a] Gade? aicditaliow DATA, ORO ST se
[3536]rrr ae ee aie Ga + DATA CODE wee rremearry } es
[3537]ne anc SO A
[3538]Wh vil PREFEREME | Ma shev. COMP. Bate {37 tag CoaP Dall | 38 mul. SERV, CaOnTAS ah ALGLN/ WEACED UnsuRamch ‘| ad. SOCIAL SECURITY BO
[3539]tees «fe Mane | wo Ga a anne aaa tae ee ves fewse geen Te ware | Meats inp cope | i
[3540]. iH joer | | | ! ! | beng | : tos i
[3541]a Sageous Saftanuiat weavice pata 3d Cheek aT! 8 FEQUIA cha Sate he Wail 194 Oata “—
[3542]ee pee ue ana ost eaeeaLaTa, Goat” ne Vitara sane eT [eH Te hee ap [arecso 2
[3543]Dr 89 ondee rx thence Ponts | “ok [ yous ate naar
[3544]ve Po ya i ! Brae I
[3545]| |
[3547]7 SIGNATORE On OTHER AC
[3549]Te ain Obactew Peowmoury . a 140en
[3550]asp TE Fesiona SECRET
[3551]- oe sad
[3553]14-0000
[3556]“s SECRET a ~
[3557]ATS: 12 JUNE 61 {When Filled Int .
[3559]TR SERIAL MUO | AME (LAST-FIRST-MIDDLE)
[3560]COTE6T BUSTOSVIOELA C 2 .
[3561]& mateat oF are me 7 WTECHIVE GATE _| 5. CATLOURY OF LuPLOvELaT
[3562]NAME CHANGE FROM® “a, “a : an hae
[3563]CHARLOTTE Lb. ZEHRUNG . 2 «6 REGULAR
[3564]~~ re 1. COST CENTER WO. CHANGEABLE | & COC OR GIMEN LEGAL AUTHORITY
[3565]e rewos Bp : ™
[3566]Powe | [ewe, | 1235 1000 to00 | 50 usc 403 J
[3567]© QRGARIZATIONAL SESIGMATIONS P18, LOCATION OF OFFICIAL StATION
[3568]COP WH
[3569]BRANCH 3 . oe
[3570]NEXICO SECTION WASH., D.C.
[3571]Cisne \
[3572]- "4
[3573]OPS OFFICER 0.
[3574]VO CATHFICATION KMEOULE (65, WO, etc.) TH OctuPatagat states 16 GRADE AND STEP 17, SAUARY O8 GATE
[3575]GS 0136.01. 12 2 921g ~
[3577]*BY MARRIAGE. 18 MARCH 1961
[3578]— SPACE BELOW
[3579]; CM topo 111 OFNICE CaNING «| «BP stan -
[3580]see WeMEnic  acenagetic cok g 4008 | 7 oo .
[3581]: - . t .
[3582]een | en ie Se Le.
[3583]: {7 weeciat 4a RETHERENT GATE on SkPadayien p U2 CORRECT CANC LEAT Liab 22) Stcutetr pM. SON
[3584]{ nee a merentues ase Tea DATA CODE rer errr a [zoo para) | aD 80. |
[3585]seca i -
[3586]i { i a NONe i H H J | a A
[3587]PS vit PuveateCe | 3s Sad. coup gate [a7 tone Come Gate | GA GIL GRY CREOIE CO! 39. FOGLE y mEALIW DSUEAME [ao Seciat “Secunnt¥ xo
[3588]S “SS Tee | wee te 5o ae vee ane el ailaa Peasrease cose | .
[3589]Poa. i | b.vee | ot
[3590]regen tavata a ata a Bt
[3591]Saw keisvttd COSe | Ad VALVUEMPTIOad | TOem BtRcuidD [COON [WO fae arate coos
[3593]{ 1 16d | oven | |
[3595]a team vp ony . -
[3599]i . . 2 ot. oe
[3600]|
[3604]Fora ig Gtaclete Previous SECRET
[3606]san LAT ecry
[3608]14-0000
[3610]. , @
[3612]ae) _ _ SECRET a
[3613](Whan Filled Ia)
[3614]* Beret He. 12 Mame i Cost Conter Himbat [4 _UWOP Rous ae
[3615]. Vus>l GUS ms : .
[3616]1N7647 | FEHAURG CHATLOTTE Coe TAH % ve20 \ ~
[3617]3. OLD BALAAY RATE . WEW SALARY RATE 7. Tyre ACTION
[3618]Grete {tien | Salary | test EH Dave | Grade | ivey |] Beiery | ‘Eitecnive vat | iat | ADI.
[3619]ns 4 1[s 85959 12/13/84 12 Obs 11/63 ff
[3620]&. Bemaste and Auibesticston a 1
[3621]j ~
[3622]7 a HO EXCESS LunP : °
[3623]/ f IM PAY STATUR AT ENB OF WAITING PERIOD =
[3624]i /  ¢ 1M LWOP STATUS AT END OF, 4AITING PERIOD a
[3625]: wn bee b +t “
[3626]. 4
[3629]‘ . oe) ap
[3631]Te ACCASNANCE wErty THE PROVISIONS-GF -Pa-L, 96560 AHD-OCI MEMO DATED
[3632]1 AUGUST 1956s SALARY IS ADJUSTED £5 FOLLOWS EEFECTIVE 10 JULY 1960.
[3634]$9 bayer SERIAL O8G% GR-5T OLD SALARY NEW SALARY
[3635]Qf ZEHRUNG CHARLOTTE 107667 4613 65-12 } $ 83330. $ 89955
[3636]1S/ PMMO TE 9, SCHCLS
[3638]OTRECTOR OF PERSONNEL
[3641]14-0000
[3643]31. Crgcnizattonal Designations
[3645]05? WH.
[3646]BRANCH fff
[3648]MEZICO SECTICN
[3649]33. Dest. - Field [34, Bosition Talo
[3651]Oo}
[3653]& SECRET oe
[3654]oy (rhea Filled In) “~
[3655]“A
[3656]Mo. | Ba. oss =
[3657]01 12 fot }ral 2g 102 | oo 2 |
[3658]Hanon Ae Cadet MS oe me 5.4 (Ged :
[3659]No-2
[3660](ma)
[3661]e)
[3662]PRESERTD ASSIGNMENT
[3663]Coda 132 Location Of Giteral station eae
[3664]4613 .- | WASH., D.C. 75083
[3665]~T33. Peston No. 36. Sony. 37. Occup. Saries
[3666]O60T CS 0134.0)
[3667]417Date Cl Grade 42 PSI Duo (43, Appropriation Mumtor
[3668]Ma. Da. Ys. | Mo. Do. Ye.
[3669]12 113159106411 461 {0235 1000 100 _
[3671]i“maasy 1950 SOA, og
[3672]a: oe fe 8 sone -
[3675]14-0000
[3677]awe re.
[3679]| 3 | 3 Te5lo]o% | 06
[3680]JO Bz COMPLETED BY THE OFFICE OF COMPTROLLER
[3681]8. CHECK OnE FE) 20 axcase s909 (J sacees voor 9. SuMBta OF nOUAS LwOR
[3682]40, INITIALS OF CLERK
[3685]17 25CESS LOD, ENEcE FOLLOWING:
[3687]sm par starve SV Sad CF Wart end 9FGIOR
[3688]LD in.swos crates a7 ses oF wartsee vaato0
[3689]JO BE COMPLETED BY THE OFFICE OF PERSONNEL
[3691]18. 9175 OF AGTION oe
[3692]O oss. CJ was. £) ves cawermser
[3693]|. AUTINENTICATION
[3695]a keg a?
[3697]fe pagued, rant * PT — | ' _
[3699]PAY CHANGE NOTIFICATION’ — - - -
[3700]t
[3701]SECRET OFFICIAL PERSONNEL FOLDER woo:
[3703]yoan 560 OOBOLETE PETYiCUS EDITION
[3704]see WM REPLACES POEM $508. AnD 360d.
[3705]een ek ly Cornett tin Na Sale Hite iam tame Pend wha owe fetakne puns Tora
[3707]eee, Se ne OED See ae Eee TL
[3709]Coy ~ oe ~
[3710]tg 7
[3712]é “
[3713]TN LTE Ar gaa: rar:
[3714]L Fo Foe pis 5 :
[3715]ra) THIS NOTIFICATION EFFECTS RESLOTTING
[3716]ECTS s TING RESULTIN
[3717]; FROM Rm2Q-9K59 wo
[3718]~ SEQ y Neue | SD ot : :
[3719]Ss 2 Stor MEW S
[3720]MEA SLOT
[3721]DATE
[3722]4 TA. tie ;
[3723]57 Peynrae CHAPLATTE yy 052)
[3724]32) 04/29
[3725]28/50 N
[3728]1400000
[3730]6
[3732]Py
[3735]An ro epiapy TNCPTESE erteaecTIVEL
[3736]os af GENECAL ecernul L eso - re an oe ;
[3737]7 _ f AYTHORTZE d - |
[3738]: ee oe bp AS FOLLOW
[3739]. ) ag OF 18 JURE yong ADJUSTE
[3740]ALAR’
[3741]7 — SALARY New SALARY
[3742]: OLD |
[3743], GAADE-STEP : |
[3744]) SEATAL mn .
[3745]fo .
[3746]io - : $ 69820 7
[3747]| “1173
[3748]RLOTTE 107667 . 68-1 _ _ i.
[3749]oa or geeroR ne STR SONNEL *
[3750]|. rst .
[3751]| a
[3752]ie)
[3753]: sec? ET
[3755]4 Furs 3.
[3757]449
[3759]bh MO CHAREQ: - - ~ DAD gets f
[3760]a - v7 OLD SALARY RATE - NEW SALARY RATE.
[3761]' a LAST EFFECTIVE UATE ia "EFFECTIVE DATE
[3762]1 GRADE SVE, SALARY |-——_———-—-—. SALARY reer ee eee [joe
[3763]" — et ef erm a Pee | Oa ulin
[3764]6s 11 2 | $ 65695 | 10 S$ 69880 | 041 of | 58
[3766]7
[3768]t
[3770]hoe iene eben]
[3772]Ag eaage | STEP
[3775]14, AUTHENTICATION
[3777]ans 560
[3779]nan nt
[3780]ts PROJECTED SALARY YATE AND ering DATE
[3782]TO BE BE COMPLETED BY THE OFFICE OF COMPTROLLER
[3783]9. CHECK ONE PY no uxcessunse lan 610498 LaF 9. HUNGER OF KOURS LWOP
[3785]IF EXCESS LEAVE LWUP,- CHECK FOLLOWING:
[3786]1M PAY STATUS 47 G40 Of WAITING PERIOD
[3788]7
[3789]Cc i wwoe staréa AT S40 OF warsing wEaIOD
[3791]1G. Tuinacs OF CLEA OF CLEAK | it. AUDITED BY
[3793]nse) BE COMPLETES BY THE OFFICE OF PERSONNEL
[3795][a. REMARKS
[3799]PERIODIC STEP INCREASE : ” AUTHENTICATION it
[3800]SEGRET
[3802]SLLUIMENT
[3806]i
[3809]14-0000
[3811]* [44 Remarks
[3813]SECRET (A 7
[3815]ay (Whon filled tn) 2
[3816]cs)
[3817]7. Date OF Birt [a Vor. Feo fr [5. sox [SSE
[3818]on Da. | Ye. oo ode “
[3819]12] 29 [ome }o TF 2
[3820]A CD
[3821]“A
[3823]“
[3825]29. Type Of Employes ‘Code| 30. Separation Data
[3827]REGULAR ‘01
[3828]PRESENT ASSIGNMENT
[3830]" [341. Organizational Designations 32. Location OF Official Station | Station Cage
[3832]DOP WH i
[3834]jORANCH 711 ly |
[3836]MEX LEO. Secrlicy : 613 WASH, , D. C a .
[3838]33. : ARS ssition Tidle 35~ Dostion No. 56. Sev.a7, Occup oli. .
[3839]ce +
[3840]‘fire 3 12 11.0. F 0521 es | 0136.51 .
[3841]” 133 Grado & Step 139° Salary € Naas 40, SD (a. fated 42, PS! Due * 143. Appropriation an Number !
[3843]| $ | Be Yr. | Mo. Da. Som
[3844]1, 041 0615818 20 ww
[3846]aaa 8? 1 150 +
[3848]rd
[3850]’ a a
[3853]14-0000
[3855]faa)
[3857]_ {27. Nature OF Action
[3859]REASSIGNMENT
[3861]BRANCH 111
[3863]MEXICO SECTION
[3864]et. - Field 734, Postion Ti de
[3866]5 fk. +
[3867]Uslid © ‘ oo
[3868]Fry REPORTS OFF
[3870]conn j _ 39. Salary G Or Rata
[3873]“feaails
[3875]. Was gy 1850
[3877]SECRET
[3878](When Filled In) . &
[3880]1, FEGU me
[3882]ie id No, 2. Nome (Lost-First-Middle) Bate OF Binh.
[3883]ts Da, | Ye. Rise eae
[3884]10 07661 ZERUNG CHARLOTTE, 12 27 pre 0 |F 2
[3885]. CS 1° cx 0. A dav.|1
[3886]. | Do. Sod oo od hal Yr. '.
[3888]PRESENT ASSIGNMENT
[3890]Cede fv Lucauen OF Olfichal Stauen
[3892]E13 WASH 0S
[3894], Position Mo, 136 Serve
[3896]ae ——s 6] 43. Appropriation Mumbar
[3898]3500 20
[3900]15013
[3902]O1ge.4
[3904]“tation Garba
[3906]37, Occup. Sores
[3909](4)
[3913]14-0000
[3915]oe
[3917]SECRE:
[3919]CLASSIFICATION
[3921]. - ay
[3922]me FITNESS REPORT
[3923]SECTION A GENERAL INE INFORMATION
[3924]1. EMPLOYEE NUMBER @. NAME (lost, fir, middie) “Ta, BATE OF BIRTH ean fa. ORADE
[3925]F |Gs-l
[3927]007667 . | Bustos-Videla, Charlotte Z, [2 Jan 29
[3929]0. OFF DiV/OR OF ASSIGNMENT e. CURRENT STATION
[3931]DDO/WH/1
[3933]7, OFFICIAL POSITION TITLE:
[3935]Operations Officer
[3937]1a. TYPS OF REPORT
[3939]at, Tyra © or SF APPOINTMENT
[3941]eal fem] bet ] icon
[3944]' 14, DATE REPORT OUR IN OR
[3945]3 .
[3947]SPORTING PERIOD (from
[3948]ATAIRX 1 August. "to72 .30 April 19 ;
[3949]‘ “QUALIFICATIONS UPDATE
[3951]1$ BEING SUBMITTED WITH CHANGES, AND 1S ATTACHED TO THIS nerort, PLACE TNE
[3952]if NO CHANGES ARE REQUIRED, PLACE THE WORD “NO” IN THE 80x AT RIGHT.
[3954]ECTION CO PERFORMANCE _EVALUATION_
[3956]U—Unsarilostory Peclormance is vnocceptobls, A rating In this cotegery requires bamediate eed positive remedial action the rowe of the action
[3957]could range from sauna to further training, to placing on proboticn, to recuigament of fo seporotion, Describe action token
[3958]or proposed in Section D.
[3960]M—Morginst = _ Perlormonce ts deficient in tome aspects, The teatons for amigning thh retin showld be stated in Section O and remedial oxtlons
[3962]taken of recommended should be deveribed:-
[3963]Performance is satisfactory. Desired results ore being reduced ia he EebARee Bi pected.
[3965]P—Proficient
[3966]$— Strong” Performance in charettorlaed by excaptional profictency,
[3967]Pe‘tormance Is s0 exceptional in ralation to requiremeans of the wok ond In comporiton to the porformonce of others doing simitor
[3969]O—Oviitonding
[3970]work Gb to worradt spotlal recognition.
[3971]SPECIFIC I DUTIES
[3973]Uist up to ala of the most Important epecific dutles performed ducing the rating ported. Inasst rating fetta, which bert describes the mannet In whlch employee
[3974]forme EACH specitic duty. Consider ONLY olfectivenens in performance of thot duty. All emphyywes with wpervisery cosponsibilitios MUST be roted on
[3976]thelr ability fo svpervise (indicate number of employees supervised).
[3978]If QUALIFICATIONS UPDATE FORM
[3979]WORD “YES” IN THE BOX TO THE RIGHT.
[3981]SPECIFIC DUTY NO. t
[3982]LETTER
[3984]‘Functions as Chief of the WH/!/SA and Cuba Section, supervising, :
[3985]one case officer, one IA and one Secretary. ; Vee ey 8
[3988]| beTIeR
[3990]aPRCI RS burr NO. a. 8
[3991]Analyzes all tr affie pertaining tu Draneh "and Static: SA and Cuban
[3993]i
[3994]Operations, performs ull operational support, project actions, corres-
[3995]pondence, coordination, memoranda’ and file maintenance, | pa 0. .
[3996]: RATING
[3997]LarTar
[3999]ePdciric Qury ‘No. 3 d
[4000]Prep ares studies, file analyses and special reports such as budget
[4001]oO
[4003]and program call and correspondence with the Waite House,
[4005]ee netnnene mene ey Pee oe ere
[4007]BPACIFIC DUTY NO. 4
[4009]nc one on ree raw een ea arnt en ae ee A RN at ee nn
[4010]RATING
[4012]SPECIFIC DUTY NO. B | Lmrtar
[4013]4
[4015]SrEciFic our NO. a ,
[4016]RSTTEA
[4018]ent tee oe win SOWERALL PERFORMANCE IN CURRENT POSITION
[4019]a Fe [RATING
[4021]Toke late cecowat overthing abou! the orployea which Influences hit eHevtrenaeis ia his evreent poetics wich aa patormance of specific deta (LATTER
[4023]productivity, conduct 24 job, cooperstivenau, pertivest personal traits ce wobin, aad putticuias Latatexa ce ‘ofeetn Based on your lrowtedgze
[4025]of employee's overall performance during the rating pariod, glace the fater ia the tutag Dax correrpancag 09 Fhe statement whud moat ett i S
[4027]cately ratlacts his bevel of performence.
[4029]Por 5 CLASSIFICATION ” ne ”
[4030]Forns 45 OSSOLETE FRevICUE 05 5272 may)
[4032]ir?) EDITIONS . etc -3t9eta
[4033]a SECRE} 22 BAPOdT Ct 8 oe ie
[4036]14-0000
[4038]Creme
[4040]CLASSIFICATION
[4041]SECTION O NARRATIVE COMMENTS
[4043]Indicate significant strengths or woaknones demonstrated in cyerent position keeping in proper perspective their tvlationship to overall petorwmane State
[4044]tuggertions made for improvement of work perormance. Cive recommendations for Waining Comment on toreign longvage competonce. H required for.
[4045]tvrrent position. Amplity or explain ratings given in Section C bi sprovide bop bert for Serger ining future pervonnel action Manner of pecfarmance of of
[4047]monageriol or wpervitory duties and cos! consciquecess ia the wie of pattonnal, space, ogvipmeat_ond funds mvit_be tommerted on, 4 opplicatle. cy
[4049]extra.spoce ly needed to complate. Section 0, attach a seperate theet of paper.
[4051]. In the 8 months during. which she was under my supervision, Mrs. Bustos has
[4052]performed in. that. same hard-working, highly-productive style which has become
[4053]her trademark over the years, She understands the intelligence process from
[4054]start to finish and {s personally experienced with each step along the way, save the
[4055]agent handling aspects. She excels in each phase of the work.
[4057]As chief of the Branch SA and Cuban activities section; she has once again
[4058]demonstrated her mastery over her assigned duties. Stie is a sound, dependable,
[4059]yet imaginative and energetic operations officer, whose performance leaves Little
[4060]tobe desired, While she had had little previous supervisory experience, she has
[4061]in this assignment demonstrated exemplary supervisory ability. Notwithstanding
[4062]her drive, tenacity and attention to detail, she is a popular co-worker, is receptive
[4063]to guidance and is sensitive to, and responsive to the needs of her subordinates,
[4065]‘Inher performance of specific duty No. 2, she has brought to bear upon her
[4066]daily duties her broad experience, high fiitellfgence- and good. operational sense,
[4067]functioning with practically no need of close supervision. It is comforting to ~
[4068]know that gn assignment given to this employee is always done promptly, pro-
[4069]fessionally and cheerfully,
[4071]Her adaptability was demonstrated in her specific duty No. 3, Despite the
[4072]press of normal daily activity, she was often called upon to produce "crash"
[4074]continued
[4075]SECTION E : CERTIFICATION AND COMMENTS
[4076]geo EMPLOYER
[4077]oe. P CERMEY THAT | HAVE SEEN SFCTIONS A. 8, C ANO D OF THIS REPORT
[4078]SATE a Mab dete ae ,
[4080]wt wt Dey eae oe Lit few: Bee. mA ve eet bee
[4081]a av SUPERVISOR
[4083]MONTH # FMPLOYER WAS oeen
[4085]Ta THIg REPORT H HAS NOT DEEN CHOWN TO EMPLOYER. ave (SNPLANATION
[4086]UNDER MY BUPENVIBSION .
[4088]8 |
[4089]ote SCS ‘DerigiaL THLE OF GUPESAVISOR Te EO one BANTEO NAME pags 1EASTUPE,
[4090]. | AP ap sence KA A
[4091]21 May 1973 | DC/WH/L_ Raymond 3.8} wider _
[4092]3 BY REVIEWING OFFICIAL
[4094]COMMENTS OF REVIEWING OFFICIAL “The rater has written an accurate and thorough evaluation
[4096]of Mrs. Bustos, I concur without reservation in the ratings provided subject.
[4097]She is an exceptional officer. Her ability to perform a varicty of ase guments
[4098]in Headquarters and the Field has measured up to an outstanding record, Her
[4099]work with subordinates clearly indicate she is a good supervisor, Mrs, Bustos —
[4100]performs all facets of her work in an exemplary manner and in my judgement
[4101]rates in the upper percentile in the A Category.
[4103]Qe
[4105]OATR eI AL TITER OF RIWIEWING OFICIAL. “TS TYKED Span wAMS Ont BIGHAEURE
[4106]t
[4108]. i « we;
[4109]2 May 1973 : C/WH/L th Ghn C. Murray
[4110]. . . “SIC ATO 7
[4111]SECR CT
[4113]i
[4116]voy . : are
[4120]Narrative Comments (continued): (Charlotte Z. Bustos-Videla)
[4122]papers for the Branch because of her innate talents and
[4123]established reliability. She never failed to impress her super-
[4124]visor with her production, writing ability and energy. Her. overall
[4125]performance is clearly in excess of her grade level
[4127]In terms of true cost and Security-consciousness, she must also
[4128]be considered very strong because she has a positive and aggressive
[4129]attitude towards these subjects, It is with deep regret that the
[4130]Branch parts with this employee who now moves up to the Division
[4131]front office staff,
[4133]z
[4135]14-0000
[4137]“— , po,
[4138]CHO-N-F-1-DeE-NoToReAcL
[4142]Covert Action Operations Seminar io, 2-73
[4144]35 hours, full time
[4146]Participant ; Bustos-Videla, Charlotte Office ; WH
[4147]Year of Birth: 1929 . Service besignations D
[4148]Grade 3 GS-13 Ho. of Students 3 20
[4150]€0D Date : 08/51
[4152]COURSE OBJECTIVES, CONTENT AND METHODS -
[4154]The objective of the Seminar is to give the participant a familiarization
[4155]with the major fields of covert action, These are viewed as;
[4157]— | Polteteal Operations, -Including Propaganda;
[4159]wo Operations Against Priority Targets end
[4160]Oenled Areas. . :
[4162]("Priority targets” is taken to include
[4163]Sovlet Bloc, Chinese Communist, Cuban,
[4164]and North Vietnazese officials and
[4165]other personnel in third countries,
[4167]and other designated targets)
[4169]The Seatnar includes a discussion cof the “political aniral!! and
[4170]BA analytical lowk at the political gersunality.
[4172]Tho technique of Instruction is one of talks Ly Sperations Officers
[4173]experienced im varlous specif le kines df G5eTation, folloued by questions 7
[4174]and ciscussion. Participants are encouraged and exsected to ask questions
[4175]and engage In the discussions, drawing uson and reigring their exparience
[4176]to that under discussion, Ona ef the jzcortent vaices to be gained from
[4177]the d.miinar is this exchange of experierce,
[4179]ACKTEVEMENT RECORD
[4181]a 7 rf . . : . . i .
[4182]Yois is a certificate of attendence. No further assessment of individual
[4183]Capacity or performanca is made in this course. 2
[4185]FOR THe BURECTCR CF TRAINING: —?
[4187]‘tied Cl * Lee ht. fob 133
[4188]F z
[4190]Hocherd A, Fulier da
[4191]Chief Instructor
[4193]CoOeNe Fo) -O-c-N-T- PAL
[4195]petals iets ee “rite
[4197]14-0000
[4200]mr rented sttite ns 2 24
[4202]+ re et nti eee
[4206]CONFIDENTIAL
[4208]TRAINING REPORT . . .
[4210]Midcare'er Course No, 34
[4212]Student : Bustos-Videla, Charlotte. Date £11/5-12/22/72
[4214]Year of Birth: 1929 Office >WH/I
[4216]Grade : 13 Service Designation: D
[4218]2
[4220]No. of Students : 30
[4222]fee 8
[4224]COURSE OBJECTIVES -- CONTENT. AND METHODS
[4226]Tha Midcareer Course is ) dvoigied to enable potential executive | -
[4227]officers to develop and widen their understanding of management “
[4229]practices, of the Agency and the [Intelligence Community, and of the
[4231]Government's involvement in international affaire,
[4233]The Course consists of three major segments of varying lengths.
[4234]The topics covered through lectures, seminars, group discussions
[4235]and field trips are:
[4237]I. Effective managerial behavior ag derived through study
[4239]ot tune Mauagertal Grid.
[4241]2. The functions, relationships and problems of various
[4242]Agency components and of members of-the Intelligence _
[4244]Community.
[4246]3. Selected elements of national power and current develop-
[4247]ments in key international affaira.-
[4249]ACHIEVEMENT RECORD
[4251]No evaluation of the student is made during the Course, and no
[4252]final grade ia given upon course completion,
[4254]FOR THE DIRECTOR OF TRAINING:
[4256](y idcarcer Course Chairman
[4258]Clavagified by: 17-1626
[4259]EX-2, APDCI, CONFIDENTIAL
[4261]WSISNi
[4263]14-0000
[4265]“Ny SECRET
[4267](Oren Pitted Ind
[4269]SMPLOTEE TETIAL NUMBER
[4271]007667
[4272]pees (Mid te) fa. OF TE UP GIRTH
[4274]——““teat)SS 4. GRADE |" x0
[4275]Bustos-Videla, Charlotte Zz. /12 Jan 29 | GS-13 |
[4276]a a nt
[4278]Mexico City .
[4280]GENERAL
[4282]6. OFFICIAL POSTION TITLE
[4284]Operations Officer DDP/WH/1
[4286]16. CHUCK (RIT YOR OF AaPoRT
[4288]; epacias (Specty)
[4289]18, BRPORTING PERIOD (From to)
[4291]1 January - 31 July
[4293]PERFORMANCE EVALUATION
[4295]Ctreastshastory Performance is wnaceeptable. A rotag this cotegory sequstes ommedsate ond postive temadial action. The aoture of tha oction
[4296]~ could renga from counseling, to further troiaing, bo plassag cn probation, to seanigamant of fo soperatpa. Describe octon token
[4298]. of proposed in Section C
[4300]Performance is deficient in some ewpects. Tha reasons for ategaing this rating thould be stoted in Section C cad remedial! ochoms
[4302]Bh -then gene
[4303]- - takes of recommended should be described.
[4304]PD Micinnd Performance is satisfactory. Derired-ressdts-are bemg produced: wn the manner expected, - - = ~ -
[4305]S Heng Performance 1s charocissacd by exceptional proficiessy.
[4306]wow Parlormance is 0 eccephional in relation to requirements of the work and in comporizon to the performones of others doing similar
[4308]SSNS
[4309]work 02 to worcant special recognition.’
[4311]{nee vp te sis of the moot Important spacilic duties porlormod during the rating period. Insert rating letter which best describos the
[4312]mr wa which employes performs EACH specific duly. Consider ONLY effectiveness in performance of thet duty. All employces
[4313]siete supe visory responsibilities MUST be rated on their ability to mapavise (indicate number of employees suparvieed),
[4315]WResese OuTy HO. t
[4317]Prepares operational target studies on PRRUMEN officials and
[4318]assists in the planning of operations against these targets. ‘
[4320]Rating
[4321]Lerten
[4323]S
[4325]Toes trwe gute Na
[4327]Screen: all agent aud technical reports dealing vith PUNCMEN
[4328]tarsets for operational and positive information and puts in
[4330]retrisvahte- ~ forme - -- - een
[4332]“gieieta Caso Officers in preparation of operational reports
[4333]sd eeing all basic research such as tracing and file reviews and
[4335]RATING
[4336]Lat raa
[4338]presents the results in exploitable form. o
[4339]EE corres
[4341]wae rig guir Ho. 4
[4343]Prepares draft intelligence reports from raw agent reports,
[4345]secbnical operations and defector debriefings. 0
[4347]RATING
[4348]eerTzia
[4350]Jie twee pure ya. 8
[4352]GOA/DTEO Project Officer
[4354]TNgGeAPIS Gary wo.’
[4356]Kanapyement of the PBRUMEN section files. 12°55
[4357]. es
[4359]OVERALL PERE PGRMARCE IN CURRENT POSTION _
[4361]a@re <TD atianent owetything ubow the amployse which influancas kis ofinctivensus in hit ewiont position such a pare
[4362]lormense at apacifle duties, wroductivity, candice om jum, ceapercteanosa, pertirent poreonal prurda ee Radits, aed
[4363]eer eane lieectotions er tule Based sa you trceledge of peplarse’s warnll perinsmunce during the rotiag parted,
[4364]euece tee letter to the rating bea currasponding to the sofement ahegh post occiuzutely eafiests bis lave! of perlet-ance.
[4366]po eee OO
[4368]Natya tes were re eral te ge
[4370]SECRET Demses i Se OMS Diy reg
[4372]exer a5 SECRETE MEP. EO.rerNS
[4375]14-0000
[4377]SECRET
[4379]+ COkon Fretted In)
[4380]SECTION C NARRATIVE COMMENTS
[4381]Indicate eighificont strengths or weckneeses demonstrated in current position keeping in proper perspective their celetion ch:2
[4383]overall performance, Siote suggestions moce for improvement of worh performance. Give recommendetions for training, Corer ere
[4385]on foreign longuage competence, if required bor cuttent position. Amplify or expicin rotings given in Section B to.provide best
[4386]ot tupervisary duties ond coat conseiog urest
[4388]bose for determining futur * rtosnonce of m: erie
[4389]athe iff 3 s H I spacer eauiament ond inedeteuit by sosmanied ron an strate “Weatra spoce is needed 0 complete
[4390]octron G ottoch @ sepurste sheet of pope. TH reviewing my previous fitness report and
[4391]those of my predecessors, on this fine officer, I find myself hard put
[4392]not to repeat what has been said so often before. She has been the back-
[4393]bone of ‘this section and of those where she has worked previously. Her
[4394]work has always shown excellent judgement and ingenuity. A self-starter
[4395]with tremendous drive and discipline, the amount of work she has produced
[4396]has been prodigious. ..An_ excellent team worker, she has never shirked wheh-
[4397]: as so often happens = she is asked to take on additional work or work cn
[4398]a matter outside of her regular field. While forceful, she is diplomati .
[4399]and tactful and is able to present suggestions and criticisms in a plea-
[4400]sant manner. She is one of the most dedicated persons I have met in the
[4401]Organization, and exceptionally dependable. While, as a: woman and a
[4402]Specialist, she has had little opportunity to handle agents she has done
[4403]very well with those we have given her to handle. She has showed great
[4404]: ability in the training of two transcribers and in the debriefing of tv¥o_
[4405]: female agents and their husbands, This is in large part due to her in-~ oo. oe
[4406]- --ldepth -knowledge of the targets this section 18 Working on. Tté past few f-
[4407]months have, been difficult, requiring the complete reorganization of this
[4408]‘Section and the termination of the majority of our assets. - Under this
[4409]i stress, she has performed in her usual outstanding amanner. Perhaps,
[4410]even a little better. Her handling of a great deal of file work has been
[4411]- Jexcellent, probably in part because she was the one who set it up and has
[4413]2 maintained it in its present very good state. (continued)
[4414]SECTION D CERTIFICATION AND COMMENTS:
[4416]SY EMPLOYEE
[4417]UCERTIFY THAT f HAVE SEEN SECTIONS A, 8, ANO C OF THIS REPORT.
[4418]SIGNATURE OF EMPLOYEE
[4420]7 Avy 1972 {
[4422]OATE
[4423]/s/ Charlotte 4%, Bustos-Vadela
[4425]2 Gf SUPER OGR .
[4426]MONTHA EMPLOYEE 046 BEEN Viv vais AN PORT HAS WT RE EN SHOWN TO EMPLOYEE, GIVE EXPLANATION
[4427]UNOER MY SUPERVISION
[4429]YPEOQ GR PRISTED NAME AMO SIGNATUPE
[4431]DATE DPFICIAL TIVUR OF SUPERVISOR iv
[4432]t
[4433]7 Autsust 1972 Operations Officer /s/ John M, Burke
[4435]1. __ _ _ BY REVIEWING OFFICIAL
[4436]COMMENTS OF RE VibwiNnG OF Fici4aL
[4437]Withont any hesitation I concur with the outstanding ratings
[4438]. nhove. Subject is now up for rotation and we will miss her
[4439]immensely. For yenrs she has dedicated her entire time to her job
[4440]which she has done so well. She has been creative, thorough and
[4441]accurate. Although she has not had supervisory experience at this
[4442]stution, sho has performed in a.manner which clearly reflects that
[4443]sho would have no preblem with supervising. A truly outstanding
[4445]employeo with growth potential.
[4447]ar ER TE TAL T TLE UF BE WIROING OF PIGIAL NV PYFED OF FS UTED WAME ENG SQMA TURE
[4448]i \ fs/ George A Tt
[4449]7 Aug 1972 . pcos : BETO XR
[4451]SECRET
[4452]“ed
[4455]1400000
[4457]a > SECRET “
[4459](CONTINUED) '
[4460]: SECTION C NARRATIVE COMMENTS
[4461]j .
[4462]i The one criticism of this Officer's work that I and others ;
[4463]j have made in the past still stands. She tries to do everything '
[4464]and somethings in this business just don't deserve the attention | i
[4465]she gives them. . , Oo .
[4466]i
[4467]I have no personal knowledge of her supervisor abilities, . .
[4468]but believe she is a natural leader. ;
[4469]: |
[4471]gre ara
[4472]or |
[4475]14-0000
[4477]-
[4478]” SECRET
[4480]rOren Potted fa)
[4482]WMPLOVYER SARIAL NUMBER
[4484]007667
[4486]FITNESS REPORT
[4488]GENERAL
[4489]th wame (hae) (Fteet) enna) iz OA TEP QI Ee. 4 ry
[4490]Bustos-Videla, Charlotte Z, {12 Jan 29°| F['ascisl Dp
[4492]1, CPF/DIV/OR OF ASSIGNMENT 16. CURRENT STATION
[4493]DDP/WH/1 Mexico Ci ty
[4495]8. Cem Cn (A) TYPE OF APPOINTMENT 10. ChacM in) TYPE OF REPORT
[4497]| PE eiketnerionas os mincing zecne a ID
[4498]BPacian (Specity): «
[4500]spactas (Specity):
[4501]1}, QATE REPORT QUE I OP,
[4503]6. OP FICIAL PORTION TITLE
[4505]Operations Officer
[4507]12. REPORTING PERIOD (Prom te)
[4509]January 1971 - December 1971
[4511]SECTION 8 ERFORMANCE EVALUATION
[4513]U-Uneatistactory Perlormonce it unacceptable. A rating in thin category eaquires immediots ond positive remedral action, Tha nature of the ection
[4514]~— could range from counseling, to further troincag, te placing oa probaticn, to reasugnment of ta separation. Describe oction totea
[4515]ot proposed in Section C.
[4517]PeHfarnande ua defizidnt in some Sipacta: TEE veusang Tor oisigaiig this iotiag thould ba slated in Section ¢ and ‘remedial Gitient”
[4519]~ “UO M=Margitel
[4520]oe tetca ar teeommended should be derenbed,
[4521]P-ProReient Peformance is sotisfoctory. Derired: retutts ave doing produced in the manner expected.
[4522]“] S-Strong Purformanes is chasocteritad by exceptional nreFerency. : “yO
[4524]O-Outatsading Barflormonce is-to exceptional in relation ts reqeimemests of the work and in comporison to the Performance of others doing similor.
[4525]woik as 10 warstent spacial ‘secagnition, | . .
[4527]__ PECIFE DUTIE $s : -
[4528]List up te six of tho meet important specific dutios performed diving ‘the roting porlod. insost rating loner which best describes the
[4530]monner inv which employes porforms EACH apecifre duty. Considar ONLY affoctiveness in performance of that duty. All employees
[4531]with supervisory rosponsibiliiios MUST be rated on their adility to suporvize (indicate number of amplayeco supervised).
[4534]oPaciwic CUTT NO cerrea
[4536]Prepares operational target studics on PBRUMEN officials and
[4537]assist» in the planning of operations azainst these targets.
[4540]Sereens all raw reports dealing with PBRUMEN_targets for _ -_. 7
[4541]Operational and positive intelligence. s
[4543]SPadciric OTT ND “— _ aria
[4544]Conducts namc checks, filo reviews, prepares finished memos,
[4545]eables, and dispatches. Assists Case Officers in preparation oO
[4547]sational reports.
[4548]To amar nmetewnanenat cone ne nee ~ RATING
[4549]RETICR
[4550]Prepares draft intelligence reports from raw agent reports,
[4551]technical operations and defector debricfings. (0)
[4554]Handles miscollaneous special projects for the Station; screening
[4555]and vcoufing to all Seetions daily audio tnke;: operational report-/ s
[4557]ject responsibility for COA/DETO project. _
[4559]pe ann OVERALL PE RFORMANCE
[4561]Tabs imho ace peed over pthiag adeut the caployes which tpSuseces bla eHectreneds in his exter? poaltios such 06 pare
[4562]formance of ppecti ddtea, protuctieiy, cordver un pe, coepavativeasan, gertinant mavacnal traits er hebst0, ored
[4564]wetigwios Hortaness e totem Based on you besulesss st emaloyaa's oware!! paslormance dutiny the rating paried,
[4565]pteve the bere: 2 tho rating dee cospapending tp 1p sretement ehech moet acqwataly esileste hye loval of paviennonce.
[4567]RAT OES
[4568]Lerran
[4570]Tee eantat amma anibunstraniaetedenaneeemmueeeminaeetnanteneeeeaeS
[4572]SECRET ieee end bs GPyAPD
[4574]IPPR
[4576]ace 3 CRORE eee e Be hens
[4580]14-09000
[4582]wan ee
[4584]SECTION C
[4586]-FMONTHE WePCOVEE WAS HEEN
[4587]WADER MY IVPEA VISION
[4589]CRET
[4591]CUres Fitted Ta)
[4592]NARRATIVE COMMENTS
[4594]Indicote significant strengtha or wecknestes demonstrated in curtent position keeping in proper perspective their relationship te
[4595]overall performance. State suggestions made for Improvement of work performance, Give recommendations tor treining, Comment
[4596]an loralgn fangvage competence, if required for current posetion, Amplify of explain ratings given in Section B te provide best
[4597]bLusis for derermining lutvre personnel action. Managt of performonce of monogariol of supervisory dutias und cost consciou mene
[4598]in the vae of perscnnel, space, eavioment oad funds, _evat he coany eplis » Wentra spece is needed to complete
[4600]Section C, ottach @ sepurcte sheot of paper 8 55 nt
[4601]This supervisor naw Usb eked with a varioty of Intelligence
[4603]Many were good, but none compared with this Subject.
[4605]astest working IA I have met. Her
[4607]: Hor knowlédge
[4609]Assistants.
[4610]She is the most thorough and, &
[4611]capacity for hard work and long hours is prodigious.
[4613]of operational matters is equal to that of most case officers. She
[4614]has an operationally crentive mind and has-made many excellent.
[4615]Additionally,
[4617]suggestions for the improvement of the section's work.
[4618]her command of the Spanish language onhances all of the above abilitie
[4619]This officer has found hor very pleasant to work with. She has a
[4620]unigue ability to make constructive criticism in a tactful manner.
[4622]If this Subject has a weakness, it was pointed out by the reviewing
[4623]officer in the last fitness report when he said, “in her voracious
[4624]appetite for all kinds of facts (she) can at timos put undue emphasis
[4625]on them, including factual minutiae as against cqually important but
[4626]more elusive subjective factors. : . :
[4628]Because of hor outstanding performanco and abilities the Subject
[4629]wilI be given some activity handling agent_porsonnel, during the
[4631]forthcoming year.
[4632]The Subject's continued fine performance sinco her last promotion
[4634]merits special consideration by the Promotion Board.
[4636]SECTION DT CERTIFICATION AND COMMENTS
[4637]_ . BY EMPLO YEE
[4639]‘.
[4640]_ 1 EFRTIF? THAT 1 HAVE SEPN SFCTICNS A, 8, AND C OF THIS REPORF
[4641]DP RPT OP PUP U TE I re me 8
[4642]9 December 1974 /s/ Charlotte Z. Rustos-Videla .
[4644]BY SUPERVISOR . _
[4646]2.
[4647]iP THI3 REPORT MASNOT BEEN SHOWN TO UMPLOTEK, GIVE-HAPLANATION
[4649]TTYPZO OW PRINTED NAMG AND SONATUREG
[4652]Ops Officer. /s/ John M, Burke
[4654]9 December 1971
[4655]3.
[4657]COMMENTS UF REVIEGING OFFICIAL
[4658]Y concur. with the above ratings and comments.
[4660]the tasks outlined above in a very professional and methodical manner.
[4661]One does not even sense that the work is going on until tho tinished
[4662]product is produced. It is aiways excellent. We count heavily on her
[4663]thoughts and ideas in all operational studies and considerations. She
[4664]is ops oriented and has an excellent bank of information to eall on
[4665]-when necessary. She is pleasant and has the respect of her co-workors
[4666]as well as her supervisors. Her abilitics are varied and she can be
[4667]counted on to perform oxtremely well regardless of assignment or target
[4668]We will be losing this fine officer soon and we will be hard put to
[4670]ind someone who will bo able to replace her.
[4671]WITCE OF REVitwia Ge riciAg [TYPED OF PA INTE NAMA AND SIGNATUSE
[4673]— POR PR ICIAL ,
[4674]/sa/ George A. Fill
[4676]GATE WUT TDF PICIAL TITLE OF SUPERVISOR
[4678]Subject performs alt
[4680]RY REVIEWING OFFICIAL
[4682]oats
[4683]9 December 1971 Deputy Chief of Station;
[4684]SECRET
[4686]14-0000
[4688]fee ke . . SECRET
[4690](Wares Frtfed In)
[4692]FITNESS REPORT
[4694]Tame @ z (Micdte) 4. CATE OF BIATH .
[4695]bustos-Vitta, cranllms 2,0" [2 dan,29 |p (08-13 |
[4696]8. OPriciay POSITION TIThLE . % ORFs OF ASSIGNMENT (8. CURRENT STATION
[4697]Qpertione Uiftcer bier ee'a
[4698]Pe cueenin) tyre gr apparent eee vee oe Ree
[4699]OC CI
[4700]|] [ camaun-rnovisiona (See inateucitone > Section C) i XXlewue Tne assionmanT amecoves |
[4701][—orecras pest | sera net
[4702]Ut. GATE REPORT OVE IN 0.8, 14. REPORTING PERIOD (Fram toy)
[4703]. : 1 January - 31 December 1970
[4705]PERFORMANCE EVALUATION
[4707]Parformonce is unoaceptable. A rating in this cotegory, requires immediate ond positive remedial action. The natwe of the action
[4708]could ronge from counscling, to further training, to ploeing on probction, to reatugamant of to reparation. Daseribe action taten
[4710]of proposed in Seetion C, 1
[4712]Performance is deficient in rome oepacts. The cecions for assigning this rating should be stated in Section C ond remedial actions
[4713]token of recommended should be described.
[4715]Parformonasis solisfactory, Desised rasulty ore being produced is the manner expected,
[4717]Parformonce it cherocterited by exceptional pioficiescy.
[4719]Pasformance is +0 axceptional in relation to requirements of the work and in compotion to the performances of others doing similar
[4720]work os to worrant spacial recognition, .
[4722]SPECIFIC DUTIES
[4724]Lise up ta sin of the moat important apacilic duties perlormod during tho raring period. Insert rating lotter which best dosccibes the
[4725]manner in which employoe performs LACH specific duty. Consider ONLY ofectiveness in performance of that duty. Al! amployees
[4727]with supervisory responsibilities MUST be reted on their ability to supervise (indicate number Gf employoos eupervised).
[4729]TPECIIE DUTT HO. Prepares opera ational target studies on PBRUMEN eres
[4730]officials of interest and helps “in tho preparation of operational
[4731]Planning re target porsonnel. tyres Qo.
[4732]Sveci#e uuryvay eT eee wa ee
[4733]Serecas the raw reports Srom technical operations and agents Cor
[4734]Operationally uselut information, fo)
[4735]seuciPtE BET RoS Provides” ‘Operational. and adminis trative Sipport for RATING,
[4736]station PBRUMEN activities. ‘This includes name chocks, file °
[4738]reviews, preparation of memos, cables and dispatches, and helps in
[4739]ho preparation of project reports, outlines, and renewals...
[4741]seecimicourr ses Sipervises bho handling of the station PBRUMEN watch- [ce
[4742]list and in general monitors travel of interest to and from PBRUME.
[4744]for our station, Headquarters and other stations.
[4746]seu CIEIC OUT Y NO. 3 Helps the station intelligence chief in tho proparationcerrés |
[4747]of finished intelligence reports from a PBRUMEN refugeo debricfing
[4749]center (only part of the reporting periad).
[4751]weeciric purr mo. @ Handles Mm: misceltancous special projects for the station) AYiy
[4752]du uddition to her PBRUMEN duties (exanples: organization of
[4754]station watchlists during a presidential visit, screening cortain
[4756]paw reports tor wholo station, preparation of _OQA/D'1O projec nan
[4758]OVERALL PERFORMANCE IN CURRENT POSITION xe
[4759]Te ot ae [oa no
[4761]LEIVIER
[4763]Take Into accourt seatything about the employoo which Influences hia sfloctiverass in his currant postioa. puch a6 pare
[4764]formance of agerihc dutios, productivity, conduct on job, coooeronvaness, pertinant parsanal trains o Rebers, ond |
[4765]poctlcular limitations ef ralanta, Buses on your knawledgea cf seployce's overol! petlormance duting the Aten perind,| fe)
[4767]place the lattes in Ihe rating bom cormespanding to the statement ahich moet uccwately rollects hit level af petlornunce,
[4771]SECRET
[4773]eon a RY: rote ye
[4774]Dae $$ ceacuass essa. e soins vee, Plv ees
[4776]14-0000
[4778]SECRET
[4780]CBben Filled dad
[4781]SECTION C NARRATIVE COMMENTS
[4782]indicote significant Strenpihe oF weaknesses demonstrated in current position hoeping in proper Perspective thelr relationship to
[4784]overall performances, Store suggestions made for improvement ol cath, periormonce. Give tecormendutions foe training. Comm oni
[4786]on Inewiyn donguoye competence, if tequirnd for durrint position, Amolily or explain ratings given in Section B to provide heat
[4787]duties ond cost cantclovingas
[4789]basis lor determining futute passonnet action. Monner of perfgenance of managerial Pitveenisen. ” at
[4790]in the ute of personnel, space, eavirment ond fynds, must te commented on i opplicable. WFeutra space 1s needed to complate
[4791]Section C, ottoch o separate thearo poper, °
[4793]J .
[4795]Subject worked most of ffb}2ycGoanl the station PBRUMEN section. She
[4796]was clearly outstanding in collating information from all sources
[4797]during a recent intensified “PBRUMEN" month, dotermining as a result
[4798]the overall pattern of tho PBRUMEN mission here, spotting operational
[4799]leads and updating target studies on all PBRUMEN officials as a result.
[4800]Her final writeup regarding both new information obtained and the gaps
[4801]that romain was thorough and useful.
[4803]Subject 1s oxtraordinarily rapid and efficient in researching for
[4804]info, organizing files and other material and writing up any kind of
[4805]resulting memo or dispatch. The same might be said perhaps of some
[4806]Other real pros in the IA field. Howevor, in addition, Subject has a
[4807]Good, tough, operations-oriented mind and positively contributes ideas:
[4809]| and suggestions re new operational techniques which the station -has
[4810]uscd profitably. Subject has natural managerial abilities as recontly
[4811]demonstrated in her organizing TDY help in a station-wide fito and
[4812]watchlist effort in connection with a presidential visit. Her Spanish
[4813]is more than udequate for reading reports, and handling operational
[4814]messages in that language. In sum, Subject is a tremendous station
[4815]asset and would be extremely hard to replace without noting a serious
[4816]loss in station officitency. . .
[4818]zs -continued
[4820]CERTIFICATION AND COMMENTS
[4821]BY EMPLOYEE 7 :
[4822]CER TIP? THAT PAVE SURE SE CTITS A, 5, AND C OF FRIt REASST
[4824]SECTIOND
[4825]in .
[4827]PSIGNATURS OF TMT CO e
[4828]3 arch 1972 Lil crarlotes 2.
[4829]2 BY SUPEA VISOR __
[4831]tacit PHS EMPLOTER AS BEEN i THIS HP PGRT HAS NOT DEEN SHOWN TO-EM*LOYEE, GIVE EXPLANATION .
[4833]UNOBR MY SUPER VISION
[4835]TYPES O8 PRINTEO NAME AND SIGNATURE
[4837]wATZ. - FOP FIGIAL TITLE OF SUPLAVIZOR
[4838]) March Lorysl Operations Officer sf John Isesinger
[4839]22! P acer eh OL MON SESE OSCE
[4840]3.- BY REVIEWING OF FICIAL .
[4842]COMMENTS OF AUVIGING GFPICIAL
[4844]_ Although in my opinion there is an excessive use of “‘outstanding"
[4845]by the rating officer, f’am in accord with his narrative comments.
[4846]Subject is definitely more than an IA and has performed as such when
[4847]the station has required an individual with in-depth knowledge of
[4848]station procedures, operational awareness combined with an ability to
[4849]propare studies in a short poriod of timo. She's thorough, concise
[4850]and vapid. One of our hardest workers and most dependable employees.
[4852]TOR PICIAL VIVE OP REVIESING OFFICIAL [FFPED OR CRIN~ SC VAME AND SHUMATURL
[4854], } Deputy Chief of Station i /sf George A. PILL
[4856][Outs
[4858]25 March O71
[4860]SECRET
[4862]14-0000
[4864]SECTION C NARRATIVE COMMENTS continued
[4866]Three rather personalized comments might add meaning a ‘
[4867]to this fitness report. Anyone, particularly a fomale, :
[4868]fitting the above description of efficiency and achievement _ .
[4869]can be, and often is a little overbearing and difficult to
[4870]work with as a person. Subject, withall, is a pleasant
[4871]porsonality who knows how to make her contributions and
[4872]comments in a forthright but tactful manner. Secondly, and :
[4873]this one is a littlo hard to say, Subject in her voracious . ao
[4874]appetite for all kinds of facts can at times put undue
[4875]emphasis on them including factual minutiae as against
[4876]equally important but more clusive subjective factors.
[4878]Thirdly, this rating officer has personally observed Subject -
[4880]only working on station premises at an office job, and
[4882]frankly has no idea how she might function in outside | ; ; -
[4883]operational work (cultivating poople, working under outside ~~~" : .
[4884]cover). .
[4886]Tee = ne eee a a ns mena ENN RR! Erol Lee oo wm en oe ih
[4890]wowed ity GY 500; 2PB
[4893]14-0000
[4895]MEMORANDUM FOR THE RECORD - Cy are v7 ne (Btesres Voce \
[4897]SUBJECT: Ovcrall Outstanding Rating on aD:
[4898]Mothod of Recognition
[4900]1. This memo is boing written in accordance with
[4901]paragraph three of Book Dispatch 5273 of 12 April 1966.
[4903]2 TRS MAwas last granted a Quality. Step Increase
[4904]about a year ago in recognition of her very fine performance. |;
[4905]It is a little early. to repeat that kind of recognition even :
[4906]though it is u most logical and meaningful means to show :
[4907]recognition of hor outstanding work. . 4
[4909]en RE Ame RL esate ebee ae ome cata *
[4911]' 3. Consideration should be given lo an appropriate
[4912]_ occasion in tho . fairly near future to grant another
[4914]“- -QSI. to @ ae 7 : .
[4916]Basen og ay SPD PDB
[4919]14-0000
[4921], uo . ’ SECRET 7 4
[4923](When Pitted In)
[4925]SUPLOVEER SERIAL NUMBER
[4927]007667
[4929]2. OATE OF BIRTH |B. SEX 4. GRADE
[4931]7. OF P/DIV/BR OF ASSIGNMENT /8. CURRENT STATION
[4933]Mexico City
[4935](Michie)
[4937]9. CHECK (X) TYPE OF APPOIRT MENT 10. CMECK (XD TYPE OF REPORT
[4939]Ganeanconaviaiowsy (Bee heirs ilong«BestlonC) xx Tamawac ra asnrowman i aurcovee |
[4942][Jorucran Greets SSCs tk Set
[4943]11. DATE REPORY DUE IN OP. 12. PEPORTING PERICD (Frum: to)
[4944]28 February 1970 1 August 1939 ~ 31 Detenber 1969
[4945]. PERFORMANCE EVALUATION . x
[4947]Performance rongos from wholly Inadequate to slightly loss than eotialactory. A rating In this category requires
[4948]positive reaedigl action. The nature of the action could range from counsoling, te furthor training, to plocing on
[4949]probation, to reassignment of to sepuration, Describe action token of proposed In Section C.
[4951]Porlormonce moots all requiromente. It is entirely satisfocrory ond ie characterized neither by deflctoncy nor
[4953]excellence.
[4955]P + Proficient Porformanes is more than aati stactoiy. Desired results are baing produced In a proficlent manner.
[4957]5 + Strong + Performance is chorecterlied by exceptional proficiency.
[4958]O- Oyistanding Performence i¢ 99 exceptional Infolation to requirements of the work and in comporison to the performonce of
[4959]othera doing similar work as to warrant special recognition.
[4961]PECIFIC OUTIE
[4962]List up to six of tho most impertant spocitle dutlas porformod during the rating period. Insert rating letter which bast dascribos the
[4964]manner in which employee performs EACH spacific duty. Considar ONLY eHectiveness in perloemonce of that duty. All employees] .
[4965]with supervisory renponsibilitias AUST be rated on thelr abillty to supervise findicate number of employnas supervined). f
[4967]SPFeIPIC DUTY NO. Ft
[4968]Eonpt leto reorganization of Station files, including
[4970]development of anew proceduros, revision of file categories,.
[4971]consol tdation, purging and’ destruction, ° pe
[4973]Durer, @
[4975]“Provides overall gaidance to Blation add fDY personnel
[4976]engaged in reorganizatlon of Station files. Supervision of
[4978]Secrotary-Receptiontst.. - oo - ; : - oo Ss
[4979]SPECIFIC DUTY NO-d aes a : — - “RATING
[4980]Spocial assistance to COS/DCO3 in revanping the paper flow LETTER
[4981]withla the Station and betwoon the Station and other Government
[4984]avencics.
[4986]sreciric DUTY MO, 4
[4988]veparation of spectal studies for the COS/D503 concerning Lhe
[4989]effectivaness of Station papor handling procedires,. personnel
[4990]econonies related thereto and the improvement of Station
[4991]wecivic buryna,s ULLIZaALion Ol mnHpowor, space and funds as a result RATING
[4992]of the reorganization of Station Registry functions . verren
[4993]. s
[4995]and personnel, an erReeaees .
[4997]FAT Nfag
[4998]LLErren
[5000]SPECIFIC BUTT NO. 6
[5002]be
[5003]OVERALL PERFORMANCE IN CURRENT POSITION
[5005]RATING
[5007]LETTER
[5009]Take into account everything chau rho eaployoa which Influences his offectivensss in his current position such a2 per
[5010]formunce of «pacific duties, productivity, conduct on job, cosperctieeness, paettinent personal traits of habits, and
[5011]porscolar limitations of talenrs. Ez2ed en your knowledge cf ompiayos’s overall performance during the rating porod, S
[5012]ploce the letter in the rating bas correspondiry to tha statement which ost occurataly caflocts his lavel of performance.
[5014]F084 45 uss eagvious agitioas SECRET
[5016]en
[5018]14-0000
[5020]SECRET
[5022](When Filled Ind
[5023]SECTION C _ NARRATIVE COMMENTS
[5025]Indicate significant strengths or weohnosses demonstrated In current position keeping in proper perspective their relationship to
[5026]overall performance, Stara suggestions mode for improvement of work performance. Give recommendotion s for training, Comment
[5027]on foreign language competence, if requited for current position. Amplify of explain ratings given in Section 8 te provide best
[5028]bosis for determining future personnel action. Monnec_e! potformonce of manogerial or [ot _tupscel sore duties ond cost corsclousness
[5029]Teable. H extra space is needed to complete
[5031]in the use of personnel, spoce, equipment gnd fynds, must be commented on, if o
[5033]“| Section C, attach a separate sheet of popor,
[5035]In July 1969 Subject was transferred from fhe iCuba Settibn to the
[5036]Station froat office to serve a3 an executive assistant to the COS with
[5037]special, responsibility for ensuring that the paper flow of the Station
[5038]remainéd-under effective control during the period of transition re-
[5039]sulting from the assignment here of several senior officers. This
[5040]transition period necessitated or gave rise to a number of changes in
[5041]the management and adninistrative areas of the Station. Subject's }
[5042]performance in this assignment under these circumstances was clearly, .
[5043]outstanding. Her sound judgement, imagination and ~esponsiveness to’
[5044]guidance not only contributed to maintaining the stability and nomentun
[5045]of the Station but also made possible an early effort to come to grips
[5046]with many of the problems which an inflated Registry and a highly dis-
[5047]tinctive record; system created for the new Station management tean,.
[5049]During the. ensuing six month period, Subject has recommended and
[5050]implemented a nuaber of changes which have prodiced a more offective
[5051]and less costly records system. Paper holdings have been reduced sub-
[5052]stantially, input has benn rediced and now conforms to basic CS pro-
[5053]cedures and requiremonts. Personnel savings have been effected and
[5054]supervisory responsibilities more clearly delineated.
[5056]To sum up, Subject has mado and continues to make a major contribu-
[5057]tion in a singularly unsensational area of Station activity. Her aivic
[5058]is sought and appreciated not -anly by- the COS and myself, but by other
[5061]SECTION D _ CERTIFICATION ANS 5 COMMENTS:
[5062]1" -
[5064]a (HAT TAY
[5066]BAND C OF THis EPO
[5068]DATE ~ SIG MATURE OF EMPLOVER
[5069]15 January 1970 _ 1 /s/_ Charlotte Bustos-Vidala
[5072]2. — = - =o =
[5073]MONTHS TMPLO EF He sn BC Ere 1M Tes REPORT HAS NOT TEEN SHowh TO EMPLOYEE, GIVE EXPLANATION
[5075]UNGER MY SUPERVISIO
[5077]6 months _ . ven
[5078]a TYPED OR PRINTED NAME AND SIGNATURE
[5080]DATE OFFICIAL TITLE OF SUPERVISOR
[5081]15 January 1970 - DCS /a/ Paul V. Harwood _
[5082]“ ‘ BY REVIEWING OFFICIAL ~
[5084]COMMENTS OF REVIEWING OPFIciaL Tt would be difficult to overstate the contri-
[5085]bution made by Subject to this 3tation during the past six aonth
[5086]period, and I concur fully in the ratings and comments of the Rating
[5087]Officer, I might add that Subject is one of the more versatile,
[5088]conscientious and productive employeas with whom I have worked in
[5089]this organization, and that in adlition to the administrative/
[5090]management role outlined above, continued to provide valuable
[5091]operutionad/analylical assistance to the Cuban and other operational
[5092]sections of the Station. The inittative and imagination shown by
[5093]Subject in the very conplicated administrative management assign-
[5094]ment have been particularly commendable and her complete familiarity
[5096]i Phe coun untry, the language, and the backsroiun wind af the Statian
[5098]FE has been invaluable dating this “Pe PT of etd ns 67 £O “ANF ANG Stonaress
[5100]15 January 1970 cos | _/s/ James 8. Noland
[5101]SECRET
[5103]3.
[5105]14-0000
[5107]ee nme tee tenes ate ewe a, OF
[5109]SECRET/RYBAT
[5112]SECTION C NARRATIVE COMMENTS CONTINUED
[5114]personnel who appreciate her personal and professional qualities.
[5116]Subject is aware that her current assignment is an unusual one and
[5117]that she soon may have worked herself out of her current job. Since
[5118]she speaks fluent Spanish, ha3 a unlque ability to get along with
[5119]people and to get things done, there will be no problem in assigning
[5120]her back into a position more closely supporting operations. Our
[5121]operations are certain to benefit thereby.
[5123]SECRET/RYBAT
[5126]14-0000
[5128]Hptoce the lotter in the rating box carrespona:-3 10 ta satener,
[5130]{ONen Felted U-}
[5131]EMPLOYEE S91 RIAL NUMDER
[5133]. . Ma : q
[5134]. ; FID “SS REPORT 007667
[5136]GECTION Aer aa
[5137]1owaAME (Les (Fired) (Middte) 2. DATE OF DIRTH
[5138]BUSTOSVIDELA, Charlotte Z. | 12 Jan 29 Pe |
[5140]8. OF FICIAL POSITION TITLE %. OFF Div. OR OF H/ FF/ taeae cet |B. CURRENT STATION
[5142]Officer DDP/ WH/
[5144]D. CHECK (KX) TYPE OF APPOINTMENT 10. CHECK (KX) TYPR OF HEPORT
[5146]GantuarraguisionAy (Soe meirectione  Becion panne relate emreover
[5148]| fswacian (Speetty): | seucian (Specttyys
[5150]tt. CATE REPORT CUE IN OP, 12. REPORTING PERIOD (Pram to-)
[5151]October 1969
[5153]4. GRADE
[5155]March to Aucuct i 69
[5156]SECTION 8 PERFORMANCE EVALUATION
[5158]We Wook Porlormance ranges from wholly inodequote to slightly less thon sotisfectory. A rating in this category requires
[5159]> positive remedial oction. The nature of the action could ronge from counseling, to Iurther training, to placing on
[5160]probation, to reassignment of to soporation, Describe action token or proposed In Section C.
[5162]A- Adeqvota —- Parformanco meats of! requirement. lt 1a entirely sotisfoctory and Is choroctorized nelther by deficiency nor
[5164]excellence,
[5165]P+ Proficient Performance Is more than satisfoctory. Desired results ore being produced ino profictont manner,
[5166]+ Strong Porformance is chorocterized by exceptional proficiency.
[5168]O - Qutstending Performance is vo exceptional in relotion to requirements of the wark ond In comporisan to tho parfermance of
[5169]° ethers doing similor work a8 to warrant spectal recognition.
[5171]List up to six of the mow Important specific duties porformed during the rating perlod. fnsort soting lottor which best describes the
[5172]mannor in which employee parforms EACH specific duty. Consider ONLY effectivenoss fn performance of thot duty, All amployoos
[5173]with supervisory responsibilities MUST be rotod on their ability to supervise (indicate number of eaployece supervised.
[5175]specific purr NG! Until she was called to cther duties in the front ter rzn
[5176]office of the Station, did analysis on FHRUMEN targets of Staticn
[5177]interest, collated information and prepared studies, -peyc’ 19)
[5178]serciere Dury Hard ne TT ; ~ rere
[5179]re eG oP foes b 2 one ed ao patil oPeertes
[5181]. ww OPP ae EDs
[5183]and rreeeseed Intel idyence aus Operatacnel anformticn in close
[5184]tull time senior outsiie trenancribers whom
[5186]Shope natdg with tye
[5187]a) Vip se en a}
[5188]aPaciric SurT wo. S ~E0" : Choad ey Tat - 7 hee RATING |
[5189]Yancled the Station :BRUMEN watehlict and truvel ceTTeR
[5190]mation to UGrkst Stations and 3
[5192]prorrams end reported travel infor:
[5193]othes stomors,
[5195]eee Taind mnhenta 7 + RATING
[5196]Spaciric OUreNO* Provided operational suprert {file cheexs, opersticnal | verre
[5197]reviews, liaison memoranda, ete.) for varicus ‘tatica activitics. s
[5199]RATING
[5201]spEciric OUTY NOS (| ersten to the reparation of monthly summaries cverran
[5203]and project rer z (outlines, renewals, etc.)
[5205]2itbion Cerrar
[5207]cial projects for the ©tatden in
[5209]SPEGi#IC DUTY NO. 8
[5211]to her "hig 2
[5213]‘ _SVERALL PERFORMANCE IN CURRENT POSITION . _—
[5214]7a T Rating
[5215]Tako inte occaunt avarything abet the ¢-aplayeo which Influonces his effectiveness In his cuzent position such os pore | SETTER
[5216]formance of specific rything produc iwity, conduct on je> wt operarivese sa, portiner personal sraus of hal ts« aad
[5217]your Snan'sds. . analeses's overall performance duting the raring porisd, 0
[5219]porticuler limitations af talents. Based
[5220]Siew moat accutarely relives hia fevel of performonve.
[5222]aoe" 45 veq pagvious soirians SECRET
[5224]getter er riryerenmveriwe eowsrornmes reese ———
[5226]14-0000
[5228]CRET - '
[5230]. at (Then Fitted In) ——
[5231]SECTION C #0 MARRATIVE COMMENTS )
[5233]Indtcote significant strengths or wechnessos demonstrated in current position keeping in proper porspective thols valorionshia to
[5234]overall performonce, Si-te sugssetions modo for Improvement of work Petlormance. Give recommendations for training, Comment .
[5235]on forelgn language cu ee, Hirwsu'red 2: current position, Amplify or explotn ratings givon in Soction B to provide best
[5236]bosie lor determining fu. 9 personnel octivn. | poscel patlormonce of mono erie) ot supervisory duties und cost consciovsnge
[5238]3 f y F
[5240]ptheuse of personnelt03 . D iene
[5241]jaihe ottoch @ soporote sheet of poper. entre spose te Deeded to complete
[5243]Subject's performance continued during the period under review
[5244]to deserve high praise. Her enormous appetite for work, her
[5245]attention to detail, her ability to absorb and digest enormous files
[5246]and complicated cases, her professionalism and devotion to the duties
[5247]entrusted to her really deserve the rating of outstanding. Subject
[5248]speaks good Spanish, has considerable initiative, much experience
[5249]in analytic work and a genuine talent for administrative work.
[5251]In view of her past performance, her record at the Station and
[5252]her potential, Subject who was recommended for promotion to the GS-14
[5254]level should be promoted as soon as possible. .
[5256]a CERN TIFICATION AND COMMENTS ce venees vee eee
[5257]Bf CMyLOTRE ~ : a
[5258]Ot . 8, AND C OF mas REPORT
[5260]A Auzust 1969 _Charlotte Z. Bustogvidéla (Signed) ~~ ..
[5261]BY SUPERVISOR
[5262]IF THIS REPONT HAS TOT BEEN SHOWN TO EMPLOYER, GIVE EXPLANATION
[5264]MONTY EMPLOVEE HAS GHEN
[5265]UDR IY AUPER VIBIOM
[5267]OATS OFFICIAL TITLE OF SL PERVISOR TEPER ON FINE RD NAME AMD SIGNATURR
[5269]1 August 1969 Ops. Officer Francis Sherry (signed)
[5271]COMMENTS OF REVIE WIND OFFICIAL
[5272]4 %
[5274]Subject is indeed an exceptional ‘officer who is highly deserving
[5275]of the foregoing ratings and relseted accolades. In her new role as
[5276]executive assistant to the CUS ahe has teen invaluable during the
[5277]aéifficult “and complicated transition from the oli regime to the new,
[5278]and the related reorganization of uhe Station. ner organizational
[5279]abilities are unsurpassed by anyone known to the undersigned, and
[5280]she certainly merits consideration for early promotion. :
[5282]Sava T””CO*S OOF PUGIAL TITLE GF AE ZIEGING OF FIGIAL [PTPEG GA PRINTEO HAE AND SIGHATURE
[5283]1 August 1969 Shief ot Station | James BL Noland
[5285]SECRET
[5288]14-0000
[5290]- 7 oN . SECRET flaviewed by 8P/PD/EAB
[5292](When Fitded In)
[5294]EMPLOVER SLAIAL NUMBER
[5296]FITNESS REPORT 007667
[5297]SECTIORASOOCtC~CS~S~SCSCSC~™S GENERAL
[5298]1. NAME (eet! iFeew (Middle) T OATE OF BIATH [9. 5EK 4, onaDe 8.30
[5299]Bustos-Videla, Charlotte 12 Jan 1929 F 'GS-13 D
[5301]6. OF FICFAL POSITION TITLE F. OF F-OIV/BR OF ASSIONMENT (€. CURRENT STATION
[5302]DoP/WH/A Mexico Cit
[5304]R TReseeye Uvemvomany | | raves L__]meassionment surenvison|
[5305]R-PROVIBIONAL (S00 inetractione » Section C) [xx | ANNUAL [ __[RACsONMENT EMPLovER |
[5306]A CC CC
[5308]12. REPORTING PERIOD (Frame fo)
[5310]11, DATE REPORT OVE HOR
[5311]January 1968 =~ March 1969
[5312]SECTION 8 . PERFORMANCE EVALUATION
[5313]W + flesh Perforwance tanges from wholly inadoquote to slightly less than satisfactory, A rating In thie category roquiros
[5314]pounve vesedial action, The nature of the action could range from counseling, to further tralaing, to placing on
[5315]Jon, 19 regEsignment ct to separation. Ovacribe action tekon or proposed in Section C.
[5317]A+ Adoavate Performance moote all requirements, It ts ontiroly sotisfoctory and Is characterised noither by doficioncy nor
[5318]- oxceltence.
[5320]P+ Proficient Performance Is mora than satistactory, Desired rasules are balng produced In @ proficient menner,
[5321]$+ Strong Perferrence It choracterizod by exceptional proficiency,
[5323]Pertorerence i3 $0 ancentional in relation to roquiroments of the work and In comporlion to the performance of
[5324]others ding dmilor work as te warrant special recognition.
[5326]PECIFIC OUTIES
[5328]O - Qutstonding
[5330]List up to aia of the most important specific duties performed during the rating porlod. Insert rotting lotter which best doacribes tha
[5331]manner in which employee periorms EACH specific duty. Consider ONLY offoctivonoss in porlormance of that duty, Ail employees
[5332]with suparvinory cosponsibitities MUST be rated on thelr ability to supervise (indicate number af amployoan auporviaed).
[5334]SPECIFIC UUTY No. t Cats
[5335]Handles Station PBRUMEN watchlist and travol program and reports
[5336]travel information to WOFIRM stations and other custumers Ss
[5338]sruciric oure No? Screens tho raw product of several technical opera~ {| S37iso"
[5340]tlons and precesses intelligence and operational information in
[5341]‘close cooperation with two full time senior transcribers whom sh 1)
[5343]chandles completely .
[5344]BPNCIFIC DUTY NOS ~— or Te —— ~ ter rine |
[5345]. . . . BR
[5346]Does analysis on targets of Station interest, collatos
[5347]infornation and prepares studies whe 0
[5349]APECIPIC OUTY NOLS Cetres
[5350]Contributes ta the preparation of monthly summaries and project
[5351]reporting {outlines, renewals, etc.) ; Oo
[5353]= a a
[5355]SPECIFIC OUTY MO. 4 Derree
[5356]Provides operational suppert (file, checks, operational reviews,
[5357]liaison memoranda, ete, for various Station activities Ss
[5359]SPECIFIC OVLY NOOO — — _— i oars
[5361]_ |
[5362]Ne i
[5364]7____QVERALL PERFORMANCE IN CURRENT POSITION _ ee _
[5365]RATING
[5367]Take lato aceouni over. thing vdeet Fhe omolowee abich inflvoncas his offectivgnest in his cirant positicn such ua pers | verres
[5368]farmance of soacific Gases mnigcevity, cardvet oo jab, couperutivensss, pertinent parsnnal traits ce hablea, arad
[5370]particulos Himitaticas cr falaeie. Based ra yc anv alotgs Of emplovse's overall porhaemance duting the ruting perlod, 0
[5371]ploce the fotter in the ratecg Bon goetaagsiniing forte atatawent which mon? ecawataly refisces bia level af performonse.|
[5373]wewernbemeee
[5375]Fate d
[5376]1. FA 2aM8
[5377]on AS @vtows woe
[5379]14-0000
[5381]SECRET
[5383](Phew Fitted Ia}
[5384]SECTION C NARRATIVE COMMENTS «= .
[5386]tndicoto significant strengths or wecknesses demonstoted In current position keeping In propet perspective thelr relotionship te
[5387]overall performance. Store suggestions made for improvement? of work. petformonce. Give recammendations far training. Coon ent
[5389]Baste tr dersoateing Torcoo pos sonns ectbont Morey sfoensboroe ry el eens Aha ES ae given te Section B ye provide best
[5390]fib yeast ce Sedat ny Aes eft Tig po ee
[5391]Subject's performance during the period of over one year under
[5393]review continued to deserve the rating of Outstanding. Her major
[5394]contributions during that period were in the field of operational
[5395]research and exploitation of information obtained through technical
[5396]menns, She was, during this period, given full responsability for
[5397]the handling of two full time senior transcribers including adminis-
[5398]trative matters. In view of the difficulty of recruiting target
[5399]personnel] the task of fully exploiting information obtained from
[5400]technical sources is of great importance. Subject handled this task
[5401]with her usual enormous capability for work, displaying initiative
[5402]and great professionalism. She continued, in addition, to handle the
[5403]other tasks listed in this report together with sensative reporting
[5404]sent by a separate channel, altogether a much heavier workload than
[5405]is usually carried by one person. She was helped in this by her
[5406]good knowledge of Spanish, a talent for administrative work, con-
[5407]siderable analytic experience and great devotion to her work.
[5408]Subject should be considered for promotion to the grade of GS-14 at
[5410]the first opportune moment.
[5412]CERTIFICATION AND COMMENTS
[5414]SECTION D j
[5415]t, _ BY EMPLOYEE
[5417]~ CCEPTIPY THAT | HAVE SEEN SECTIONS A, B, AND C OF THIS REPORT ° |
[5418]oA Led BSasyaruadt Of ERPLOTER
[5420]3 April 69 Charlotte Bustos-Videla -/s/_ _. a
[5421]. BY SUP ERVIOR 7
[5423]ee Ls
[5425]Guone ay SUPLAWISION Alba T fF Te NE PORT HAS NOT SEEN IOmN TO EMPLOYEE, GIVER RE PLANMATION
[5427]19 months |
[5428]OATE ™ GPFICIAL TITLE OF SUPER WISOR | TYPED OR FRINTEO NAME AND DIGHATURE
[5431]3 April 69! ops officer | prancis gnerry /s/___
[5433]BY REVIEWING OFFICIAL
[5435]1
[5436]CEaMENTE OF RE VIEMIAG OFFICIAL ~
[5437]Tho reviewing officor fully agrees with the ratings and coments
[5439]of the vating officer, Subject consistently porforms her dutigs in
[5440]an outstanding manner, bringing to her job truly exceptional
[5441]qualities of intelligence, reliability, and good humor. She is one
[5442]of the most valuable employees in the Station, and the recommendation
[5443]for her promotion from G5-13 to GS-14 is fully and enthusinatically
[5445]|
[5446]1
[5447]|
[5449]endorsed, |
[5450]i
[5451]|
[5454]Pore AA Tk FAI, TAFACIAL OPT EPED CA PRINTER Nave ast DIEM PORE
[5456]3 April 69 | cos, i Winston Scott /B/
[5458]SECRET Oo
[5461]14-0000
[5463]fant S-E-C-R-E-T pat
[5465]TRAINING REPORT
[5467]Sovict Bloc Operations Course No, 3 § ~ 16 Juno 1967
[5469]80 hours, full time
[5471]Student —- ! BUSTOS-VIDELA, Charlotte Office * DDP/WH :
[5473]Year of Birth: 1929 Service Designation: D
[5475]Grade — 2 GS-13 No, of Students 3 34
[5477]EOD Date > August, 1951
[5479]TNR mepRat eet en a mene na etna rman gute.
[5482]COURSE OBJECTIVES
[5486]To orient the student on the special nature of the Clandestine Services!
[5488]Soviet Bloc target and to train him in the application of clandestine methods
[5490]i a : : :
[5491]for collecting information on, assessing, and preparing recruitment operas
[5493]tiona against Soviet Dioc personalitics,
[5495]ACHIEVEMENT RECORD
[5497]i This is a certificate of attendance, No evaluation tg rnade of individual
[5499]performance in tha course,
[5501]i FOR THE DIRECTOR OF TRAINING: ~
[5502]‘ i
[5503]a ed L if , ?
[5504]mae fe MEG ct 4C Pe bas Lie?
[5505]Rusdelt Al huntgchle Date
[5507]Inatructer, OTR
[5509]SAF oC oH -R eT
[5512]14-0000
[5514]. SECRET .
[5516]Odom Het tat fa) '
[5517]aes SMPLOYVEE SERIAL NUMBER
[5518]. FITNESS REPORT 007667
[5519]SECTION A GENERAL
[5520]1. MAME {Loot} (Piva) (Mtdtte) p2- CATE Gf @iMTH | 3. FEM 4. QGRAOe $.80
[5521]12 Jan 1929) GS-13} D
[5523]Bustos-Videla, Charlotte. |
[5524]& OFFICIAL POSITION TITLE 7. OF P1 ONT /OR OF ASTIONMENT /8. CUMRENT STATION
[5525]Ops Officer. : . _DDP/WH/1 Mexico City
[5527]@. CHECK OU TYPE OF APROINTMENT
[5528]x [eaneaw—[_[aesenve _[[eueanany | frssnean_____ ] 11 rensurarmen nuperaon]
[5529]CANeER-PROVIsIOWaL (Bee inetrctione + Section @) AK iameues «dd? =‘ AtNVONMENT ewPLOver |
[5531]1%, GATE REPORT OUE in 0.7,
[5533]29 February 1938
[5535]SECTION 8 PERFORMANCE EVALUATION
[5536]W > Wook Poslormance tongesd from wholly inodoquate to slightly less phon sottsfoctory. A rating In this cotegory requires
[5537]e positive ramedi al action. The nature of the action could ronge from counsollag, fo fur! training, to plocing on
[5539]probotion, to reasalgnmont of to soparation. Describe action taken of proposed in Section C.
[5541]A> Adoquata Performance moots all roquiremonts. It ls entirely sarisfactery ond is choractorizod neither by deficioncy nor
[5542]excellence.
[5544]P+ Proficleny  Porformance Is more thon satisfactery, Oosired rasuirs cre bolng produced In a proficient manner,
[5546]$+ Strong. —- Performunce ts characterized by excepticnal proficiancy.
[5547]O- Qutstonding Porlormance ts 00 excoptionoal in relation to requirements of Fhe work ond In compariton to the performance of
[5548]others doing similar work a8 to warrant special recognition.
[5550]SPECIFIC OUTIE
[5552]List up te on ef the moet Important specific dutios performed during the rativy pertod. Insort rating letter which best doseribes the
[5553]monnet In which employee performs EACH specific duty. Considar ONL f effectivenoss in perlormance of thet duty, All employees
[5554]with supervisory sosponsibifities MUST be rotod on tholr ability to suporvise “icdicate numbor uf amployece oupervised),
[5556]RATING
[5557]LETTAA
[5559]SPRCIFIC DUTY RO, I - yr
[5560]Handles Station PBRUMEN program (maintains a watchlist, sereons
[5561]travel documents and reports travel information to WOFIRM stations
[5563]and other interoasted customers),
[5565]teen ne ee te me ETNA
[5567]SPECIO IS Quit Ma, 2 lerree
[5569]Screens the raw product of technical operations and processes the
[5571]intelligence band operational information, 0
[5573]SPECIFIC QUTT 40.3 ee a, ou ~ aa Tie
[5575]Does nnalysis on targets. or Station interest, pulling documonts °
[5576]19)
[5578]together, collating information and prepzring studies.
[5580]. fr aera
[5581]alae FETE. fhe preparation of 1 month): : ‘a ;
[5582]: a tt Stisma x
[5583]reporting (outlines, renewals etc, ). , fea and project
[5585]SPECIFIC OUTY NO. B a
[5586]Tie —
[5588]Provides operational su ¥
[5589]pport (file checks, operational
[5590]iiaison memoranda ete, ) for various Statton ac tivities. en
[5592]BATING
[5593]bet ITEM
[5595]ye .
[5596]32) . ;
[5598]OVERALL PENFORMANCE IN CUR CURRENT POSITION
[5600]who Into aesaun ne de try Bboy: Lal @ which Intluencas hie Tevare #9 fwvrant postion such a3 sore
[5601]T 4 ty BE, bout the omployo. hich tnth, hie effzes, h $ h
[5602]formancs of apecific wtioe, productivity, Cenduct en sad, FOCPH A vorwas, pare Bersanal teaite of habeas, and
[5603]Ser san.
[5604]partie ylus limitetiona st igiedta Nerad on you knoelaige of eeplopes’a seerali cer formonen dazing tha pati ing Period, 9
[5605]ED HS te » a) i My 1D S0Otawert azhich eoasa Tew eles, sellacts bia I 1 of partvesance, |
[5606]a cs ries tn tha ral, bon terre spendin tee rt ante bh a ove’
[5608]fleviawad by ey a
[5609]= L. | nk
[5612]predcresc DUTT NS & a Ne tnt te
[5614]ot eran pie rn etree
[5616]Foam
[5618]e-a8 43 MIE PAM siSya Corrine SECRET
[5623]d
[5625]\ SECRET
[5626]. (whan Filled Ta)
[5627]NARRATIVE COMMENTS «op a
[5628]ing in proper perspective their rotutionship to
[5629]Give recomn ondarions for taining. Comnent
[5630]$eetion B to provide boat
[5632]SECTION C
[5634]Indicate significant strengths or weotnecs
[5636]overall gerlormance. Stote suggestions ma
[5637]on foretga tangusge competence, if raqvired for currert position. Amplify or explain ratings givan jr
[5638]Loe: Qaies ond cost conscion
[5640]90 demonstroted ia current position keep!
[5641]do for improvement of work performance.
[5643]bois for determining future personnal octlon. bis er_of patformonce of mosppett gl or igh tal y is needed ta i ‘e
[5644]be eatea tpace id complete
[5646]j nthe use.of personnel. spas @oY wf Ferd : +
[5647]Since: her: arrival at this Station, Subject's performance has truly been
[5648]cutstanding. She has, on her own initiative, reorganized many of the
[5649]operational files and procedures of the PBRUMEN Section. She has made
[5650]particularly useful exhaustive analyses of the documonts concerning a
[5651]number of Station targets not only per request of this Station bit also
[5652]on her own initiative, She has revamped the Section's travel progran,
[5653]curtailing the watchlist to moro manageable size and expediting the
[5655]for such informa~-
[5657]reporting of travel information to the many customers
[5658]ke of several technical operations
[5660]tion. Her thorough review of the ta
[5661]has incroased their usefulness as.wall as emphasized thoir weaknesses. .
[5662]OUNGE Ce LU BIOMOL Z ETON, CE EUSA TUTTO G CS adae tatant for adainistra-
[5663]pion, her initiative, sharp analytic mind and good knowledze of Spanish
[5664]gave greatly facilitated the oporation of the PBRUMEN Soction of this
[5665]spation at a time of almost complete personnel change. She has not boen
[5667]rectly involved with the actual running of oporations both because
[5668]she appears much better suited for the support type work intrusted to
[5669]hor and because ste frankly would not have the timo under present
[5671]3% es to do go, Subjoct is carryin
[5673]handled by moro than one person, ~ ying the workload usua}iy
[5675]“CERTIFICATION AND COMMENTS
[5677]"BY EMPLOYEE
[5679]SECTION D
[5680]i -
[5681]| CERTIPY THAT I HAVE SEEN SECTIONS A, 8, AND C OF THIS REPORT
[5683]BATE sigma Tuns OF EMPLOTER
[5685]16 Jan, 1968 /s/ Charlotta Bustos~Vidolta
[5687]2 eae nena Se
[5688]7 AY SUPERVISOR
[5689]MONTHS EMPLOYED NAT AE roneiaren ee
[5690]UNDER My Bubs ation rT) Te THIS PH PONT HAS NOT BEEN SHOMN TO EMPLOYER, GIVE EXIMLANA TION
[5692]5 months
[5693]Dave “TGP PIGIAL TITLE OF SUPENVISOR TTPED ON PRINTEO NAME AND SGHATURE
[5694]W168. Jan _igsa___| ops ores
[5695]se, s teer rancks err:
[5696]3. ce OY REVIEWIHG OF FICIAL ” nels Sherry
[5698]COMMENTS OF AEWIR WING OFFICIAL
[5700]The Reviewing Officer fully concurs in the evaluation of Subject by
[5701]the Rating Gfficer. Subject consistently turns In a super lor
[5702]performance, whatever her task, and for a Station Chlef che enly
[5703]problem she presents is to determine where best to assign her. she
[5704]Is a source of strength to her Sectlon, has the knack of making
[5705]herself irreplaceable.
[5707]OaTE [erence TIFUS US RE VIE @ NG OF FICIAL "yrrPap UR PainTeD yard OND 5° GNATURE
[5708]. {
[5709]17 Januar 1968 i Chief of Station ! Winston D. Miller
[5710]ane ere eanenneeeen een arene : 2
[5711]SECRET )
[5713]14-0000
[5715]. : so ‘ SECRET.
[5719]EMPLOVESR SERIAL NUMBER
[5721]y
[5722]oo76s67
[5724]FITNESS REPORT
[5725]— GENERAL
[5727](hoot) (Fivet) (ateatie) 2) OaTe OF GIRTA 1D. SEX
[5729]., Bustosvidela, C.Z, Jan 1929 F
[5731]OOF PICU POSITION TITLE
[5733]Ops Officer
[5735]% CHECK Im) T¥PR
[5736]KX [canwea
[5738]4. 0RAOE
[5740]| [REASSIGNMENT SUPERVIZOR
[5741]| | RAR ASSIONMENT EMPLOYER
[5743]PROVISIONSL (Seo InsInuctions = Section C)
[5745](Spectiy)i 7
[5746]ATE REPORT OVE IN O.P,
[5748]31 Jan 67
[5750]12. REPORTING PERIOD (From: to-}
[5754]We Wook Porlormance ranges from wholly In wate to slightly less than satisfectory, A rating In this cotegory roquiros
[5755]positive remedial action. The nature of the action could range trom counseling, to further training, to placing on
[5756]probation, fo roassignment of to separation, Describe action taken er proposed in Section C.
[5758]Performance meats oll requirements. tt is ontircly satisfactory and Is characterlzed nolthor by deficiency nor
[5760]| A> Adoavate
[5761]excellonce, .
[5762]P+ Profictant Parformance is more than satisfactory. Desired results cro being produced in 9 proficiont manner,
[5763]S + Strong Perlormonce ts chorocterizod by oxceptioncl proficiency, .
[5765]O+ Qwtatending Performanee.is so exceptional in ralation to requirements of tha work and in comporlson to the porformonce of
[5766]others doing simifor work as to warrant special recognition,
[5768]PECIFIC DUTIES
[5770]Liat up to gix of tho most Important spocifie dutios performed during the rating period. insect rating latter which best describes the
[5771]mannor in which employee performs EACH spacific duty. Consider ONLY offectivenesa in performance of that duty. All employoas
[5772]with supervisory responsibilities MUST be rated on thoir ability to supervise (indicate numder of employece supervised).
[5774]SPaciric GuTT NO. T Handles all aspects of 22 FI/CE/Support projects
[5775]including project actions, logistical and financial support,
[5776]requirements, guidance and review.
[5778]RATING
[5779]LEYTER
[5781]to these projects Lneluding field agents, Coutract, Career, and
[5782]Start Agents, travel; Oo
[5784]This includes OA/CSA's, contracts, training, ;
[5786]cover and funding.
[5787]RREGIFIN CET NO} Dyepares, or holps prepare, miscellancous memoranda Roto
[5788]and studies, such as monthly FI achievomants, oper:tional program, |
[5790]bude resnons6s to requests’ on operations or re)
[5791]back »MOXACO, come need
[5793]SPLECIFL
[5794]Routes correspondence, supervises tickler system,
[5796]maintains project, agent, and subject 201 files. . g
[5798]SMETIFIC GUTY MO. 9
[5800]Branch records officer.
[5802]Coury yo. 8,
[5806]en, OVERALL PERFORMANCE IN CU _
[5807]So TN dee PEA } Raving
[5808]Paurerray
[5810]Teka sta aczount acerything shout the cmsiozeg which Influences hia allactivenass in bys evérent position auch os pare
[5813]formance of spectre dution, grichurtiecty, conduct on rch, cooperativenast, pertinent gersoral fulta ce habers, ond
[5814]particular essatiany ce talante, Boced on yout Ssaelodge cl orginyee's overall paris. marca during the tating period,’
[5816]plese the lartcs ta the eating bea canes geciding ta tha Hulomont whieh mast veeuately tofiecta nia level of por formance.) s
[5818]t
[5820]'
[5822]See se ae
[5823]sean oe
[5825]aie SEL TOS SE Tete rt a SECRET ees
[5828]14-0000
[5830]Uren tr ors Red hick
[5832]SECRET
[5834](fhen Filled In)
[5836]SECTION C NARRATIVE COMMENTS Fig if 1
[5838]Indicate significant strengths or weoknossas demonstrated in current position keeping in proper 18.416—0-3 rh Ave inele ralotionship to
[5839]overall perlormonce. State suggestions made for improvement of work porfarmonce. hive racommaendations for training, Comment
[5840]on foreign languoge competence, if required for current potition, Amplify of explain ratings given in Section B ta proride best
[5842]basis for determining future personnel action, Manner of performance of managerial or su. s trios must be doeczrbed, if
[5843]spplicable, gettal of SURPAY LY Sey
[5845]Subject has continued to. perform during the poriod under
[5846]review in the same highly competent manner which all who know
[5847]her have come to expect of her. She continues to put forth her
[5848]best efforts at all times. . She is particularly to be commended
[5849]for the manner in which. she cheerfully accepts onerous tasks,
[5850]usually with very short: doadilines, and invariably comes up with
[5851]‘a thoroughly prepared answer within the time allotted. She is
[5852]efficient, she is fully knowledgeable and capable in her job, she
[5853]has a friendly, warm, and pleasant personality, and is always
[5854]ready to respond to her fellow workers with a helping hand.
[5856]She has. no supervisory responsibility per se,. but is frequently
[5857]called upon for guidance to new secretaries and case officers
[5858]alike and is of real help in such cases. Subject ig one of the
[5859]strongest Headquarters case officers known to rater, and her ,
[5860]overall performance certainly borders very closely on being
[5862]evaluated Outstanding... a
[5864]SECTION D CERTIFICATION AND COMMENTS —
[5865]’ - BY EMPLOYEE co
[5867]_ 1 CERTIFY THAT 1 HAVE SEEN SECTIONS NS A, 8, AID CO OF F THIS R REPORT
[5868]DATE 7 OT TRIGHATURE OF EMPLOSER
[5869]- ii a | a, Pa 4 +
[5870]nether Oe CfLie weet i ai aan
[5872]BY SUPERVISOR _ _
[5873]We THid ACPORT HAI NOT GEEN “SHOWN To EMPLO TEE, IVA EXPLANATION
[5875]: PHS EMPLOYEE HAS DEEN
[5876]VNOER Mr SUPERVISION
[5878]18
[5880]Ver riciAL YTLE OF SUPERVISOR
[5882]i
[5883]3.
[5884]COMMENTS OF REVIEWING GFFICIAL
[5886]DATE
[5888]20 January 1967
[5890]___ BY REVIEWING OFFICIAL a
[5892]Concur. An outstanding officer recognized as such and
[5893]appreciated by all.
[5895]Gata oe oe en Torriciat 4 TILLY OY REVIEwING OFFICIAL (TYPED OR PRI SPW reer
[5897]31 January 1967 | C/WH/T i We J. Kausman
[5901]SECRET
[5903]14-00000
[5905]. ‘ ‘SECRET _
[5909]EMPLOYED JGHIAL NUMBER
[5911]007667
[5913]FITNESS REPORT
[5915]Vowame (Laat) ~ (Firat) (Mtadie) sad. DATG OF Bint [3,5ER
[5916]BUSTOSVIDELA, C, 2. ! A2 Jan 29 {| FF }GS-12 |
[5917]nw OFP/OW/ER OF ASSIONMENT |8. CURRENT STATION
[5919]6. OF FICIAL POSITION TITLE
[5921]ope /WH/) Headquarters
[5923]RE ASSIONMENT EMPLOVER
[5925]CARE RM PROVISIONAL (See inatructions + Section C)
[5927][~~ TarweracGreciins d
[5929]11. DATE REPORT OVE IN O.P,
[5931]12. REPORTING PERIOD (From: to)
[5933]1 January - 31 December 1965
[5934]_PERFORMANCE EVALUATION
[5936]SECTION 8
[5937]W Weck Performonce rongos fram wholly inedequete to slightly loss than sorisfactory. A cating In this category requires
[5938]. positive remedial actlon. The nature of the action could range from counseling, to further training, to placing on
[5939]probation; to reassignment of to soparation, Deacribe action taken of proposed in Sactlon C,
[5940]quiramonts. it Is entirely satisfactory and Is charactorized nolthor by doficlency nor
[5942]A> Adequate Porformanto Insets all ro
[5944]excellence.
[5945]P+ Proficient Parformance ts more than satisfactory, Oesirod results are baling produced in a proficient manner,
[5946]S + Strong .
[5948]O + Outstanding
[5950]Portormance Is charactorized by oxceptional proficlancy,
[5951]Porformanco ia s0 exceptional in relation to requiromanta af the work -and in comporlson to the porformonce of
[5952]othors doing similar work as to warrant spacial recognition.
[5954]_——- PECIFIC DUTIES
[5956]List up to six of tho most Important apocific duties porformed during the roting pariod, {nsort rating latter which best describes tho
[5957]manner in which employee performs EACH specific duty. Consider ONLY offoctivenoss tn parfarmance of that duty. All employoos
[5958]with supervisory responsibilities MUST bo rated on thale ability to suporvise (indicate numbor of amployeys auporviaed).
[5960]SECC GUNS Handles all aspects of 22 FI/CH/Support projects | RAFT
[5961]including project actions, logistical and financial support,
[5962]requirements, guidance and review.
[5964]we an eee on ~ Td hatonodup Fa PRATING
[5966]srecieic oure sa Handles all matters concerning the agents bolonging to | FATRG
[5967]these projects including field ageuts, Contract, Career, aud Stali
[5968]Agents, ‘this includes OA/CSA's, contracts, training, travel, cover! 0
[5970]fad. LUN ADS ee ee pe ee ee ee
[5971]specieic oury NO-3 Prepares, or helps prepare, miscellancous memoranda !
[5972]and studies, such as monthly FI achievements, operational proyram, i
[5973]responses to requests on operations or background
[5975]{ RATING
[5976]; LETTER
[5978]budget exercises, s
[5979]Anio regarding MOX8CQ... no een
[5980]sreciFic OuTY NO.4 POutes correspondence, supervises tickler system, l tester
[5981]maintains project, agent, and subject 201 files. Ss
[5983]| RATING:
[5984]pRETUIER
[5986]SPECIFIC DUTY NOS
[5988]Branch records cfficer.
[5990]ce er eran een ee ee em mn arn eae ne eat ne et
[5992]SPARCIFIC DUTY NO. 4S
[5994]ES TRA TING
[5995]ant Poasston silos pore | LETTER
[5998]Take lota eeceunt sverpthing ubout the amployoe which inlluences his cfortiverays in hia gure
[5999]formance af spqcibic duties, preductivity, conduct on job, cooparativensss, pottinea? sarsonal tata os hebits, and
[6000]particular limitations of roleats, fased en your krowladge of wmployen's overall performance during the rating period, oO
[6001]place the lerter inthe reting box correspending to the statement which mast eccutatoly raflocts his laval of pasfarmance. !
[6003]25 GAN BSSS—7 |
[6005]yore 45 osspter. previous doitiens. SECRET
[6008]14-0000
[6010]SECRET
[6012](When Fifted Tn)
[6014]SECTION C ’ NARRATIVE COMMENTS OFFICE OF PEL SONNE
[6015]indicate significant strengths or woubnassos demonstrated in currant potition keeping tn proper paropactive thole relationship to
[6017]overall performance. State suggestions made for improvement of work performance. Give recommendations for training. Comment
[6018]Amptly of axptuin rutings given in Sectton B to provide boat
[6020]en foreign language competence, i reavired for current position, , j y eee
[6021]a erminin: LY lon, rm monageri ul Obri wt ribed, i
[6022]opelices! var ining fulvee personnel! action, Manner of petfurmance of managerial o: ant a aed a id
[6023]Subject continues to render a suporior performangm, anfibe is
[6024]efficient, thoroughly knowledgeable, rapid in her work, well
[6025]organizad, and greatly facilitates the smooth functioning of
[6026]the office. The quality of Subject's work has been recognized
[6027]fully in previous fitness reports and in previous recommendations
[6028]for promotion from GS-12 to 13. -This high quality of work has
[6029]continued throughout the period of this fitness report and
[6031]' Subject continues to merit promotion.
[6033]-
[6034]. ‘
[6035]' ‘
[6036]f t
[6037], 3
[6038]SECTION D ____ CERTIFICATION AND COMMENTS " cee
[6039]LA eee pee eee _. _ 8Y ! EMPLOYEE | cee concn ne pte eee soe a parin wsnnpnnane ae
[6040]. fc RTIFY THAT. MY HAVE | SEEN SECTIONS 1 A 8. AND C OF THIS REPORT
[6041]BAT THON ATURE OF PU LOYRE ——— — ——
[6042]‘ 4y. wt ’ 2 oe
[6044]2 ‘ he
[6045][MGHTHNT EMPLOYER HAD OCEN he THIS REPORT HAS NOT DEEN SHOWN TO EMFLOYRE, 17h 2XPLANATION ~ _
[6046]UNOEN MY BUPENVISION 7
[6047]oe a
[6048]._ Four __ a spina ee gg peers Heer pena Eh —
[6049]OATa OP FICIAL, FOE OF SUPERVISOR TYPEO OA Pat 2, LA, ie “ino ES WATURE
[6050]1,0. wt Fiat Mb th hg
[6051]6 Goan. %7e DC/WH/1 ae SG evi f Lae
[6052]BY REVIEWING OFFICIAL . __
[6054]3
[6056]COMMENTS DF REVIRWING OP RTRIR tt RS II
[6057]‘ " i ot Gg
[6059]Reviewing Officer agrees with above report and endorses
[6061]Subject's fitness for promotion.
[6063]aaeame eammmmnt< tie Srcates Se, ee po ne eee er acne ee ee ref
[6064]DATE feo Tyee bat Torrician t TITLE. OF "REViEwsG OFFICIAL [yVveeo. Oat PRsuTen prrrrs AND SIC a TURE
[6065]Ete Ma fo
[6067]WJ, Kaufpay” a
[6069]C/WH/1
[6070]penchant
[6074]14-0000
[6076]‘ SECRET
[6078]bd {Bren Filled in)
[6080]EMPLOYEE SEHIAL NUMBER
[6084]FITNESS REPORT
[6086]GENERAL
[6088]"T"[av gare or gin TM ]% 8ax
[6090]SECTION A Z
[6091]1. NAME (La (iret) (Mrding
[6092]suntoseVidels, Charlotte oe
[6094]oe arent a te
[6095]©. OF FICIAL POSITION TITLE
[6097]Doe and
[6098]"OQ CHECK IX) TYP OF REPORT
[6100]. REABSIONMENT SUPERVISOR
[6101]REASTIONMENT EMPLOYER
[6103]6 OF APPOINTMENT
[6105]" I [acvenve I I TEMPORARY
[6106]KALPROVIBIONAK (Seo matmuctions » Section C) ~
[6108]trectan ( Spectty):
[6110]11. DATE REPORT OVE IN OP,
[6111]21 Jaruarm 165
[6113]sracian (Specify):
[6114]AR REPORTING PERIOD (From tov
[6115]2 January 12¢h = 3) December 1944
[6117]SECTIONB PERFORMANCE EVALUATION
[6118]We Waok Porformonce ranges from wholly inodegvate to slightly leas than satisfactory, A roting tn this category requiros
[6119]positive vomedval acilon. The nature of the action could range trom counseling, to further troining, to plecing on
[6121]probation, to reassignmont of to sogaretion, Describe oction taken or proposed In Section Cy
[6122]Performance meets all roquiramonta, tr ia ontlroly satisfactory and Ja characterizad noithor by deliclancy nor
[6124]A+ Adeavara
[6126]excollence.
[6127]P+ Proficient  Paorlormonce is mora than satisfactery, Desired results aro being produced in a proficient manner,
[6128]S + Strong Perlormance is choractorized by exceptional proficiency,
[6130]O- Qutatonding Parformance ts 80 exceptional in relation to requirements of the work and In comparison to the performance of
[6131]others doing similar work as to warrant special recognition. ~
[6133]SPECIFIC DUTIES SS OCOOCCSSSCSSCSS
[6135]List up to atx of the most important specific dutles performed during the roting period, Insert rating letter which best describes tha
[6136]mannoe in which employee performs EACH specific duty. Consider ONLY offectivenens in parformance of that duty. All omployoos
[6137]with suporvisory rasponasibilities MUST bo cated on theie edility to supervise (indicate numbor of employeos auperviacd).
[6139]aerciFic Buty nas . >
[6140]Prepare, or hélp prepare, miscellancous memoranda and
[6142]studies, such as monthly FI achievements, Operational Program,
[6143]respenses to requests from the Senior Staffs on operations uad on ; °
[6145]Mex co —b-tsed-fy-——----- Bere meee “ . ae
[6146]seeciele Sure hod {LETTER
[6147]Suporvise one Intelligence Assistant in the maintenance of a desk
[6149]tickler system and the agent and subject 201 files at the desk,
[6151]Teecwic SuTy Nod ~ aa oo ne Rare
[6152]Handles all aspects of 21 FI/CE/Support projects including project!
[6153]actions, logisticat support, requirements, guidance, reviews. 0
[6154]PEGIBIC DUTY "and le all matters concerning the agents helensing to [eran
[6155]these projects, including fiold agents, Contract, Career and Staff!
[6156]jf Agents, This includes OA/CSA’Ss, contracts, training, PCS avrange-|
[6157]JONES, cover, unding, ——~-—: .-_ nO ee
[6158]; wetter
[6159]I
[6160]i
[6162]RATING
[6164]SPECIFIC DUTY N
[6166]Records Officer
[6168]ATING
[6169]LETTOR
[6171]infiucates Sis clisctiveness in his current position such os pare |
[6172]formance ef specific dutioa, crodvetivity, conduct b, cascorsiwesess, pettinuat potsenul trains or habits, andj
[6173]particular Heiratiqns cr relents, Based on your knowles of omployoe's overull performance during the rating period,| re)
[6175]place the forter in vie bea corresponding to the atatereny which most accurately rotlocts his lavel of perlormence.
[6176]ope sas
[6177]wi ONS,
[6179]Yoko Into account every ung abet tha omployeo whic
[6181]y
[6184]. 4 .
[6185]asi" 45 vosccets wae .tous eaiTIONE, SECRET
[6187]14-0000
[6189]SECRET
[6191](theo eit fed tn)
[6193]SECTION C eee
[6194]Indleate olgailirant strengths or weakneseon demonstrated in current position kaoping in proper p sbecttyg thelr ralationship to
[6195]ovacall perlormancy, State suggestions made for Improvement of work performance, Give recommendstions fratalny. Comment
[6196]on foreign language compotonce, if raquicad for current position, Amplify vo onplatiyset ngs given in Section B te provide bost
[6197]beets for determining future personnel octton, Manner of poclormance of monogerial"A supervigory dutias myst be described, If
[6198]Pe this exceptionally competent and productive off déerecont inued
[6199]to perform at a level well above that of the GS-13 slot*she occupies.
[6200]While a good deal of her tremendous effectiverusg, stems from
[6201]experiance, continuity on the job and her natural ‘fetentive memory,:
[6202]during the period under review she also demonstrated a flair for,
[6203]and applied her talents to, the solution of relatively major and
[6204]complex planning and managerial problems in the area of operational
[6205]Support to Mexico Station activities. .
[6207]To the list of. her previously abudantly acknowledged capacity
[6208]for hard, effective work; talent for training on the job younger
[6209]officers, diligence, and versatile ability, this rater would like to
[6210]add a note of appreciation for her everpresent tactfullness and
[6211]discretion. No weaknesses affecting her present assignment have been
[6212]noted; she is very careful and realistic in planning for expenditure
[6213]of funds, - “3
[6215]This officer is separately being recommended for promotion to
[6217]GS-13, .
[6219]WH will review tats fitness report with cthers during a scecial meeting schedul
[6220]periodically to consider suitable recomeniation for outstanding performince.
[6222]CERTIFICATION AND COMMENTS
[6223]”_BY EMPLOYEE
[6225]THAT 1 HAVE SEEN SE: A, 8, ANO C OF Thi
[6226]DIGHATURG OF RMPLOYKR
[6228]an aero rr ar th Ste
[6229]ae a a Ce ene ae
[6231]pa ei
[6233]30 he Tid WEY ORT HAS HOP UREN SHOWN TO PMPLOVER, GIVE EXPLACAVION
[6235]MONTHS BMPLOY:
[6236]UNO ME SUPER
[6238]Gate ne cal ee Se | PRINTED NAME AND BIGHATURE
[6239]- ‘.
[6241]weep 2 Bat | NC/WH/1 __|_jAlfonso Spera
[6242]"BY REVIEWING OFFICIAL __. _ __
[6244]3
[6246]COMMENTS OF REVIEWING OFFICIAL
[6248]a
[6250]van
[6251]_ _—_—--- wees anne wage ee eee
[6252]PEO OR PRIN owe € UAE
[6253]Frret Pe pT iy NAME aw SIONA Tat
[6255]FrocIAL TITLE OF REVIEWING OF FICIAL,
[6256]Ph erg e
[6258]oO
[6260]SECRET
[6263]14-0000
[6265]: wr 7 SECKET _
[6267]CWhea Filled tn)
[6269]EMPLOYER SEAIAL NUMBER
[6271]a] .
[6272]oy FITNESS REPORT . 007667
[6273]SECTION A GENERAL a
[6274]1. AMR (Laat) (Fire) (Middle) 2. OATG OF BIATM |, SEX 4. grape [8.50
[6275]BUSTOS-VIDELA, Charlotte 2, 12 Jan 1929 _| GS-12 D
[6276]8. OP FICIAL POSITION TITLE . 7. OF F/DIV/BR OF ASSIONMENT (8. CURRENT STATION
[6277]Operations Officer DDP WH 3 | Headquarters
[6279]9. CHECK (XM) TYPE OF APPOINTMENT 10. CHECK (XD TYPE OF AAPORY
[6281]canean [__[ntecnve[[reuvonany [Trae
[6282]: s
[6284]PROVISIONAL (See inatructions = Bectian C)
[6285]| fomacian (Spectty)t
[6286]11. CATE REPORT DUG IN O.P,
[6288]REASSIGNMENT SUPERVISOR
[6289]REASSIGNMENT EMPLOVER
[6291]beaciac (Speotty):
[6292]18 REPORTING PERIOD (From: to-}
[6294]1 January 1963 = 31 December 1963
[6296]. 31 January 196)
[6297]SECTION B = PERFORMANCE EVALUATION _-
[6298]W- Wook Porformance ranges from wholly Inadequate to slightly less than satisfactory. A rating In this category requires
[6299]positive remedial action. The nature of the actlon could range fram counseling, te further training, to placing on
[6301]probation, to reassignment of to separation, Describe action token of proposed In Section C.
[6302]Performance moeta all requirements. It is entiraly sotisfactory and Is choracterlned neithar ad deficiency nor
[6304]A> Adequate
[6305]excellence.
[6306]P+ Profielong  Porformance is more thon satisfactory. Desired results are being produced ina profielont manner,
[6307]$+ Strong Performance Is characterized by oxceptional proficiency.
[6308]QO > Qutetanding Performance ts 10 exceptional In ralation to reaquiramente of the work ond In comparlson to tho performance of
[6310]others doing similor work os to warrant special recagnition.
[6311]PECIFIC DUTIES —
[6312]List up to Bix othe most Importont spocifle dutios porformod during the rating ported, tneart rating letter which bost describas tho
[6314]manner in which employee porformas EACH specific duty. Consider ONLY effactivenose in performance of that duty, All omployees
[6315]with Supervisory rosponaibilittes MUST bo rated on their obility to supervise (indicate number of omploysos supervised),
[6317]SPuciFic DUTY NO, — ~ — TA TINO
[6318]Handle Project action, operational correspondence, support for 19 keryERa
[6319]FL and OPs Support type projects, offecting proper coordination with senior 8
[6320]staffa, other divisions, and offleas.
[6321]SPECivic DUTY NOR ee -_ RATING
[6322]Handle clearance actions, contracts, end administrative matters for agents terre
[6323]fe)
[6325]falling wmder these projects, and for the entire Meek in ths absence of the
[6326]Intell Analyst.
[6328]|
[6329]|
[6330]'
[6332]i
[6333]v
[6334]SPR CINIC DUTY NO. 8 T r
[6336]i LETFER
[6337]1
[6338]|
[6340]i
[6343]Pre para - ‘miscellansous ‘senoranda, budget, and reports requested by Senior
[6344]Staffa ahd “Bivialon ofnNcers fron the Mexdiean desk on Mextoan matters in 3
[6345]peneral, -
[6346]SPRcvIC “Bury NOL ra ee ee TT penn rrr rer i 8 oa "RA ory
[6347]Supurvise the clerical and administrative peraonnel on the deek (averawing h) werren
[6348]pnd in general.sea to the smooth functioning of the desk and the flow of Papers ce]
[6349]Speciic DUTY No.8 om rrr ir manana TE RATING —
[6350]Reconls Officer for WH/3/M - 2p RETNE®
[6351], CG
[6352]gpRcwic OUTYNO.4 ne TST
[6353]Agsus: the responsibilities of C/#i/3/4 when the Chief of the desk is absent, 1 °°77""
[6354]sipning dispatches and cables, coordinating, and aupervising 2 Reports Officers} P
[6355]and 5 Case Officarsae dt
[6356]__ OVERALL PERFORMANCE IN CURRENT POSITION _ _
[6357]Ing
[6359]. ¢
[6360]Taka lato arenunt ower yihlyg abour tho employs which Influences his effectivanoss in hha currant position such ad pare { LETYEs
[6361]formance sf spocitic Jitter, Productivity, conduct on jub, cooperativenes:, portinent personal raiser habits, ond 5
[6362]pertleulor limitarions ov tulanis, Based on your kAnuviades of omployve’s overot! partoemanca duting the reting poriod,|
[6363]plaga tho letter in tha fue bex covreapending to tha statement which most accurately roflects hie lave! st partermance. 4 = Gy
[6366]errant enatreneennren ta enermeereecntimenmmnenl rau
[6367]Pom 46 onsck ere PAmeioUs RUT CnS SECRET a
[6372]14-0000
[6374]SECRET
[6376](When Pitted taj
[6378]SECTION C NARRATIVE COMMENTS
[6379]tn propor perapective their celatlonship ta
[6381]indicate signtlicant strangthe or weaknestas deamonsteated In crarant pseition keagin:
[6382]avecall porformonsa, State suggestions mode fur improvement of work sarfaemance, Give recommendations fur training, Comment
[6383]on foivign longuage competence, If required bur current position, Ampidy ov exploin ratings given in Section B te provide best
[6385]basis for determining lute Personnel oction. Manner of porlormancs of panagarinl of 1. 2upetvisery dutios must bo described, if
[6386]syzlicable,
[6388]Subjoctia pérformanca during the rating period has been sarked by general
[6389]excellenvs, As indicated in Section B her supervision and direction of the Ssction'p
[6390]work releting to intel aupport, administration, preparation of special reports,
[6391]training personnel, atc. 1a uniformly outstanding. Tho fact that thase functions
[6392]are handled in addition to her duties aa the desk officer for the FI and Ops
[6393]Support projects, which she performs with unusual competence, servos to illustrate
[6394]her -valua to this Section. She has an axcaptional ability independently te
[6395]determine proper courses of action and to initiate action to carry them out. She
[6396]hae a profound understanding of the area operational program and contributtong ‘to
[6398]4t are imaginative and conatructivos
[6400]In the opinion of ths rater ‘Subject!s performance compares favorably with
[6402]any (6-13 desk officer within his experiences end she performa occasionally at the
[6403]GS-1) level. Moreovar, she carries out her duties cheerfully, loyally and in
[6404]close end amicable cooperation with her fellow employses at all levela.
[6406]In those aspects of her duties which involve cost e. g. tho“review
[6407].of operational projects, she has given close attention to the
[6408]budgetary matters and has frequently suggested ways in which
[6409]economlos An the operations might he effected,
[6411]SECTION D CERTIFICATION AND COMMENTS —
[6413]; . BY EMPLOYEE ee
[6414]en __ __ECERTIFY 1 THAT T HAVE SP EM LECTINS A, 8, M12 © OF THIS REPORT _ — ~
[6415]ware feIGuATURE OF “EMP Lover
[6416]28 Jenvary 196! 196k | Cle wen ihe 7 for
[6417]— _ BY SUPERVEOR
[6418]HE THD Be eon T HAS HOT GERM Sea T fd UMPLGVEE, GIVE EXPLANATION Seeman
[6420]oree 88 | Bie a
[6422]mee re anmecntnes cnerneen aero _ cee ce eee ee ee meng
[6423]ir? pe oR printyo & NAME y zs a ug
[6424]E. Keel
[6426]pate ; [QP PICIAL TITLE OF SUPREVIBON i
[6427]- ! (AE ¢, eae th. ©
[6428]At 2 hr fo C/8/3/ Ye xico i: fernard Re. ioictnaral
[6429]L ” “AY REVIEWING OF GrFiciaL
[6430]—_ REVibwinG OFFICIAL. ee
[6431]| I ceacur in the high rating given this employee. She 1a undoubtedly
[6432]the ublest exoloyee tu this branch in the performance of her particuler
[6433]jod,
[6435]GSE Tren en SEAL TITLE OF REVIE SING OO PITAL TYPED ORL AGINTED NONE AhG SGNATUCE —
[6436]t H . .
[6437]29 Jan 16s C/wH/3 | ott Gna
[6439]SECRET l/s
[6442]14-0000
[6444](eh mie . La
[6446]EGP Gh VWs web PG ae TEPC AUD EXPORTEPCE ° .
[6447]. gw
[6451]a The eatcgory checked Below ix oun inter: scores mada by the
[6453]srson nancd above on a battery of fered 1 testa, The relations
[6455]hipa betwen test porformmanes and anbsooucnt meenee Of trainecr in
[6457]Rancy language tratnines courses are dadteated bey the “eran one next “th tt ‘itude 0
[6459]sntugorics. The graphs to the lett are for vaiva and the traphs to the r
[6461]‘armen. Fran these pranhs you can read for cach aptitude catorory tne trvbe
[6463]wbility that ajerson in that catcsory wlll perform in an Agoney foreign Lanimage
[6465]“Paitning course ot an average er bet boretuinesverase level. For example, 72 per
[6467]tent of the women who obtain an tiutude rating of “B" oan be cxznect.d bo Le
[6469]“Verage 9r better in course performance, while S per cont of the men with ratings .
[6470]i af "3" can ve capeeted to be Avorn OF Leblor an course perforvince, A san needs
[6471]i in Aptitude rating of "Ol" te hove svoub the sans uxpeetation of suceuss in j
[6472]H vanguaye traindi as a woman with a rating of "3", At the otlur end of the scalo, f
[6473]: OQ per cont of cithcer non or vowten who obtain on tA tule ratings of "2" can bs -
[6474]i oxpected to do avcraye or bettcrethineaverage work fn traininz, The alffereneces
[6475]5 in relationship are duo to differences between men and vomen in both traizing “4
[6476]: yerfommance and test scores, Om ths average women aro gomovhat higher on toth, aa
[6477]i
[6478]i Porecnt of Wonen Whose Language rerecnt of Men Whose Language ‘
[6479]| “raining Performance Is Expected Training Performance Is Expected i
[6480]! to Be Averazo or Bsttur than Aptitude to He Averago or Better than i
[6481]: .Verayve Catepory Average :
[6483]{90 8S 8 mad 0 9) 3) :
[6485]Ty Anny meen an
[6487]- j :
[6488]. A
[6489]'
[6490]Since moiny--Lhines ather than 4nte the detorminatian wT train
[6491]ADR Course perfomance, in anys cla there will uoually ne tees “nose
[6492]sopformance wala be bebbor thap would bo ted “ron their ton
[6493]there will . kely be see whose .
[6494]Vartye PLOW, Rui TLPLRTS i hy and ot!
[6495]sensteered Gp selecting topic fe nz and in inte
[6496]: i 2 renulls, for oxempie, th
[6497]band the amount of acadimte ant
[6498]acters pet Sagurecd by the testes
[6499]feanaine 4a We auhethor sueh e dence was in
[6500]ior in 2 Gillercut ove is, of course, an addit dont
[6501]. __. forcien Languages have bech stédied er luerned by this indiviaual. mee
[6505]= “FSpert may BE
[6507]“noun to the yd fy Tenaga A, weemauisl
[6509]Viduel cone srned
[6511]Widus) sone mrecda | ermeiaahe ta ate alae Sop, RIPE Troncbeee woe
[6512]Lit tat 4 he aoe
[6514]o>
[6516]wt .
[6518]i.
[6520]te
[6522]«|
[6524]i
[6526]we
[6528]14-0000
[6532]IRI eR Te et mney
[6536]SEORET
[6537]TRAINING REPORT
[6538]RECORDS AFFICERS COURSE O April - & 1
[6539]Student ? Charlotte Z. Bustos-Videlpfiice 2 wH/3
[6540]Year of Birth: 1929: Service Designation: p ;
[6542]Grade. 2 GS-12 Numbor of StuAents ; 3h
[6544]EOD Date 3 Aug 1951
[6545]COURSE OBJECTIVES - CONTENT AND MATHODS
[6547]This course, designed for present and prospective Records Officers, |
[6548]has four principal objectives. . :
[6550]1. To give an approciation for the Agency's CS mission.
[6552]2. To describe the role that records play in the discharge
[6553]by the Agency of the responsibliities inherent in the
[6555]mission.
[6557]3. fo emphasize tha importance of records and proper records
[6558]managamernt in the successful performance of the stated
[6560]mission,
[6562]4, fo dnsvease avaroeness ot the tuter-rclationsnips between
[6563]the C3 mission and records; to sharpen judgement in the
[6564]handling and @lgposltion of rusords; and to improve por-
[6565]formance oF Rucords Orrtears.
[6567]The student ts Lnstructcd through tho media of lectures, directed
[6568]rerding, practical exercises and dlscusslons,
[6570]ACHIEVEMENT RECORD
[6572]This 1g a certificate of atteniunce only; no attempt was made to
[6574]evaluate student achievement in the course,
[6576]FOR ‘ims DIRECTOR OF TRATIING:
[6578], /.
[6580]LL CAL —
[6582]Hdl SMia¢
[6584]yi Augustus F. Scherme shorn 2h Judy 1962
[6585]Chicv Instructor Date
[6587]-
[6589]14-0000
[6591]ss SECRET :
[6593](then Filled In)
[6595]EMPLOTER SERIAL NUMBER
[6597]FITNESS REPORT POtEEF
[6599]SECTION A _ __ GENERAL
[6600]TT NAME (Law) (Firat) (Middte) {2. OATH OF aIntH [2. BEX
[6602]_Bustos-Videla, Charlotte 12 Jan 29
[6604]6. OF FiciAL PODITION TitLe
[6606]__OPS_OFFICER
[6608]9 CHECK (KD TYPE OF APPOINTMENT
[6610]CAREER [ RESERVE [ TEMPORARY
[6612]CARZER-FPROVIBIONAL (See ineiructions + Section C)
[6613]IAL (Specify:
[6615]19.94 ORT OVE In O.P.
[6616]31 January 1963 :
[6617]SECTION B PERFORMANCE EVALUATION
[6618]W + Wook Porformance ronges from whally Inadequate to slightly less than satisfactory. A rating in this category requires
[6619]ether training, to placing on
[6621]positive romedial action, The nature of the action could range from counseling, to fu
[6622]“probation, to reassignment or to separation, Doseribe oction token of proposed in Section C.
[6624]Performance meeto all requirements. It Is entiroly satisfactory and is characterized neither by defictency nor
[6626]A= Adgeavote
[6627]szcollence,
[6628]P+ Proficient Performance Is more thon satisfactory. Dasired rosults are being produced in a proficiont manner.
[6629]$+ Strong Porformance Is characteriiod by exceptional proflelency.
[6630]O- Qytetending Performance is se exceptions! In relation to requirements of the work and In comporison to the parformonce of
[6632]othors doing similar work as to warrant special recognition.
[6633]_— SPECIFIC OUTIES
[6634]List up to six of the most important spocifie duties performed during the cating perlod. Insert rating loiter which best describes the
[6636]mannor in which employeo performs EACH specific duty. Consider ONLY offectivenass in porformance of that duty. All omployees
[6637]with supervisory rospansibilitios MUST ba rated on thelr ability to supervise (indicate number ol employees supervised),
[6639]SeRDIE BUTY hort _ _ _ ee SE
[6640]Supervises office staff of Mexico Desk in preparing correspondence, keeping
[6641]files, sarding, and training new personnel. | 0
[6642]t
[6643]ShECIPIC DUTY 1.2 en ee rt tena en mee Se pee He Tanving
[6644]Dest intelligence officer for tmortant satellite ond FI operations in
[6645]Mexico, procesatay projects, hand) Log operattonat correspondence, cor aducting | :
[6646]S.
[6648]ifateon with-other divisions. -- ee aS
[6649]SPECIFIC DULY NG. & ~~ es er | RATING
[6650]. . Lurter
[6651]Routing cables, digpatches for the entire Desk, supervising distribution |
[6652]of work. H 0
[6653]‘ . . i
[6654]Srectric Wie OUTY No.4 “ ee - — To waar
[6655]Personally handling large mumber of clearances, project approvais, cable i
[6656]coordinations, and official negotiations on mattera touching all aspects ! 18]
[6657]aa Ok the. Dee IEG WOE a an a nee te cere etree nee ee
[6658]SPECIFIC DUTT NO. 4 1 RATING
[6659]. H LETTER
[6660]Preparation of budget, speclal papers, “gurveys, and briefings. ‘
[6661]i 6
[6662]SPecwiG GUITNOS na - oe rn ee - aie ering ee
[6663]7 QFYTES
[6664]oe ee OVERALL P ANCE IN CURRENT POSITION
[6665]TATIAG
[6666]LETTER
[6668]Toto tate account everything abcut the amaloyoo which Inflyencot his offectivonste in his current position acch os per
[6669]formance 2f apecific duties, productivity, conduct av job, cocperativensas, partinont portoral sraits of habla, ord
[6670]particular limitations ce tetents, Bored on yave knowledge cf employos’s overall portotmance during the rotiog pertody: QO
[6671]o the letter is tha tating bos comengaating io tha statoment which most oceurataly zaflocts hia fever of pertormance,
[6673]g
[6675]4
[6677]SECRET
[6679]Fo i
[6680]ioe" 45) eesounte pagvieus Gulrinns.
[6683]14-0000
[6685]PCOMMENTS OF REVIEWING OFFICIAL
[6687]SATE
[6689]SECRET
[6691](When Frited tn)
[6693]SECTION C NARRATIVE COMMENTS
[6695]Indicete significant strengths of wesknosses demonstrated In current position kseping in proper perspective their relationship to
[6697]overall peelormance, Stote suggestions made for improvement ol work performance, Give recommendations for training, Comment
[6699]on foreign language competence, Hf required for curront position. Amplify of explcin rotings given in Section B to provide best
[6701]boats for determining future porsonnel action, Manner of partormance of monogerial or supervisory duties must be described, if
[6702]applicable.
[6704]This officer is the person chicfly responsiovle for the Mexico Desk's
[6705]deserved reputation for excellence and effictency. The complicated and
[6706]never-ending tasks of project processing, clearances, tracing, ond coordination
[6707]are handled by her with blinding speed and unerring perfection. Procedural
[6708]problems are there to be solved, and the solutions come vith amazing rapidity.
[6709]Operational problems are worked out thoroughly and conscientiously. No
[6711]corners are cut and no principles are compromised.
[6713]Never at a loss for an answer, this officer never shrinks fram any
[6714]assignment and instinctively wants to take over any vexing problem which is
[6715]holding up progress. She is complete mistress of file and record resources
[6716]and ansvers all queries within minutes. The most complex budgetary and
[6717]planning projects are handled by her with deceptive ease.
[6719]These qualities of. rare efficiency and speed are coupled with an even
[6720]rarer degree of amiability and cooperativeness. The work which procecds
[6721]under her at such a break-neck pace nonetheless goes on in an air of placidity
[6722]and good humor. The large office staff is run without a trace of tension,
[6723]jealousy, or friction. All of this is traceable to this officer's fine
[6724]example and catalytic effect on her colleagues.
[6726]Finely-educated, handling the Spanisn language with fluency, ami keeping
[6727]up with current events in her area, this officer is a unique asset to
[6729]sect GN oCTe™ te CERTIFICATION AND COMMENTS
[6731]BY EMPLOYEE
[6733]r] CEPTIFY THAT 1 HAVE S SEEN SECTIONS Ee By AND C | COF THIS | REPORT
[6735]DATE Dé ree 196 SIGHATUNG OF EMPLOVEE |
[6736]c TUAY: Va Dk
[6737]y 3 i Chaka ce +
[6738]2.
[6739]- CEnia. if THtS REPORT WAS NOT BEEN SHOWN TO EMPLOVEE, GIVE EXPLANATION
[6741]DATE TOP FICIAL TITLE OF SUPSAVGOR i ak ie “pega ei Eu; OF * BIS
[6744]ry, ‘orn Sc sale
[6746]Pewee bea beeper oe
[6748]26 February 1963 O/H /S/HEXKICO
[6749]3 . " BCREVIEWING OFFICIAL
[6751]pete ee ee ee ~ f.
[6752]TORPIGIAL TITLE OF REVIEGING CERICIAL [rs rong O08 HAN RACHA NE AND SIGNATURE
[6753]1
[6754]i
[6756]2é February 136350 | aAcs/un/3
[6759]14-0000
[6761]. ., ™ SECRET ™. ;
[6762]. hen Filled In)
[6763]” EMPLOvERS sr RTAR
[6767]FITNESS REPORT CSED
[6768]Nin _ norte
[6769]SECTIONTAY _ GENERAL :
[6770]1. NAME (Laat) (Pisat) 7 oO. a. aX S
[6771]BUSTOS-YIELA — Charlotte 12 Jamury 1929 Fonale 12
[6772]G. SERVICE CAYIGNATION! 6. OF FICIAL POSITION TITLE y. OF F/OIV/GR OF AStIGNWENT
[6773]D Operstions Officer ; . DpP/H/3/D. Ce
[6774]TYPE OF OF REPORT
[6776]s CAREER STAPF STATUS
[6778]XK TSC BC BCE COO
[6779][“[rewome | Joxcomao | Jouwino | “X[amwuan | [nenasiommentauocovee
[6781]SPECIAL (Spectly)
[6783]VO. GATE REPORT OVE INO.P, /11, REPORTING PERIOD
[6784]ax 2? i “Jan 6) - 31 Dac 41
[6785]SECTION a EVALUATION OF PERFORMANCE OF SPECIFIC DUTIE .
[6787]List up ta six of the mast impostont specific dutlos performed during the rating period. Insert rating number which bost describes the |
[6788]mennor in which employes performs EACH specific Bm uty. Consider ONLY eHectiveness In performance ef that duty. All empleyeet
[6789]with avporvisory responsibilities MUST be rated on thair ability to supervied (indicate number of employees supervised),
[6791]2-Borely adoquato {3 - Acceptable | 4- Competent [s : Excellent [6 «+ Superior [7- Outstanding
[6792]i NO.
[6794]opecivic ote NO.4 Assist tho Chief of thejrarme
[6795]renewals anJ other correspondence and desk in administration of office to |
[6797]action on 12 su; cork tne projeats for agsure the of) functioning of the
[6798]dont ged Inehiice Lietrbbetiin of work
[6800]SPECIFIC DUTY NO. ESiand Je “niseollancows adrfi HAE AYEKNOXK routine uD pouches and |RavINo
[6802]ani suprort ratters (requests for tech cables, supervision of clerienl staf?
[6803]eguin, studies, trainins guides, ete) | 7
[6807]of he
[6809]for Mexico and lonterrey _
[6811]SPECIFIC OUTY NO. * 2Suupe rvice maintenance off RATING SPECIFIC DUTY NO. 8 RATING
[6813]records at the desk and represent Desk
[6815]ag Reeerds Officer in discussions vith! 6
[6817]oT on Vis end Ciel? aoopda prohtens
[6819]SECTIONC “EVALUATION, (OF OVERALL PERFORMANCE iy “ETN CURRENT 1 POST (THON,
[6821]Take into account everything ubout the employso which influances hie elfactivaness In hie cuccant position - gorioemanca oF asecthie
[6822]» Coopeentiveness, pertinent personal trade at holuts, puriculan bieattations of talanta. Bases oa
[6824]duties, productivity, conduct on job
[6825]your snowledse of employee's overatl parformanea during the ruting period, place tha raring number In the box corrosponding ta the
[6827]atotoment which most aceyrately reflects nls level of performance,
[6829]1 + Performance in many impertant reepecis Vaile to-mest requicemonts,
[6830]2 ~ Performance meets most sequiremants but is deficiant In one of more nportonr teapacts,
[6831]3 - Performance cloarly neote basic requirements,
[6833]dy Performonca clearly exceeds basic requirements,
[6835]3 ~ Performance in every important respec? is superior,
[6836]$ - Paclormonce in evary raspoct Is oulstanding,
[6838]“DESCRIPTION GF THE EMPLOYEE __
[6839]the dagres jo vhi
[6840][3 = Normal degree $+ Abave average deqeas Is: Outstanding dogree
[6842]teats aebeetsnene anaenel
[6843]» NCT { NOT RATING
[6845]APPLIS | oD: =p
[6846]CAaLE [SERVED 112 Tviwa: 3 i
[6848]on}
[6852]GETS THINGS GONE
[6853]eenenpeahants pee — wenn _
[6855]CAM MAKE GECISIS>
[6857]WRSE SOR
[6859]SECRET to
[6861]Seb ott TION UF +E? aay REYVT
[6863]rae
[6864]asa 45 OBSGLT IE PREWIOUS BOITIOMA,
[6866]SERN -epeyry ete ore ertreree ne rr twiiceeee——
[6868]14-0000
[6870]SECRET
[6872]pWhon Felted Int
[6874]SECTION E _ NARRATIVE OESCRIPTION OF MANNER t OF JOB | PERFORMANCE _
[6875]St gths ond weahn: domanstiated In current position, Indicate vagesiions « mv ployee foo ictptterment of his
[6876]work. Give recommendations for his training. Describe, if uppropriare, his potential fas development ond for assuming greater res
[6877]sponsibitities, Amolity of exploin, If appropriate, ratings given in SECTIONS B, C, and OD to provide tho beet basis for determining
[6879]ulure personnel actions, . ; fog I2 il ue fit 62
[6881]This outstanding en:]. joyeo Weis reinteined the Alich ebacdard of pers
[6882]formance set forth in the report of thic sunerviror bhi yoni os here
[6883]possible, she hes exceeded her earlier rerformance record. Uaring the
[6885]: ast year this office acyulred cong ideradle new versonnel, witen sudfect
[6886]trained in a hichly canable manner to guarantee the neo the fonetioning
[6887]of the office. The wiiersiened horce this employee will cor.*inue .to
[6889]* serve this orzanization indefinitely notwithatanding her rarriage
[6891]during the past year.
[6893]SECTION F CERTIFICATION AND COMMENTS
[6894]L BY EMPLOYEE _ ;
[6896]TF Teortify thot} i have seen Sections A, A, 8, ©, D and E of this his Report,
[6898]BONATU UF oF aurvored < Lf.
[6899]mary wir ‘a aed q
[6900]me Tenwary LOGK Chest Latdee- 2 Lh tates -L Lbele,
[6901]i. : bY SUPER
[6902]MONTIIS RMPLOYER H4% UREN IF HID REPORT HAS NOT APEN SHOWN TC EMPLOVEG, GIVER ZAPLAS FGF
[6903]_ _ UNDE MY SUPFRYISION
[6904]ah -
[6906]MY TUPEN VISION L853 THAN 02 Gard
[6908]UNDER MY SUPENVIBION LESS THAN Of GAYS cee eae eayy
[6910]Orde (Spacityy:
[6912]2 ob ntretaentanetin os ~~ wee
[6913]DATE OFFICIAL TITLE oF , SUPER vIsGn . TYPED OR PRINTED §
[6914]23 Jgpnary 1962 Chie? af Ues
[6916]Je
[6918]yi OULD NAVE GIVEN THIS EMPLOYEE ABOUT THE Save e
[6920]jt can NOT Juven 7 THESE EVALUATIONS. 7 we NOT SUPPICIENT EL Y FAMILIAR with THE RMPLOVEE® J PERV CAWANCE,
[6922]"COMMENTS OF REVIEWING OFFICIAL
[6924]Ra my ont POMATUAR
[6926]He Lawon
[6928]. wear REViEoING Orrician
[6929]val, 4 Coho tie
[6930]SECRET
[6933]14-0000
[6935]aN SECRET ts
[6937]PWhen Fed mr)
[6939]EMPLOTER SERIAL NUMRER
[6941]. | FITNESS REPORT
[6942]“OY
[6944]ECTION A i GENERAL
[6946]t. wAME (aot) < rely (tiddta) j2. CATE OF BIRTH
[6947]Zehrung Charlotte : 2 Jane 1929
[6948]8. SRAVICK DESIGNATION] 6. OFFICIAL POBIFION TITLE
[6949]rn —_____Ops Offi
[6951]CAREER STAPF STATUS
[6953][[esworee | Joxcumes | [ounies
[6955]J 22D = Dec a
[6956]SECTION B EVALUATION OF PERFORMANCE OF SPECIFIC DUTIE:
[6958]List up ta ala of the most importont spocifle duties Pattoreed during the rating porlod ort rating number which best doacribes the
[6959]wonnar tn which omployee performs EACH specific d uty. Consider ONLY effectiveness in peclormance of that duty, All soplorees
[6961]with supervisory rosponsibilitios MUST be rated on their obility to supervise (indicate number of employece supervised).
[6963]1 Unsatisfactory 2. Boraly adoc adoquete 3+ Acceptable (4. Competent {5 - Excetlant [S- Superior | 2~ Outstonding |
[6965]SPECIFIC OUTY NO. Responsible | for co and |< [tesk 4 DUTY NO. Aguigt the Chiof of the [Aatino
[6967]renewals and other correspondence and Mesk in administration of offica to aspure
[6968]action or 12 supporttypo projects for; 7 | tho smooth functioning of the deske |
[6969]Mexico City and Monterrey _lIncludes distribution of work, routin
[6971]SPECIFIC DUTY NO. Randig miscellaneous adn BATINS [Steerer erties of pouches and cables, [F47jNe
[6972]and ‘support matters (requests for tech | Supervision of clerical staff of h. .
[6973]equip, studias, training guides, etc)
[6974]for Mexico and Monterre:
[6975]seECiPiC DUTY NO. aSupervisa maintenance of! RATING jsPecimic purr Na, &
[6976]records at tha desk and represent Desk; _
[6977]as Records Officer in discuasiong with! 6 :
[6978]RTD on Hog and field rocords problams!
[6979]JON ~___EVALUATION OF OVERALL PERFORMANCE EIN ‘CURRENT PC ‘POSITION =
[6980]fac Ina account everything about tha omployaa which inflvenras hia ettectivensss in bis cuseent pavition ~ performances specific
[6981]dutees, productivity, conduct on job, covperativengan, pertinent persorct traits of hoblts, particular limitotions of talents. ihused 61
[6983]your knowledga af einployeo’s averall perfyrmaaca during the euting paried, ploce tha tating numbor in the box correspanding ta the
[6984]9 La ; OG J
[6986]en statement which most occurately reflocts hia loyal af parloresance.
[6987]1s PRarfermance in mony important refpects “faila 1a inset toquirements,. waringl
[6989]2 - Pottormance moots most foquiremeais but ja deficles? fa ane ar moro Lnpertaat respecte,
[6990]2. Porldrmonce clearly moots boate roquiteweata,
[6991]4. Performance cloarly oxcoods bosic raquiramenta,
[6992]5+ Performance fa avery bnporant raspge? cs superior,
[6993]6 - Bortormance in avery respact 3 oytstundiag,
[6995]“is ies ere “DESCRIPTION 01 OF TS
[6997]413 300 ier Os
[6999]. AciTavEs IMOCTH OPERATION OF Mis onrick
[7001]safes Swrecrively
[7003]roNserces
[7004]TaisKD cuwaaar
[7006]Dia IND, MAINT AS
[7008]and BiEPORING oF ey
[7010]Fe SECRET da
[7012]asa 45 casociry ane yiaes eorticn,
[7015]14-0000
[7017]SECRET OFFICE OF PERSONNES
[7019](When Filled In.
[7021]SECTION NARRATIVE DESCRIPTION OF MANNER OF JOB PERFORMANCE _
[7023]Stress strengths and weakoovses damonatrotad in current perition, Indic ote 90y94 stions mode t f fires hep PAG of hie
[7024]work. Give recommondations for hie wining, Oereciby, ib eppropriste, his potential for develo, tidad tab o i for ro.
[7025]eponsibdilitios. Amplify o# oxplain, il appraprlote, ratings given in SECTIONS B, C, and D te provide the boat basis lor datormining
[7027]future personnel! actions.
[7029]MAIL ROOM
[7031]This is a truly outstanding employee with capabilities far beyond those
[7032]required for her present position. She hag an unusually keen mind, makes
[7033]decisions that are correct without hesitation and carries out all actions
[7034]promptly and efficiently. She is the supervisor of the office staff, who
[7035]respect and admire her ability. In addition to her skill, she 1s possessed
[7036]of a most pleasing disposition which inzratiates her with the other members
[7037]of the staff. The years of experience gino has had at the varioug jobs to be
[7038]done at a country desk make her invaluable as a trainer and supervisor for
[7039]new personnel. Her knowledge of Spanish haa also been especially helpful at
[7040]the Mexican fesk. This supervisor would be most pleased to have her serve
[7041]with him on any future assignnente
[7043]SECTION F CERTIFICATION ANO COMMENTS .
[7044]1. ve pee oe BY EMPLOYEE ep een pn ne
[7046][ conrify thot Thave Seon Sections A, B,C, O and E of this Report
[7047]OATE [tonarunt. oF THPLOVER ~~,
[7049]we cv
[7050]Ui tecember eh) | ee he A Lett pe ces tee eee
[7051]ro . BY SUPERYISOS, 7 7 : ~
[7052]WAR NOT BE Oo Eel ovedt, Glve EXPLANATION
[7054]HONTHS EMPLOYEE W48 SEEN Tig THIN REPONT MAS NOT BEEN SHOON TO
[7055]UNDER Att SUPERVISION
[7057]| | eeeeneeee = __— an es a ee
[7059]17 REPORT 19 HOF ONG MAOK AT THiS
[7060]pete rue on
[7062]or cen eect eer nnn UR Sere neti ee maces mane fa enim ent met
[7063]OFFICIAL TITLAR OF DUPER VISOR TIPPED GA PRINT ZO AANN ae siowpaiee
[7066]jdohn G. Heyy TY ww
[7069]lemcovee UNOR SUPMAVISION LES PHAM 90 Gand AK ONT MADE OY LAYT 90 DAYS
[7075]Sosk Chis
[7077]LM wave GtvEeN THES EMAL
[7079]MPLOTER A LOMER @ VALUATION,
[7081]LUE TLE eh GAY PP PMOL TERS PRP Geek By
[7083]aan. LEM OUEO A
[7084]i RANNOT JUD
[7085]COMMINTS OF REVIE DING OFFICIAL
[7087]Torvician TIER OP ASWIB INS MOP as PP PPE oR eaNT ED NANG ANG BIDNK TIRE .
[7089]: a Is at HH 3 - a i f a Hy sad (nck.
[7090]- 4 SECRET
[7092]14-0000
[7094]— SECRET +/f - gins |
[7096]\ ce (When Filled In)
[7097]. . P¥PLOTEG SERIAL NUMAER
[7098]FITNESS REPORT :
[7099]ECTION A _. GENERAL . —_ _
[7100]t. MAME jheet) (Fiteatz (Middle? 4, DATE OF B:QTN 3. SEK 4. ORAOG
[7102]: -
[7104]' ZEGRUNO, Charlotte -. Jona -Female___i_GS.
[7106]6. SERVICE pesronarhy OF FiciAL POSITION TITLE 7. OF F/DIV/OR OF ASS MENT
[7108]: D 2 0._(2L Dpe/ W/L fart /D
[7110]CaRGER Starr status -] tree ¢ or Ne PO:
[7111][ [wor sutarove wEMORR OnRENnad HUTA REASSIGHMENT/BUPEAVIAOR
[7113]Lh REPORTING PERIOD os SPECIAL (Specify)
[7114]1 October 1959 a May §9 30 Sep §
[7116]SECTION B EVALUATION OF PERFORMANCE OF SPECIFIC DUTIES
[7118]rlormed during the rating period, Insert rating number which best describes the
[7119]Consider ONLY clfectiveness in performance of thot duty, All omployoos
[7121]List us to six of the most importont apecific duties pe
[7122]{imitcate mander of employeses eupervi aed).
[7124]manner in which employee porlorms EACH spacific duty.
[7125]with supervisory responsibdilitios MUST be roted on thois ability to supervi
[7127]1+ Unsatisfactory
[7129]SPECIFIC CUTY NOt
[7130]08} 0:
[7131]eT ond
[7133]SPaciPic OutY NO. f
[7135]‘ fmpndles Der
[7136]vit. Statla.
[7138]Fehy
[7140]mer renee
[7142]SPECIFIC OUTY NOS
[7144]ami profeet Stles
[7146]SECTION C EVALUATION OF OVERALL PERFORMANCE IN CURRENT Posh
[7148]Taka into cecaunt everything ohout tho employes which Influences hia effectivencat in hes Current podetiad - portatmancea of apecitic
[7149]dutiot, productivity, conduct on job, coupsraneansss, pertinent personal brains oc hetite, particular fimtations os tatanis, Based on
[7150]your knuwiaiige st sinplaysa’e ovurall purtermorcea during the ratiog ponod, place the caniag nwisber Jn the bau sorrsspunding ta the
[7152]atatoment which t geeyeatoly catlocts hoot vel vl perica mane
[7154]f 1
[7155]1+ Poclormance In mony impartant respects fails to meat requircoonts, “won|
[7156]2+ Pordermance moots rust raquizements bur ia dolicsent in one at aces iinpartent eetpects, 4. .
[7157]3. Pethsemunes elaarly ncota hasic sequiraments, 1 4/4, |
[7160]§ . Porlormsaca closely oaceals buaie requirements.
[7161]S + Partorwonce in every important ronpect is auperiar, . |
[7162]8 s Parformance la every tossact ta 2 eetatanding.
[7164]akon } 5 pals”
[7168]AN Mand Be crarans
[7170]“COrE HS JOO WITHOUT ary SUDPOaT
[7174]Been feed
[7175]i i . ,
[7177]weiegs weracrivacd
[7179]RET De BE en eee
[7180]yer gine
[7181]#. ca a a an SER ig EE
[7183]sewed Cagecthrt
[7184]nee = Ee ROCF Sera AN NT nm er mo aera
[7186]ENS aT de ape OWN
[7187]ee x ene REE RMR = OE ofS NER NIN NOE AAS ERA ENE 8
[7189]we 4S eseng. para. c agttans, SECNET set
[7192]14-0000
[7196]Abner Fd hey
[7197]DESCRIPTION OF waeinE a OF JOB PERFORMA, 4S tune
[7198]dete employes tor fae Paement ol
[7200]Sirens ttroagths and woaknas pad Apenmmatestad 19 eusren? posite,
[7201]moth. Give recommendations fer bie traleing, Uniiabe, of opprsor vie. slopmant ged fn sisuming g
[7202]Amplity cx veptain, 4 spprapeiiuin, rulings grea mm SLTTIONS B, C, andUf fo wine Lest baste for doternining
[7204]pow ee
[7206]SECTION E- MAS HATIVE
[7209]petential for
[7211]jeoneibilines. 1
[7212]vivre parsonnel actions. ¢ &y Duss
[7213]4 ¢ Hf 59
[7214]. . 44
[7215], " Rooy
[7216]Please sso previous fitness report, Tais employeo was rated fuur months
[7218]ago. Thers is no change in the raticg; she has continued to give un
[7219]outstanding porformanca,
[7221]CERTIFICATION 20:9 COMMENTS
[7222]BY EuPLcr se
[7224]~ — t ently thot [have sean Sochans
[7226]“soa tuRe Gh,
[7228]SECTION F
[7230]saree me tena mt 9D
[7232]we OO PMPL OVER, Olde BFP Raa IS
[7234]we fer) nee. wel
[7236]' HAD ‘No? get
[7238]MONTHS EMPLOYER 48> Brey
[7239]UNDG Mr SUPRA ISION
[7241]2b months 3
[7245]lauyLores us
[7247]fo rees (Spee itr
[7249]wee bak
[7253]“ i i “
[7254]GPa TTL Mess bere } / vom 2, irety
[7258]OF “Yubet vreeae & yen oer ae
[7260]BOhe Gta OF REvWwING Gras, &s
[7262]perersr terri re 7 Pee on om: den Bas Awe 24 Serene
[7264]Soi Oo Bg
[7266]ape AGI : .
[7269]14-0000
[7271]j
[7272]i
[7274]SECRET
[7276]. tee ‘ oY fWhen Filled jn)
[7279], FITNESS REPORT
[7280]SECTIONAL GENERAL
[7281]tt, AME (Laat) (Pivet) (Middle) 2. VATE OF BIRTH 3. 3En
[7282]_ ZEMRUNG, Chirlotte de 12 Jan 1929 F [2
[7283]~ Pe sdavice Desianarion| 6. orfictan POBITION TITLE 7. OFF/DIV/BR OP ASSIGNMENT
[7284]DI 1.0. (FT) : DDP/WH/TIT/Mexico/DC
[7285]A TYPE OF REPORT
[7287]a. , CAREER STAM) STATUS
[7288]| [wor actome [x [ueunen | Jusraanso
[7290]10, DATE REPORT OUE IN O.F, preg PORTING PeRIvO 0 SPECIAL (Spectr
[7291]28 Auzust 1958 28-Augunt 1957- Bl Ma
[7293]SECTION 8 EVALUATION Of PERFORMANCE OF SPECIFIC DUTIES
[7294]List up fo six of the most important specific dution partormed during the rating period. Insort rating number which best describes the
[7295]vty. Consider ONLY effectiveness in performonce of that duty. All employeve
[7297]mannor ta which employee performs CASH specific
[7298]with supervisory responsibilities MUST be rated on their ability to supervise (indicate number of omploywes supervised),
[7300]1 - Unsatisfactory 2+ Borely ‘odequate “T3. Acceptoble [4 - Competent [5 - Excoltent Is « Superior
[7302]SPECIFIC OUTY NO. Ft RATING | SPECIFIC DUTT NO. 4 .
[7304]kesponsible Cave Cfficer for several * lConsultg end coordinates with various
[7306]fT und CE/CI Frojects - 5/6 |Has components regarding Station's
[7309]RATING [SPECIFIC DUTY HO. 8
[7311]SPECIFIC DUTY NO,2 . . NO
[7312]Handles larje volume of correspondence Prepares, reviews and coordinates
[7313]nemoranda
[7315]with Station 4n eupport of Overationa | 6/7
[7317]7 - Outatonding
[7319]SPeciric OUTY NO. 3
[7321]Gupervises maintenance of: deak records
[7322]snd project files 6/7
[7323]SECTION C EVALUATION OF OVERALL PERFORMANCE IN CURRENT POSITION .
[7325]RATING [SPRCIFIC DUTT NO, 6 RAIN®
[7327]T2k9 into uccaunt avorything obaut the oingloyoe which iniluances his affactiyenses in his currant putition - pevforianes of specifle
[7328]4utlen, peaduetivity, conduc’ on oh, couperativensits, portinent porsonal traits as hobits, patreulor lunitanons of tatenta, Gased on
[7329]your knowletca of amployee’s ovarntl perfcrmance duting the rating poriod, place thy roting number in the box correszonding ta the
[7330]aiatement which moat aceurutels cablects hhe lewvat of pectormanca,
[7332]1 - Porformancea In many Impnrtant roapactstails to mont requiramants, Ipatina
[7333]2 + Parlonoance mots mast requlraments Sut is deftclont in one os more finpestant rotpecta, ; ue
[7335]3+ Perfarmoncae cleyrty moute basic raquizoments,
[7337]4. Parfermance claorly oneends baste requirninants,
[7338]3 - Porlormance in ovary }mpartont respeet la superior,
[7339]6- Performance in evary saspect la avtatonding,
[7341]SECTIOND ___DESCRIPTION OF THE EMPLOYEE
[7345]+ Outstanding dagres
[7346]AATi—G
[7348]we ee renee
[7350]+ Limited dogina “| J > Neemal deqroe A- Above Byarage dayrae i
[7351]ae oe ne Mtn be nnn ~ 7
[7353]1 - Locst possible degrea
[7355]. NOT i NOT
[7358]CHARACTERISTICS
[7360]+ WRF HEED ARISES
[7362]S7HONG SUPEURT
[7364]q 5
[7365]a aa eae ae Ba ween
[7368]} ; ; [A
[7369]SF RECORDS pee pose oo
[7371]é. tty de ee re Fa iz 7 t
[7374]SHE SECTION °F? ON REVERSE SINE
[7376]UISCePLINE IM OAIGINa Tid, ALN Te
[7378]oe 45 onsouers pag sous AO tOn8, SECRET fo
[7380]14-0000
[7382]SECRET
[7383]Wten Filled Ind
[7384]SECTION. € NARRATIVE DESCRIPTION OF MANNER OF JOB PERFORMANCE = p 4
[7385]trengtha ond woakneeses demonstrated in current position. Indicate suggestions mods to omployee AS SS PbRinoar of his
[7387]. e recommendations for his training, Dastribe, of appropriate, his potential for development and for assuming greater re-
[7388]aponalbilities. Amplify or expiain, if appropriate, ratings given in SECTIONS B, C, and O to rey the best bosis for determining
[7390]future pertenee! actions. Jt ai 2 5) PH 59
[7392]Tis exployee is intelligent, loyal and dedicated to duty. She has an
[7393]outstandins ability in getting her job asgignnents ereiematall Tie thrid and
[7394]with a minimum of time and support. She readily cccepts respoidibi » jaa
[7395]highly effieient worker who thinks clesrly and logically. Her knowledge of
[7396]Headquarters and Field procedures plus hen ability to organize her work greatly
[7397]facilitstes the smooth functioning of the Mexican Desk. She has demonstrated a’
[7398]superior comprehension of the numerous and varied projects of the Mexico City
[7399]Station ‘hich has contributed to the overall Headquarters support of the Station's
[7400]operations, Because of her sound unJerstanding of operations and her outstanding
[7401]capacity for work, Miss Zehrung has an «xcellent potentiel for assuming greater
[7402]responsibilities. Additional training is dependent upon her future assignments.
[7404]CERTIFICATION AND COMMENTS
[7405]BY EMPLOYEE | ene
[7406]B.C, D and E of this Report
[7408]"bee i | cectity that 1 have scen Sections A,
[7410]Se taeeeeeaientameenein SIGHATORE UF Drea
[7411]yi oy | ? oe
[7413]acre dow ET
[7414]y BY SUPERVISOR hae” ee 0 na nen
[7416]UNOET MY SUPERVISION
[7418]22 7 Ronths
[7420]ne A ee eee eee te ener en pete e
[7421]MONTHS EMPLOYER 18% QUEEN te THIS J REPORT. res NOY DREN SHOWN, ‘yo © CMPLOYER, Give EAPLANATION
[7423]Vw REPOAT 1s Not Ban ING iG MADE at The Ne, dive. REASON.
[7425]—Tipoves OER MF AUMEAVISION LESS THAN 00 DAYS
[7426]Jempcoved onsen we sunenvision Cicss Twan oa nave UT
[7430]DATE
[7432][rewont MAGE WITHIN LAST po GAYS
[7434]“Trreeo ot PREYTED NAME AND S1aN TURE
[7435]Yate Sip
[7436]John” os Crady
[7438]BY REVIEWING OFFICIAL i
[7440]a t WOULD HAVE DIVES THIS Es Eur LOVER ABOUT Pic SAME EvaLuaTioN, .
[7442]lorFICIat TITLE OF SUPER YISOR
[7444]13. Sune 1959
[7446]HOLS HAVE GIVEN Tras g EMPLOVES A A RIGHER EVALUATION,
[7450]TeeNnoT dl 1vOcT Teese EVALUATIONS. 1AM NOT SUFFICIENTLY FAMILIAR WITH ne “EMPLOYEE'S PERV ORMANCE,
[7452]“CouMeNTS | OF REVIESING OFFICIAL
[7454]TOPFICIAL TLE oF PUVIee: nes “SPriian TrPER On PAINT tO % wane rnd SlgnaTUuRE
[7455]YN ee ay: me
[7459]NS
[7461]O/H /IIT Lute? c
[7463]3.
[7465]7 ~ SECRET
[7468]14-0000
[7470]“SECRET .
[7472]. i we _ 8 (then Filled ta} 4
[7473]FITNESS REPORT (Part 1) PERFORMANCE
[7474]INSTRUCTIONS ee
[7476]zg this ecpart.
[7478]Fw THE ADMINISTRATIVE OFFICER Consult current anatructions lor complet
[7480]POR THE SUPERVISOR: This report is deeigued to help you caprese your evaluation of your subordinate and te tronemtt
[7481]thss evaluetion to your supervisor end senior officials. Ocyanisation poticy requires that you inform the subo ries
[7482]nate where he etands sith you, Completion of the report can help you prepare for a discussion with him of bis
[7483]atrengths and knesses. Et ds also argeniaation policy that you show Part lof thie report to the eaployee encrpt
[7484]under comlitions apecifacd in Regulation 20-370. It be recommended that you read the entire form before completin
[7485]eny westion. Uf thia ais the initiss ervort on the employee, bt aust be completed and forwnrded ta the Office o
[7487]Pereannnel no Sater than 30 daya after the Inte indicated in item 8 of Section A below,
[7489]SECTION A. GENERAL .
[7490]t. NAME (Laat) (First) ¢Wsddle) + DATE OF BIRTH
[7491]ZEHRUNG, Charlotte L. 12 Jan 1929
[7492]> OFF ICE/ DIVISION’ BR 6. OFFICIAL POST
[7493]i Dor /wa/t1/D0 77, Reports Officer
[7494]ve PERIOD COVIREO NY HIS REPORT (Inclusive dates)
[7496]‘ B. CATE LEG
[7498]23 August 1956" | - 2¢ August 1957
[7500]Trek OF REPORT
[7501](Check one) CARB coutatecMP lovee
[7503]SECTION B. ; CERTIFICATION _ _
[7504]1. £OR THE RATER: THiS REPORT was £ WAS NOT BLEN SHOWN TO THE TNOTWIOUAL Rateo. VF NOT SHOWN. EXPLAIN WHY
[7506]t . aes Sank See 7 nD
[7507]‘ &. CHECK (X%) APPROPRIATE STATEMENTS:
[7509]THED HEPOUT BEOLECTS MY Gey OPintGmd OF IMIS ERDI-
[7511]yioual. .
[7513]THES @EPONE REFLECTS THE COMBINED DPI MIGHS GF MYDELE ‘
[7514]KX jeno pecvrous surcnvisoas, P GSALU ATE wtb soo Pp
[7516]f WAVE DISCUSSED SETH THES EMPL OSES
[7517]AUG WEAMHASSES 30 THAT nl wudOS ewfat we Dieuus,
[7519]WJD SIGNATURE OF SUPERY "| ty, SUPLHVIGOR'S OFFICIAL TITLE
[7521]en VA A | [‘oAm/trtextco
[7523]WANCE OF NTC" wt Toh THE SUPFRYYSON, OR ANY OTHER IA>
[7524]Pnats: ee d
[7526]VF inmbivbOuay bs saree “tte Clo of 0. a waauing Ante
[7528]Den GAG Gant To wim AA Coy ATTACHED Toy THES REPORT,
[7530]Camnot CORTE RS TwaT (wh BATCD ImoOtvibuar BNOee HOR
[7531]wrommamce uecausd (Specify):
[7535]TE Ge TYPED OP FRIWIED f Pye
[7537]# tS
[7539]20 January 1958 {| John B. Brady os
[7541]i PECOKD Pye Satie FANT IAL QUEEF
[7542]FORA bud, Wels woke eh Aw SG A ek Tee of
[7544]pe on qe
[7546]SEED Om ATPACHED SmHedt
[7548]the sbove section,
[7550]errr eres Yh Tepe Shiai nhs Galaga ae ara OFFIC aL Teta ve HUW ERIN OrrECTAL
[7551]21 January 1958 Orrist*@, Ne Dahlgren CASH/TT
[7552]pe bige C. NOS PERFORKANCE EVALUATION eevas sneaneom
[7554]TinG ON Gtytar PERRORU ANE
[7556][a *  Consadee Only the productivity
[7557]fiat cutues during the isting pescod, Coapare
[7558]eititaty. Factors other than productivity mali be takes sito account
[7560]aod effectivenesa with which the individual beyvoy cated haw nertorme t
[7561]a GALY wath others duing stcaifiar work nt a aimatag tevel of cospone
[7562]later in section D.
[7564]yoo Po. SOLS NOT PearoRe CUTEES AUFGUATELY. HE ISTINCOMPETENT.
[7565]j Ziv WARELY ABLOUVATE pe Pome ek ALL Gee Er AS Me SPEGHEIG astMANCE ON TRAINING, ME OF tN Farls fo
[7566]i CARBY OUT Reve oe SIBLE DEY
[7567]I 3s PERFORS VOLT OF WIS OTs at TAGE. QCCALEDWALKY HEVEALS S0UE ANEA OF aEARNESS.
[7568]eee? 45 PERFORMS SUTICS IN A KGMPLIGNT. EFFECTIVE WANNER,
[7570]os Boe A FONE PERFORM INC EL. CIO TES GUE WANT SF MES DESPONSEGILITIES EacePTiseacay actl.
[7572]UMGEA Gor PECANS WES DUTOES 1 Sor An GUPSTANOT AG “HANNO HAT UE G5 EGVACLEG G1 Pea OTHER FER DINS KADEN TO
[7574]Tut AUPERWSSOR,
[7576]COREUENTS. .
[7578]1 etn te Rr
[7580]os TEP RALHS PORE Ye er etal es nm ey . — —_
[7581]sae bo. race no. YS (Part TL) Tse as oe oe SECRET Performance ao
[7583]1 aor 4
[7584]3 ART casa te
[7587]14-0000
[7589]a
[7593]father Fatiet In
[7595]He SPECTRE BUTTERS
[7597]an wee 1 on MECH fie
[7600]a, State in the spaces befos up ta sia of the meee epactant SEPCTFIC duties pee Ahoy apes tne thie rating period,
[7601]Plaee the meat seportant Breast. Mb aet inebade miuae or unimportant daties, '
[7603]4 ONLY slfectivencss tn performance of
[7605]RATINGS CN PLOEONWA
[7607]be Rate perinruanve on each speed lic duty conesderre thine epeci fac duty.
[7608]c. For auperviaora, abblety ta supervise will nheays be pated aaa wreedey Oy y(ie wot cate as supervisusa those
[7609]whe eupervise a seceetary only). ¥ 2
[7610]the indsvidual being sated earth othe Os Pay ips the same duty at a
[7612]J. Compare in your mind, when possible,
[7613]aimetor Jovel of reeponsibilitys 8,
[7614]e them on different
[7616]fob cathe may he perforaing different dution, fav,
[7618]ce, Teo individuals with the tame
[7619]duties. 1 D7
[7621]fo fe specific. Paamplee of the kind of duttes that might he rated are 4 Rp
[7622]ORAL BRIEFING . HAS AND USES AREA KNOWL BOGE OMoucrs INTERROGATIONS
[7623]GIVING LECTURES DEVELOPS NEW PROGRAMS _ PRAPARES SUMMARIES
[7624]CONDUCTING SEBINARS ANALYZES ENDUSTRIAL REPORTS THANSLATES GERWAW
[7625]WRITING TECHNICAL RAPORTS WANAGES FILES DERALEFING SOURCES
[7626]CONDUCTING BXTERNAL LiAISON OFERATFS RADIO KEEPS pOOKS
[7627]TYPING 1 COORDINATES WITH OTHER OFFICES DRIVES TRUCK
[7628]TAKING DICTATION WRITES REGULATIONS MAINTAINS ALM CONDS TIONING
[7629]SUPERVISING PREPARES CORRESIONDENCE BVALUATES SIGYIPICANCE OF DATA
[7631]widere it advisable, @.€+. combined key
[7633]g. For some jobs, duties may be broken down pven further if supervisor con
[7634]and phone operation, in the case of, radio operator.
[7636]Ve TNCOMPLICHT 1s fee PAPORWANCE OF tais DUTY ~ eo: PERFORMS tis bUTY IN AN OUTSTANDING MANNER
[7637]2. BAWELY ADFOUATE IN THF MERFORMANCE OF THIS + FOUND IN VERY FEM INDIVIDUALS HOLDING SIMI+
[7638]DESCRIPTIVE DUTY LAR JORS
[7639]RATING 2+ PenranMs THis DUTY ACCEPTAMY 7+ EXCELS ANYONE | KNOW CM THE PERFORMANCE OF
[7640]NUMBLRA 4s PLAFOAMS THIS DUTY 1h A COUPETENT MANNER thts Outy
[7641]8. PERFORMS THIS CuTY IN SCH, A FINK MANNER
[7642]WAT OE £3 A DISTINGT ASSET ON HIS JOD
[7643]Vrecttte CUTE MO. wt tame mmm eT aa rine fee ner ree So re
[7644]Supervises mali:tenance of desk recordd wenn Extracts pertinent information from = jms
[7645]and project files, 7 reports gnd atgtistica for thes prera- | 6
[7646]ca en en ne nee nee ration. of studies |. WW. --- bea
[7647]saucers gouty NO. 2 RATING! Serciere Gate wt. 3 RATING
[7648]Reviews and coordinates memoranda wut Prepares cables and dispatches for the) ™''"
[7649]- nO (2 ee
[7650]RATING[sFE CIFIC Outr Wo. RATONG
[7651]NUMALR
[7653]aergiebe oyte ma.
[7655]a
[7656]Procenses for dissemination reporta =| """'"Isunervises maintenance of country deze
[7657]from field stations 5
[7659]oF Jon PED
[7661]ANRATHVE uf Glare ed
[7663]Thich nifect development on prearnt sob.
[7664]Ticient worker who in accomplishing hor job assignments has
[7666]performed in a very outstanding manner. Sho has the ability to think clearly ard
[7668]logically and at 211 tines exercises extrame good judgment. Her knowledge of Has and
[7669]field procedures constitutes a proat asaet and she has the facility for pleking up
[7670]douse ends and keeping an office snootily running. Sha is willing to umertaze any
[7671]assignment that facilitates re tiing the Job done and is entirely capuble of seeing
[7673]that the jJeb de properly done. Her contribution to the job reflects conscientiousness,
[7674]joyalty and devotion ta duty far above the average.
[7676]Stresa steesgtha aad knessea, particularly thoae
[7678]This employee is a highly ef
[7680]i A EE I
[7681]“SECTION SUITABILATY FOR CURRENT JOD 1X ORGANIZATION
[7684]vhoractecratics oF AehtEs,
[7685]ar avek of about Uae same bevet.
[7687]Seo he aE oCPARATED
[7689]adutO NOt «kes ACCEPTEO WIM TF FAR ANON BEAT L Auda nga
[7691]Frye sDELOR AVERAGE GYT ETH NO BEASNESSES SUP PICU BLESTAR GINS FO AARe
[7693]peadactevity, conduct in the job,
[7695]you few. sbout the individu
[7696]fits an esti your tear. Com
[7698]apersal defects ar talents... aad dow he
[7700]pertineng personal
[7702]Yoo BUTTERY unser PAGER + ht
[7704]_ “Yon OF GOuAtrUL G,ITAgtT?
[7706]Ve A BARELY ArCortanre Furl
[7708]RANT WES SEPAW ATION
[7710]| 4 ge OF EME TAME TUITAGELGDY AS MOST PROPLE boema Ty THE GNGANTZATION
[7711]TITeG OD A PNG Furrur tt MAS soe BOTS TRAGING STEMS TUS .
[7712]nuesta 8 7 MEUNUSHAL LE STRONG Pinion thy Thats TF Toh MESURE MENTE GE THE SRUANELATION
[7714]- PLR ELLLLED 4¢ OLY A ft ee Sur feorea Te FIG sume Im TF DUGAN FATION
[7716]PR OPGSTT EON PS THE GROAN TEAETON®
[7718]1S THES eweGeVeOEAL BETIEA SUFTED FOR etn
[7719]ENPLATS FULLY :
[7721]pee
[7722]so o SECRET | .
[7725]14-0000
[7727]SECRET a
[7728]"a fthen Fidled ot .
[7730]: FITNESS REPORT (Parl) POTENTIAL
[7731]TRSTRUCTIONS _
[7733]Consult curtent Tnatructions foe coopteting this report.
[7734]POR THY SUPERVISOR: This report tan priviléged communication to your superviser, and to appropriate career manage
[7735]ment and personnel officials concerning the poteatial of the employee being rated. It de NOT to be shown to the
[7736]tated eoployee, Tt be recommended that you read the entire report before completing any question, This ceport is
[7737]Tf lesa than aydays,
[7739]te be completed only after the employee bas been under your supecviaion FOR AT LEAST 90 DAYS,
[7740]hold nud complete after the oadaye has elepaed, If thie ie the INITEAL REZUET on the employee, however, at MST be
[7742]completed and forwarded to the OF no latce than J0days after the due date imticated in item &@ of Section "f= below,
[7744]GENERAL
[7746]SECTION E. _ eet
[7747]1, NaMe cleat) (Firat) (Middle) 2. DATE OF BARTeH a. 8En
[7749]Charlotte __
[7751]CU/ONVIBION/ BRANCH or ADSI GNMENY
[7753]* pop fat /tt /D
[7755]GRADE 6.
[7757]POR THE AUMINESTRATIVE OFFICER:
[7759]SEAVICE OLSIGNATION
[7761]oracens (Spocilp)
[7763]TvPt OF REPORT
[7764](Check one)
[7766]im,
[7770]SECTION F.
[7771]1. For of aa AATCR, V CERTIFY THAT THtt ACFORT RUPRESENTS MY HEAT JUOGEMENE OF THE PNOLYEDUAL BRING LRATEO
[7772]“BUrRAVIS0R® os OreiciAL TeTLe
[7774]TS We ko On PRINTED ar AND STGHATQAU OF SUPERVISOR IC.
[7776]aL THES HATA o.
[7777]20 January 1958 | John _B, Brady CAMH/TII/Mext co_
[7778]RENCE OF OP INTON tN ATTACKED MEMO.
[7780]?. YOR tut agyiwing oF 11 WAVE REVUIMY
[7782]a THIS DATE 4. TYPED Of PIV a & fi Dart iGiAU TVTUe OF REVIEWING OFFICIAL
[7785]121 January 1958 Lahigran CANN/TII
[7787]SECTION Ge WeESTIMATE OF POT EN a se ne we ene ne arene
[7788]t. POTENTIAL TO AgguMe carareR TACSPONSEGILETIES ee, _ nen ete eas onenve.
[7789]DIRECTIONS: “Consldering | othare of his grate and type of asabgament, rate the employre's potential to RASIERe areater
[7790]-reaponsibitities., Think in tena of the kind of seaponsstility encountered at the varivus levels in his kind of
[7792]work,
[7794]+ ALREADY ADOVE Tith GAVEL AT WHICH SATIGFACTORY PERF ORMENTE CAN AE CXREC TED
[7795]THAN HEACHEO Geb FESME SE bv ht SE mC PAT SPA trdy PERFORMANCE CAH me EXPROTED .
[7796]| MMCINA RONALD AA not woe MONE TIME OEPORE Wo CAN AE TRAINED TO AN Sums GHEAITD WEGPONS HOLE TIES
[7798]1
[7799]2
[7800]4
[7801]6 40+ BEAGY FOR TRAIGING TN ASSUMING CREATIR RCSPONTICELE TEED
[7802]5
[7803]a
[7806]o WELL PRODANLY ADFUET QUICKLY TE 4eRF RESPONSI OLA GUTTER WETHBU ET CUR THE TRADING
[7808]ORUHEADY ASIEN ING MOYE REOPONTIDEL LILES DAM EASE EGG AT reps PREG ENT LEVEL
[7809]+ OAM PSCEPTICHUAL PER IOM BHO 15 ONE OF Tk Few wee SO OR CONS EGEAED FOR PARTLY ASSUMPTION OF StduER
[7810]REVEL HE GPOMS IDE U ERS
[7812]PIRECTIONS Anawer Ubhia queagtions Hae chia persou phility to be o Vupervisor? vet } you
[7813]indicate helow your opanien or guess of the level of supervitsry shility thia purson will reach AFT
[7815]enawer da VF
[7816]Indicate your opinion by plachag fhe aurber of the descriptive toting below which comet closest
[7818]SULTARLE TRAINENG,
[7819]to expressing your optaton in the appropriate column, Pf your rating oa based oa obwerviny him aupervise, Bote your
[7820]Vi Ueted oo opinion of his putentaat, acte the eating sa the “potratial” cotuny.
[7822]feating ta the “setual® cotumn,
[7823]SUPLIVISORY FOTFNDTAL tN THES SETUATION
[7824]SUPERVISC3 IN (tS Kind GF RE DIATION
[7825]tars Nts OF GIETUAPION
[7827]you
[7829]OJ > HAVE RO OPINION ON HIS
[7831]acne tiv
[7832]oc ive Poe WMUSEVE tadtviOuUss ROULD VE A Wan
[7835]eae 2+ BEE TEVE INGEVIDUAL MOULD HE AN AVERAGE SUPERVISOR IN
[7836]Se BEL FE VE GNCETED GAR WOULG TE A STRONG SUPLOVISOR IN THid St TATION
[7837]AG THAL POTRRTVAL DESCRIPTIVE SETUATION
[7838]WUabur “oan. Tet” osate 108 y peenvgeaphors terhnsciana of profestiunal sper
[7840]A GADUF CGI, Tree B83tc 498 Cteuck fravors,
[7843]é Meg ore rh SubSsotNA rea bs FaCduenT Cheese Pine
[7845]eialiite af wartaus
[7847]a ns CUDEEENEE RT LTTE CTS Renee! ~
[7849]tua waded 32¢@ (Second fine sepervivars)
[7851]A GPOUF OF SHOE AVIAONS end LrKteE
[7853]A SAG, WHO war IN SAY ROT SE SURE AMI SOO a, SIEM US RESPONSIBLE FOR WHTOH PLANS. DAGART TATION
[7855]aug Paytee CEavcutare dove?)
[7857]venf BOL
[7859]TORPSEP AETH TMMEOT ATE SuOdsOtHATES 29 NOT Fadacen®
[7861]POATTONETIAS Set Ore att and wAEO contr, CooBo TAO oe
[7863]1 Svosessante
[7867]ao bands peme et ate Suactot sated Fedkuce wemaede oe ter Gerasrta see
[7869]~ I
[7870]ECRET Potential aw
[7873]bude SE
[7876]14-0000
[7878]a
[7880]. SECRET
[7881]Qhen Filled Try a)
[7882]MAS BEEN UNOFR YOUR SUPEAVEGTUN
[7884]JAY 29 = py
[7885]209 PH ap
[7887]Ker potential has a wide range. She has the ability to organise and direct a sizeablo
[7889]office of reports writers and to supervise tho administracl4u Appgtions for a large
[7891]office. She has a distinct aptitude for operations and her poten fat in the field of
[7892]cperational aupport work 4s well as in the diroct handling of operationg ig a good one.
[7894]OF MONIES DOE RATLOO FMP OVE
[7896]APPRORIMATE NuMAte
[7898]CNOIKATE THE
[7900]7 months
[7902]2 CUNMENTS CONCERNING POTENTEAL
[7904]SECTION He . FUTURE PLANS
[7905]tT. TRAINING <1NG ON OTHER DEVELOPMENTAL TRPERIENCE PLAMNEO FOR THE INO I VIDUAL
[7907]None recommended at this time.
[7909]“TNDIVIDUAL’S GuTUBE ASSIGNMENT
[7911]TO O£ TAKEN INTO ACCOUNT th
[7913]3B. NOTE OTHER FACTORS, INCLUDING PCASONAL CIRCUMSTANCES,
[7915]DESCRIPTION OF BADIVEDU AG
[7917]SECTION te ve een bu
[7918]DINECTIONS: This section ia provided as an oid to deacribing the individual as you see him on (he job, Interpret
[7919]the words Literstiy., On the page below are a terios of statements that apply in some degree te most pesple. To
[7921]-Read each statement and insect in the tox the
[7923]the beft of each statement bo n box under the heading “catvpory.*
[7924]tolls how mech the atatencat apbies ta the Persona covers: Aotey thas eck vee,
[7926]WENCH GAN Arve HO UPINION AS To now Tek OCSLRIE TION ARR 1, “ia tH
[7928]gery f ruvnt ceowbdsh Jet)
[7929]Kis WAVE nor Ovusbavho mrss
[7931]iMGEVE DUAL
[7932]aPeLIesS TO tuk peer vr oyat TD THE CFAST POSSINLE OLGREE
[7934]APPLES To thwhWiouak TO A LEMITE® OFGRER
[7935]+ APPLEPS PO INDEVEOGAL TO AN AVIRA E GF UREE
[7936]= APHLCRS TO INDEVIOUAL fO Ay ANOVE AVEHAGR DEGREE
[7938]+ AMPLE S TO INDIVIDUAL TO AM OUTRTANDING OF GALE . 7
[7940]TTATIMENT
[7942]Ti, WAS WIG sravoRNOS UF Po
[7943]y APU OMPL IMAM ENT h |
[7945]ca
[7947]CATEGORY NUMER
[7949]Tan ene
[7951]Te sony
[7953]“BtATEMenT
[7955]Tt, #Bbe To Sat ANON A
[7958]1d FORCE re Eke
[7959]S1OMS OF em Raazer aes
[7961]CAN WAGE G1 C1 SE9N% Ou WS. . faa, impciwints »
[7962]12, Swoas uAraimabity {
[7963]On tate mech AHL AES m i vAauit 1
[7964]. AGREP YS attrOn$t ante :
[7965]Ae MAT EME Pade u thes ° : ‘ h 22. EH fwousn ted GF DELS
[7967]Pee
[7969]Ae PO AMAL OPER PH WES ERE
[7971]wpen ss othe uate PAL Ture
[7973]fig. sesrenca wean to sure
[7974]videgn
[7976]rae
[7979]STRIVES Coed tantly
[7980]wie uHvertvor ago
[7982]H
[7984]ec t atNanG fuPrORe
[7988]Aoiu tions
[7990]Qo naga oni to Sean
[7991]AGSE stance
[7993]SECURE Te Lansctans
[7995]ra. oth
[7997]Samas ue
[7998]10 cece
[8000]Caeser te
[8001]cree
[8005]was urenae Foa aK
[8007]ann een ,
[8009]Face
[8010]trae Sf ah Ber ce
[8012]fig. tatead cobeace
[8016]r0,
[8018]io Gbea tains oone
[8020]Cum core
[8024]. SECRET
[8026]14-0000
[8028]CONFIDENTIAL ; i
[8029](When filled in) ‘
[8031]NOTE TO PCS RETURNEES
[8033]Personnel processing in from a FCS foreign field assignment through
[8034]Central Processing Branch are required to review the Eloyee Conduct *
[8035]Handbook and the information for PCS returnees. This information is
[8036]contained in a notebook provided by the CPB receptionist.
[8040]v
[8042]MEMORANDUM OF UNDERSTANDING
[8044]Io hercby acknowledse that I have read and understand the contents
[8045]of Handbook 2084, Employee Conduct, dated 9 July 1970 ard the infor-
[8046]mation tor returnees dated 1 February 1972,
[8048]-
[8050]COareT RD yr fat
[8051]CONS TDENT OAL
[8053](When Silied inj
[8056]14-0000
[8058]/ . ON aN ay
[8060]INSTRUCT I ORS
[8062]INSERT APPROPRIATE COOE RUMBIO Im “CODE® COLuMNs =”
[8063]atrcay ootes sy using FF”
[8065]USE APPROPRIATE SPACE OFLOW TO MEPORT DATA FOR CITHER PCS G8 TOY,
[8066]TO O€SIGNATE WHETHER SUBMISSION 16 OF BASIC CATA, CORRECTION, Of CANCELLATION (One only}.
[8067]THE NUMBER FON THE MONTH, AND LAST Teo DIGHTS ONLY FOR YEAR, BEER TO OFT .NO, 88. REVISED.
[8069]1. pcs (Basic)
[8070]3+ CORRECTION
[8071]BS + CANCELCAT IOS
[8073]St me a nee erm ee ce eRe Ranch oe eS Hecemenmanerne
[8076]Os CANCELLATION
[8078]SOURCE DOCUMENT AND CERTIFICATION
[8080]: TRAVEL VOUCHER Dusratcs .
[8081]q ene ete ne en one ~ — a ren rena en eee
[8082]cAGLe OUTY STATUS OF TIME AND ATTENGANEE SLICRT
[8084]Orne (Specify)
[8086]Socuueny ett veatieW Wag TT gc bare Feta ae
[8087]: A OS eee
[8089]Pemanns
[8091]q
[8093]AaGsee Dea CERTIP SED CORMECT, GASES EPO SOURCE
[8094]BocuMENT CITED
[8096]wij steort samatsteo On
[8097]egerers oecument
[8099]SIGNATURE
[8101]THIS REPORT WILL BE FILED IM THE GFFICE OF PERSONNEL
[8102]1M THE IMOIVIOUAL'S OFFICIAL PERSORHEL FOLDER
[8104]d4a-59t
[8106]Cee W5pa pesctse eenviaes SECRET
[8111]14-0000
[8113]- , som Ye : : ae
[8114]oe ee a, * SECRET ~; oO
[8116]FIELD REASSIGNMENT QUESTIONNAIRE
[8118]00 HOT COMPLETE FOR HEAQQUARTERS USE CBLY
[8119]nau OF EMPLOYEE (uae poeeuds onfy If SAJJOATEC from item S-Ulmamt of SuPERVvisSt® free) Oate (from item $-2)
[8120]8 Sep 1971
[8122]Charlotte Z, Bustos-Vidella 8 Sep 1971) John R. Horton
[8123]DATE RECEIVED AT HEADQUARTERS; DISPATCH MUMAERSY GATE RECEIVED BY CasttR SERVICE:
[8124]. HMMT 11,08
[8125]15 September 1971 8 Sep 1971
[8126]TO BE COMPLETED BY EXPLOVEE
[8127]1, OATE OF BIATH 2. vOu@ CURGENT POSITION. TITLE 4. STATION OF BASE b. CRYPT FOR
[8128]any ceade . CURRENT COVER
[8131]12 Jan 29 Cuba/C!; GS-13 | Mexico City — LNGOLD
[8132]? 66, ors into oaTE TO REPORT TO OUTY
[8133]arrveRr ay
[8135]Se, REGUESTEOD DATE OF | 6c. EXPECTED CATE OF FIRS
[8137]iM FIELO oEraayuae CHECK-IN AT HQ .
[8138]. 7 6 October (3 weeks H/L)
[8140]@a. CATE OF PCB aRRival
[8142]28 July 1967 9 Sept. 1972 one--- (2 weeks A/L)
[8144]7. NUMBEA ANO AOLS OF DEPENDENTS ONO BILL TRAVEL BITH your
[8146]None
[8148]PLASONAL CIRCUMSTANCES THAT SHOULD WE CONSIDERED IN DETERMINING NEXT ASS sRomtnTs
[8150]8.
[8151]My husband is currently a professor in New York City, and I would very
[8152]much appreciate an assignment in New York City go I may ‘join him there.
[8153]I would xbe agreeable to changing Somewhat my departure date from Mexico
[8154]if it would help in.my accepting an opening in New York City. ‘My reason
[8155]for requesting the two month extension is to insure my 5 years overseas
[8156]duty so as ‘to qualify for tho organization's retirement plan.)
[8157]9. QUST YOUR MAJOR DUTIES CURING COPRENT TOUR (zee special note on ¢ranumittal form).
[8159]Falso attach personal cover questionnaire in accordance with CSI-F 240-8)
[8160]1. Analysis of personality and target data from raw and finished reports)
[8162]proparation of target studies, ard finished intelligence dissems.
[8164]2. Operational reporting: cables, dispatches, projects, progress reports
[8166]etc.
[8168]48." Handling of outside transcribers. (off and on). °
[8170]4. Records control and purge of Station files.
[8172]5. Proparation of merios for other components of LACUFF,
[8174]6. General Ops support IA typo work.
[8176]tO. TRAINING DESTRED: .
[8177]ENDICATE attaT TRAININGS TOU BELIEVE YOU SHOULD WAYE DURING THE NEXT Sk¥ehar YEARS
[8179]SECRET
[8181]roa 202 gaze tere oaqurous
[8184]14-0000
[8186]on
[8188]SECRET
[8190]11. POPFEOENCE FON REET Aas teomrat,
[8191]DESCRIBE DAITFLY Tue Tere OF SURR TAY BOULO POFSEO Fom weet SSS IGNer eT TF DEPP ERENT FROM twat bWOrCated |
[8193]Ite,
[8194]tm ete wo. ® avove, 18 YOU WAVE WOME Tram Ont PRLFERERCE, favICatt Youd CHOICE.
[8196]11®. INDICATE tf VOU OESIME TO BETENO YOUR CURMENT TOUN DY CHICE IMS 1a APPROPRIATE BOX. ALSO INDICATE PREFERESCE
[8198]FOR NERY AEGULAW ASSIGeMENT OY INSERTING $, 2, © 9 (for fat, tad. and Ind choice) im MIMAINING soxes.
[8199]COMPLETE ALL ALTERNATE CHOICES AND OPTIONS IN ALL CASES EvEw THOUGH YOU ARE ALQUESTING AN CATENSION: OF YOUR
[8201]your, | , 1
[8202]¥J 2 MONTHS AT CUNAENT STATISe 19 9 8epte .
[8204]envano Tous
[8205], . a toured
[8207]BE AGKICHFO T. 86 FOR A TOUR OF DUTY: tHOIC ate CUDITE OF OFVISTON, or orrice,
[8208]2 3) Vat Cworce ‘Doi ane cwoiee UR sad cworce min
[8210]OM, INDICATE CHOICE OF SE OCRAPHIE AMER Of SPrCALIZATion
[8212]1D rat cwarer NOW Lor PTA, cove IRD CHOICE,
[8214]is? Choice
[8216]‘3 0) rerun ro wy cuneest srarion hop, oye
[8218], : TO GE COMPLETED BY FIELD STATION
[8219]tM CONFTIOKRATION OF The FeeFeICNCE and PLAS ORWANCE GF THE FPL TTR AUD HIS FPREFTALHCE FOR NEKT ASSICNMENT,
[8220]INDICATE YOUR ALCCOMMENT AP ION FUR HES NEAT ASSIGNMENT AND TAAISIOSs
[8222]Those of you who know her realize that I would hardly give up
[8223]SCALETTI, even after five years on the job, without a fight, did not
[8224]other reasons intervene. Her husband is working in-New York now and
[8225]so hor romaining here any lonver than needed for her to qualify for he
[8226]retirement time, az she explains, is 4 needless hardship. (li would
[8227]holp us if you would confirm that time: ig that the date needed for
[8229]her to remain in order to qualify?) Pleage do your best to arrange
[8230]- coer om ee OTT ED
[8232]Torres EE Cea TED BY. APPROPRIATE HEACOASTERS OFFICE
[8234]IN CONSLOERATION OF THE EAPLA{ENCE AMM PEREGOMANCE OF THE CUP efE, HIS PRLFFREWCE £GR WUXT ASSIGNRENT,
[8235]“AND THE STAFFING REGUISEME ATS OF FOUR COMPOUEMT, INDICATE (Ou COMPONENT'S PECOMMCHOATION FOR HIS NEXT
[8237]ASSIGNMENT AMD THAIMING,
[8238]Subject will be assigned as chief of the CA Section, WH/Branch
[8243]Re
[8245]V2.
[8247]One, She is being notified via HMMS 75806.
[8249]‘pare Q5un72_
[8251]. FOR 3. BY AREER er ce
[8253]14, APPROVE ASS ICRU ATE
[8255]19, TMPLOVEL MOTIF ILD OF DIBPATE® 6,
[8257]CREE 8D reer nr crnnenwemeemes PRP O Sem,
[8259]CACTER GEAVICE SrPReseMTETi she
[8260]everrerrrs)
[8262]aE ear an. ae
[8264]te mr 8
[8266]or re
[8269]14-0000
[8271]a eae oad - - ee — te ee more
[8272]~ . os
[8273]a . ve ak Sell ke
[8274]. =, ee “~ - “
[8275]a; a. “ ,
[8276]~‘ we -
[8278]12, CONTINUED
[8280]an assignment in New York for her. She is such a valuable
[8281]person that anyone who has worked with her would be glad to have
[8282]her on the premises: so there is no need to try te "sell" r
[8283]her: it's just the question of whether the timing would be
[8285]right, I should think...
[8287]ee a
[8291]14-00900
[8293]swegrsenin
[8295]fe bana one
[8299]PLACE OF RESIOENCE wHew INITIARLT EMPLOYED BY aoe
[8301][MEME OF SPOUSE
[8305]7" CONFIDENTIAL.
[8307](hen Filled ny
[8309]tanglete in original, -The data recorded on this fore 16 ancestral in Cetermining travel expecses silowable in con-
[8310]eaztion with heave at government exrense, oversees dots, return to residence upon separation, and for providing
[8312]current residence and dependenc
[8314]Washington, D.C. ee ny Dele
[8316]PLACE IN CONTINENTAL U.S. DESIGNATED AS PERMANENT RESe | HOME LEAVE RESIDENCE
[8318]CENCE Dayton, Ohio on, Ohio -
[8320]1? MARRIED, PLACE OF MARRIAGE
[8322]Dayton, Ohto
[8324]57 DIVORCED, PLACE OF DIVORCE DECREE
[8326]RA
[8328]W- WIDOWED, PLACE SPOUSE DISO
[8330]TA
[8332]a x :MEMSERS.OF FAMILY | -
[8334]Cesar Dustos-Videla
[8336]} SAMES OF CHILDREN AQDRESS
[8337]HA : .
[8338]DBEME OF TOUR PATHER (Or male guatdtian} ALOIESS
[8339]Gaouel D. Zehrung m | 4°5 Dayton Z 7
[8340]eau OF TOUR MOTHER THER (Or female & guardian) ACONGSS
[8342]Fezel Zehruny Bites
[8344]: A ne Parsee
[8345]onat weMaeRisi 0. OF YQUR FAMILY (F ANY, MAS QEEN TOLD GCF £fOUR AFFILIATION with THE ORGANIZATION | rs “CONTACT | 1S.ge-
[8347]auiaeo- IN AN-EMERGENCY,.
[8350]SAVE (ede. Mra., Miva) (Laat Firseatiddte)
[8352]Cesar Bustoc-Viicla .
[8354]ADDRESS (He. Streat City, Stete,2ip Code)
[8356]Aparte3n Postal E-940, Mexico 6,D.F.3
[8358]rs br, Dayton, Ohio
[8360]ue Bae
[8362]“TRELATIONSHIP
[8364]husband
[8366]information required in the event of an employee emergency, This form will be
[8368]f. lod in the employee's officiel persannel folder.
[8369]tag OF EMPLOVEE {Leet) (Pireay Otiddie)| SOCIAL SECURITY NUMBER .
[8370]z BUSTOS-VIDELA Charlotte Zz 069-2h- 3138 :
[8372]ce oF ESIDENCE iN CONTINENTAL ULB. (I appointed
[8374]TeLerHona NOMEAICO.
[8375]ICO 525<42-36
[8376]SEX DATE OF BIRTH
[8378]TELE! HON NO. a
[8380]HOME TELEPHONE HUMBER
[8382]Owe AUURE $5 ( (Ko. Tsteoet, City Stata. 2in Cade)
[8383]Bee above .
[8384]BUSINESS AODRES: eStrect. Caty,
[8386]MEYICD
[8388]Univecsided de las anericae, Puesola, MEAICo
[8390]EVPLOY
[8394]see ehave
[8396]fauna be believes you work far.)
[8398]eS
[8400]cS TMIS NOTVIDOAT “AUT MORIZ & To vaxg MS
[8401]sing name ond oddrona af porvon, Ut any, ate cat inahe such eran e m1 casa of serergincy.)
[8403]1S THE INOIVIQUAL NAMED ABOVE @IT TING CF YOQUA AGENCY APP isa THK? {it *Xa° tive name ang athirona af organisa-
[8405]Se MALP IN THE-EVENT ¥ VOU"ARE INCAPARDLEF (1 No" [yes ©
[8409]nO
[8411]eepan why in item 6.)
[8413]cow TINe, a NW HREVERSE SDE
[8415]Forw gy yak eue vious CONFIDENTIAL
[8417]8-8? CTO,
[8419]CURRENT RESIDENCE AND DEPENDENCY REPORT
[8421]SOTt THs3 INDIVIOUAL SNOW THAT WE NAS QDEN DAVONATED AS TOUR EMERGENCY ‘ADORESSEE? ‘(Ul emqncor ia No" . Lxes ‘
[8424]Tha persons named In item 3 above may also be notllied in cose of emergency. IF SUCH NOTIFICATION iS NOT DESIRABLE BE.
[8425]CAUSE OF HEALTH OR OTHER REASONS, PLEASE 0 STATE IN ITEW 4 ON THE REVERSE SIDE OF THIS FORM.
[8427]‘ay
[8429]It
[8431]14-0000
[8433]CONFIDENTIAL
[8435](hon Filled In)
[8436]a . VOLUNTARY ENTRIES a _
[8437]Experience in the handling of employee emergencies hos shown that the absence of certain persona! data often delays and compll-
[8438]cates the settlement of estate and financial matters. The information requested in this section may prove very uselul to your fomily
[8439]or attorney in the event of your disability or death and will be disclosed only whencircumstonces warrant,
[8440]INDICATE NAME AND ADOREBS OF ANY DANKING INDTITUTIOND WITH WHICH YOU HAVE ACCOUNTS AND THE NAMES IN WHICH THE AC-
[8441]COUNTS ARE CARRIED.
[8443]All financial information 1s on file with our lasyer
[8445]Mr. John DAHLOREN
[8446]DARLGRES DARRAGH & CLOSE
[8447]IONE conn. Ave. W., Washington D,
[8448]ARE YOU A MEMBER OF THE NORTHWEST FEDERAL CALOIT UNION? =f) Yea [x] NO
[8450]i? YER, OO YOU HAVE A JOINT ACCOUNTE cow Ce
[8452]te me Le .
[8454]NAVE YOU COMPLETED A LAST WILL AND TESTAMENT? El ves cl NO. (TE *Yes” whore fe document located”)
[8456]Oa flLle with lawyer listed above . ”
[8458]TER TO GOTH PARGNTET
[8460]HAVE YOU PREPLANNEO AN ARRANOED QUARDIANSHIP OF TOUR CHILDREN IN CASE OF COMMON DISA
[8461]‘m) ves Cl NO. (If ¥en" give name(s) and addrese)
[8463]NA
[8464]HAVE YOU EXECUTED A POWER OF ATTORNEY? — co vas an ao ame
[8465]Believe the lawyer has this also :
[8466]ADDITIONAL DATA AHO/OR CONTINUATION OF PRECEDING ITEMS
[8468]5, who possess the power of attomoy?)
[8470]3 boo.
[8471]we Bin 08 Fe | c Litt a Ct ee
[8473]CONFIDENTIAL
[8475]SIQNED 4? oe 7 [ers [signarure
[8478]14-0000
[8480]pete ame
[8482]‘ oN
[8483]ce a? .
[8484]i
[8485]; “ a COMP) EMTGAL
[8486]a: (when Filled In)
[8487]a oo.
[8488]by NEMORAKRIUH OF UNDERSTANDING
[8489]g I hereby acknowledge that I have read and understand the contents
[8490]a of Handbook 20-4, Employee Conduct, dated 7 October 1963, and ‘the
[8491]Fe information brochure for PCS returnees, dated May 196k.
[8492]FY “
[8493]q
[8494]4 4 3
[8495]22 | eres (Efe
[8496]\  BUOIKB Mdelu, Charlotte - . :
[8497]\ CONFIDENTIAL
[8498]1 (When Filled In)
[8500]4
[8505]14-0000
[8507]Do St SECRET
[8509]. FIELO REASSIGNMENT. QUESTIONNAIRE
[8510]_ CO ROT COMPLETE FOR WEADOUARTERS USE ORLY
[8512]arlo Bustos-Videla ames B, Noland
[8513]DATE MECEEVEO AT wh aOQuaRTEREs. DATE MECTEVYED BY CAREER SERVICE?
[8514]1OAPH ‘
[8517]“1010
[8518]TO GE COMPLETED 6Y EMPLOYEE
[8519]Titec 4, STATION OR BASE
[8521]Feb, 1979
[8522]cavet or
[8523]Cusment cover
[8525]YOUR CURRENT POBITION,
[8526]AND GRACE
[8528]Exec Assistant, GS-19 MEXICO CITY Station
[8530]$0. COSIRED DATE TO MEPORT TO BUTY
[8531]AFTER LEAVE
[8533]1. OATE OF Bratw FC. senvice! ds.
[8535]Tourist
[8537]EUPECTEO Gate OF FIRS
[8538]CuECR- te AT HO
[8540]8. REQUESTED DATE OF
[8541]DEPARTURE
[8543]16 Aug 1970
[8545]pate Oo ARRIVAL
[8547]tm F1Gu
[8549]28 July 1967 W411 not go Hdqs| 26 Oct 1970
[8550]. : unless requested
[8552]NUMBER AND AGES OF DEPENOENTS WHO WILL TRAVEL WITH VOU
[8554]Y
[8556]none ‘ .
[8557]B. PERTOWAL CIRCUMSTANCES THAT SHOULD BE CONDIDEREO IN OF TEMMINING KENT ASSIGNMENTI
[8558]Subject wishes to remain overseas for a minimum of {wo more years to
[8560]complete her 5 years overseas requirement.
[8562]9. LIST YOUR MAJOR DUTEES OURING CURRENT TouR (aee special note on on tranamittal form)
[8563](aleo attech personal covor questiannalire in secordance with C5E-F 240-8)
[8565]H L.
[8567]: In this job she also handled some Cuban operational matters
[8569]: including two outside contract em; luyees.
[8571]: 2. uring this period she also handlea some sensitive projects for
[8573]the ccs,
[8575]: 3. During the last six months ‘yubject has been Exec’ Asst to the
[8576]CGS/DCOS concentrating on file and administrative recrganization
[8578]of the Station,
[8580]Subject has had supervisory resconsibi lity over one to three
[8581]elericalsTvUY staff for short periods.
[8583]10. FRarwing C&S dmED:
[8584]PYOICATC weal TAATWING YOU GELTEVE FOU ANOULD WAVE DURING THE HEAT SEVERAL YCARS
[8586]‘None . .,
[8588]yee pag eee Te SECRET
[8590]3
[8592]During most of Subject'!s tour in Mexico she has been the Cuban IA.
[8595]14-0000
[8597]rm,
[8599]DESCRIBE GMIEFLY THE TYPE “WF @0MR VOU WOULD PREFER FOR NEXT ASSIGNMENE JF DIFFLSENT FROM THAT TMDICATED
[8601]Vie.
[8602]tH ITEM NO, 8 ABOVE, If YOU MAVE MORE THAN ONE PREFERENCE, FNOICATE YOUR CHOICE,
[8604]I enjoy both Administrative and Cps; IA work.
[8606]INDICATE 1F VOU DESIRE TO CRTCND YOUR CURRENT TOUR GY CHECKING IN APPROPRIATE BON, ALEO INDICATE PREFERENCE
[8608]ROR NEXT REGULAR ASBIGNMENT BY INStATing 1, 8, 8 3 (for det, dnd, and Ird choice) tM REMAINING BONES,
[8609]COMPLETE ALL ALTERNATE CrOrlrcés anO OPTIONS IN ALL CASES EVEN THOUGH VOU ARE REQUESTING aN CRTENSION OF YOUR
[8611]tour,
[8612]r .
[8613]3 a) exrenp tour: 2” outa ar cunncat srariow-vo— Aug 107],
[8614]' . . . (oats
[8616]BE ASSIGNED TO wOoQgTas FoR & TOUR OF DUTY: INDICATE YOUR CHOICE “oF DIVISION, STAFF OR OFFICE.
[8617]BND CHO bCE men, FRO CHOICE
[8619](aT CHoIce
[8620]oc ASDIONFO TO ANQTHMER FIELO STATION: INDICATE CHOICE OF GLOGRAPHIC ARTA “on SPECIALIZATION
[8621]ist cnoice ~ IND CHOICE, gan cnoice
[8626]agtune TO My cuRReNT statrew fOr 2nd tour.
[8628]’ . TO BE COMPLETED BY FIELD STATION
[8629]U2. IN CONSIDERATION OF THE EXPER TENCE AND PERFORMANCE OF THE EMPLOYEE AND WIS PREFTAENCE FOR NEAT ASSIGNMENT,
[8630]INDICATE YOUR RECOMMENDATION FOR HIS NEXT ASSIGNMENT AND TRAINING
[8632]Would not stand in subject's way, were she to be fortunate enough to
[8633]get a laris assipnwent. However with her dong waxdico background (both
[8634]Hdqs and ficld) and her multiple talents she has been invaluable in the
[8635]reorganization of this highly complicated Station under changed
[8636]circumstances, will ecntinue to be so during the next neveral years
[8637]and to lose her. would be like losing one's right arm. Theretore we
[8638]strongly endorse either a second tour or an axtension.
[8640]— ""~TO SE COMPLETED BY APPROPRI ATE HEADQUARTERS OFFICE
[8642]TN CONTIOL GAR IM OF THE TAPER ONCE AND PEAPCRMANCE OF THE LYPLOTEL HES PREFERENCE £09 NEAT ASSIGNMENT,
[8643]AND TRE STAFFING REQUIMEWENTS OF YOLK COMPONENT, INDICATE YOUR COMPONENT'S RECOMMENDATION FOR His NEAT
[8645]ASSEGHMI MT AND TRALNING,
[8647]Vi Division recomands that subject retum to Mexico City for a second tour,
[8649]vate 22 Mar. 29. hee Cad Fers_ SIGHATURE
[8651]FOR USE BY CARER
[8653]Us. APPAOGED ANS IGKMENT:
[8655]_New Cour in Hexice _ en . oe
[8656]Bema: SRO aE
[8658]rs, CuPLertl NUTID ORD OF Gishatcn mo, Wo:
[8660]Cet sO. Dare
[8662]BE Cece teemraniar am ee Mie
[8664]Sanit s steele COPE StRTaAt bees. .
[8665]Ceeaeateeed
[8667]Se eannine tadeaarenematbantetemenaan
[8669]SECRET
[8672]14.90000
[8674]CONFIDENTIAL
[8676]. Cithen Filled Ind
[8678]Casplate in original, The data recorded on this form te aasentinl in Seternining travel expanses alloerble in cone
[8679]nection with leave st government expense, overseas duty, return to residence upon peparation, and for providing
[8680]currant residence and dorendoncy information required in tie event of on employee amergency, This form will be
[8681]filed in the employee's official personnel folder,
[8683](Loat) (Feeat) *
[8685](Middle) SOCIAL SECURITY NUMBER
[8687]NAME UP EMPLOVEE
[8689]Tom,
[8691]“Bus70s ViDELA Manda A006
[8692]- facet ee RESIDENCE DATA :
[8693]PLACE OF RESIDENCE WHEN INITIALLY EMPLOYED OY | AGENCY Laser ‘woace oF RESIDENCE iw € CONTINENTAL U.8. (I appointed
[8694]ateood) wv A
[8695]: Puree rar, ove
[8697]QoAcHseroW De,
[8698]PLACE IW CONTINENTAL U.S, DRSIONATEO AS PERMANENY RESE
[8699]CENCE UV ASHNATON DC
[8701]MOMR LEAVE MESIOENCE py?)
[8704]vivonceo
[8706]17 MANSIED, PLACE OF MARRIAGE
[8708]“DANTON , Cw o-
[8709]id DIVORCED, PLACE OF DIVORCE oaecrag
[8711]17 WIDOWED, PLACE OPOUSE DIEGO
[8712]WA . . ' .
[8713]pe ea ee nner en et tte an
[8714]ANO DATELS)
[8716]kobe oMEMBERS OF FAMILY : _ . _
[8717]ADORESS (NO Sereet City, State, Lip ¢ Coda) TELEPHONE NO.
[8719]LAS ADUBOCAS UVAL, A4ENCO Orn HEY
[8721]eee sex | Data OF IRTH |
[8723]HAME OF SPQUDE
[8725]CaosNz  “Basret-wineta
[8727]AOORGSS
[8729]—--— tH.
[8731]: pores aw? FF DACA Esper e 235 Trevernonn wo.
[8732]‘2
[8734]WRME OP GUR PETHER for made gundtan) |
[8735]SU Ek TO REY IN O
[8737]On (Or kunuie euacdion)
[8739]teed DT LUuELTE SF oe Mati. Be
[8740]EE a Sk AL ec ne
[8742]BoOOHESS TELEPHONE NO,
[8744]“WaT GP YOUR MOTHER (Or
[8746]HAL Lod PEMMUN En
[8747]“way Veunents 19 yYourR FAMILS I va Any, Was. BEUM Taco OF ‘Your AFFILIATION ® wir He ORGANIZA TION a2 CONTACT rT)
[8749]DURE 11 ATE EULHOHACY,
[8751]Ef pity BOE phy of x pps. A oD aon bsitgc eee AE a fy :
[8752]“beRson TO 08 NOTIFIED IN CASE OF EMERGENCY ee
[8754]eee ee so paced “[Retarionsme
[8756]3 CRP id
[8757]Hee
[8759]NAMh (hr, Mracy Mine) ‘CfauetoPientstiddto) : CC
[8761]REE Eline, Mary bhrrabetle Tree
[8763]“Woe BDUNENS tsa Bereal “Gitr State tip Code) TT OME TELEPHONE NUMBER
[8766]Lae ha Fouesr wae, CAL vette,
[8767]: Btewet, City St Ste Zip Code) AND MAME OF EMPLOVIR, IF APPLICAELE | BUSINESS TELEPHONE A EXTENSION
[8769]MS TRE INCI vIDUAL NAMEQ | MaGve wit tino OF YouM AGENCY APPILIATION? (If Mu" give name and addroas of pereantaa | ves.
[8770]tees hg bettarae yous work t
[8773]Prin i. Ltbhew 5 uh Leek el
[8775]ne a en ane
[8777]1S THIS ISNOIVIQUAL AUTHORIZED 70» MAKE DECISIONS ON YOUR HEMALF ih yi EVENT you AA AAE “INCAPABLE? reer
[8778]Give nane od abireae of perecn, WH ahy, why cat makn such docletune by cuse of emergency.)
[8780]faarg ty tr hb OL fj beet te aise wae SY ecg tt had wp ahee.
[8782]oat Ale at. 7 bd sene,
[8783]Fels INWIDUAL KNOW THA
[8784]eazioin why We then 0.)
[8786]DESIGHA ze] aa Yi You
[8788]eee te te ce eee
[8790]Phe persons nomad In om 2 obove may olan bo wavihed in case af emergency. IF SUCH NOTIFICATION 15 NOT DESIKASLE BE:
[8791]CAUSE OF HEALTH OR OTHER REASONS, PLEASE SO STATE IN ITEM 4 ON THE REVERSE SIDE OF THIS FORM.
[8793]ia)
[8795]Feow gy we PE WIGS
[8796]-ag 2) Kariges,
[8799]14-0000
[8801]CONFIDENTIAL
[8802](When Filled Inj- .
[8804]__VOLUNTARY ENTRIES
[8806]£ sperience in the handling of employes emergencies hos shown thot the obsenca cd covtain garsonal data alten.deloys ond compli-
[8807]cates the settlement of estote and financial matress, The information requested in thes soction may prove very useful to your lomity
[8809]os ottcaney in the event of your disability ov death ond will be disclosed only whencwcumttcnces warrant.
[8810]epic ay f WHICH VOU HAVE ACCOUNTS AND TRE NAMES IN WHICM THE ACH
[8812]INPICATE HAM ANO ADORESS OF ANY BANKING INSTITUTIONS WIT
[8816]“dr vtaclear at Kank 4) QWaalew oft. ’ Megat nd” Ciaete Sibausle, Cashin jin
[8817]sont dterund exit Audsbaud ) : ; . o
[8818]Oberntee Jugirat phar rrign » Kean! seer $201 Jusce Gwe MW, 0.6.
[8819]_  Gftrk asenwer avech Atiobaut, .
[8820]ANE YOU A MEMBER OF THE NORTHWEST PRDERAL CRADIT UNIONE we ETT) (7} Lad
[8821]cores
[8823]ea) ves [7] NO. (il "Yas" whore te docamnord located?)
[8825]1F ¥89, OO YOU HAVE A JOINT ACCOUNTT
[8827]v@ vou comPLeren A LAST WILL BNO TesTAMenr?
[8828]CR igi 2 Hb Yeviee f/ atte.
[8830]nate Lander Baive yee VElost.
[8831], . 7000 Herm aqua, (rut
[8833]HAVE YOU PREPLANNED AN ARRANGED GUARDIANSHIP O1
[8834]Cc res QO NO. {11 “Yee” divo nomele) and oddreeo)
[8836]“
[8838]Ff YOUR CHILDALW I CASE GF COmsctH DISASTER TO BOTH PARENTS!
[8840], [wave vou execurad , POWER OF ATTORNE YT v4 YES [| NO. (Ht * Vee", who preaeea ae power Of qitomey?)
[8841]for BL HG 2. le Hated nd? Aik of gtndlati ys VIP~ - —
[8843]ADDITIONAL OATA AND/OR CONTINUATION OF PRECEDING ITEMS
[8845]CH
[8847]Toave Sons TUSE
[8849]a - . H ‘ ? uu v re
[8850]een IE ILD) Chg aap tap A fliaarhn. 34 lie a.
[8852]7 CONFIDENTIAL “
[8854]14-0000
[8856]_wavakl
[8857]IMPORTANT
[8859]' ELECTION, DECLINATION, OR WAIVER |
[8860]: OF LIFE INSURANCE COVERAGE | AGENCY INSTRUCTIONS
[8861]FEDERAL EMPLOYEES GROUP LIFE INSURANCE PROGRAM | ON BACK OF ORIGINAL
[8863]t
[8865]TO COMPLETE THIS” FORM—
[8867]FOLLOW THESE GENERAL INSTRUCTIONS:
[8868]* Read the back of the ‘Duplicate’ carefully betore you fill in the form.
[8869]* Fillin BOTH COPIES of the form. Type or use ink. .
[8870]* Do not detach any part.
[8872]FILL IN THE IDENTIFYING INFORMATION BELOW [please print or type):
[8874]| we tt)
[8876](Bue tos<Videla
[8877]"EMPLOYING DEPARTMENT OR AGENCY CO Late 7 | LOCATION (City, State, 21° Cogs)
[8879](frst) ———=SS=S*S*« Rw) === «(DATEOF BIRTH (month, day, yoas) | SOCIAL SECURITY wuwaee
[8881]Charlotte louise January 12, 1929 069 | 24| 3138
[8883]MARK AN "X" IN ONE OF THE BOXES BELOW (do NOT mark more than one):
[8885]Mark here
[8886]if you
[8887]WANT BOTH
[8888]optional and
[8889]regular
[8890]insurance
[8892]Mark here
[8894]if you
[8896]020 NOT WANT
[8897]OPTIONAL but
[8898]do want
[8899]regular |
[8900]insurance
[8902]Mark here
[8903]if you
[8904]WANT NEITHER
[8905]regular nor
[8906]optionat
[8907]insurance
[8909]COMPLETE THE “STATISTICAL STUB.” THEN RETURN |
[8910]THE ENTIRE FORM TO YOUR EMPLOYING OFFICE. |
[8912], SGhATURE Gs at 68
[8914]t
[8916]| 42? sp,
[8917]i¢ CY (eign ele 3 fetta Fore Li:
[8918]1 ~ FT
[8920]SIGN AND DATE, IF YOU MARKED BOX "A" OR “C", |
[8922]— ELECTION OF OPTIONAL (IN ADDITION TO REGULAR) INSURANCE
[8924]““fetect the $10,000 additional optional insurance and authorize the required deductions
[8926]; from my Salary, compensation, or annuity to pay the full cost of the optional insurance.
[8927]\ ie optional insurance is in addition to my regutar insurance.
[8929]arm ,
[8931]DECLINATION OF CPTIONAL (BUT NOT REGULAR) INSURANCE
[8933]f decline the $10 COO additional optional insurance. { understand that | cannot elect op-
[8935]tional insurance unt at least 1 year after the effective date of this decimation and unless
[8936]at tha time i apo fer it 1 am under age §0 and present satisfactory Medical evidence
[8938]of insurab:lity. | understand also that my regular insuraceg is not affected by this dec!ina-
[8939]hon of additional eptiqnal msurance, -
[8941]WAIVER OF LIFE INSURANCE COVERAGE
[8943]| desire not to be insuréd and | walve coverage under the Federal Employees Group Life
[8945]insurance Program. | understand that 1 cannot cancel this waiver and obtain regular in-
[8947]Surance UAL & st Lyuar after the effective date of this waiver and unless at the time
[8949]1 apply for msurance Lam under age 50 and present satisfactory medical evidence of in-
[8950]€C) — surability. 1 understand also that | cannot now or later hava the $10,000 additional
[8951]optional insurance untess | have the regular insurance,
[8953]FOR EMPLOYING OFFICE USE ONLY
[8955]fettucial receiving “date stamp)
[8957]i
[8958]1
[8960]|
[8961]|
[8963]| QATE
[8965]ORIGINAL COPY—Retain in Official RPO EF
[8967]| . 3 February 19638
[8969]See Tahie cf Eftective Dates on oa ach cf Ongena!
[8971]a vet
[8972]He U on wht Aged 18, 1968)
[8975]““
[8978]14-00300
[8980]i Cem oe
[8982]fo - SECRET
[8984](When grilled tny
[8986]. REPORT OF SERVICE ABROAD
[8989]‘ Office of Personnel, Transactions and Records Branch, Status Section
[8991]en
[8993]MIDOLE
[8995](Priat)
[8996]BUSTOS YIDEIA
[8998]INSTRUCTIONS
[9000]USE APPROPRIATE SPACE BELOW TO REPORT DATA FOR EITHER PCS OR TDY. INSERT APPROPRIATE COOK MUMBEM Im “CODE COLUMN
[9001]REPORT DATES BY USING TF”
[9003]TO DESIGNATE WHETHER SUBMISSION 18 OF BASIC DATA, CORRECTION, OF CANCELLATION (One only).
[9004]THE RUMBER FOR THE MONTH, AND LAGT TWO DIGITO ONLY FOR YEAR, REFER TO OFI WO, BO. REVISED,
[9006]PCS DATES OF SERVICE
[9008]_ TYPE OF DATA
[9010]t+ pos (Bacte)
[9012]6 « CANCELLATION
[9014]2. TOV (gesic)
[9015]4 + comarcrion
[9018]QFFICE OF PERSONKEL USE OHLY - PUNCH AREA
[9020]: | TRAVAL VOUCHER
[9021]Cae
[9023]area (Specify)
[9024]OCUMENT DATE/PEMIOD . — ~
[9025]2 = 29 JULY 1967 ~~ -
[9027]a ee
[9029]4 DSCUNENT TOENTIFICATION hu,
[9030]FORM 76)
[9032]REMARKS
[9034]SSE
[9036]ARRIVAL DATE TSPORTER UNDER "OTHE? BRMARXS" ON DUTY STATUS REPORT.
[9038]BBG1E DATA CERTIF 1ED COPATCT, DASEM UPOM SOURCE
[9040]PREP ARTO bad PEP oOT sanararne ae
[9041]SOCUMENT CITED
[9043]Canreo, GOcuMEeF
[9046]loa pone. 1S APR 1968 Sam
[9047]‘ THES REPORT WILL BE FILED IN THE OFFICE OF PERSONREL
[9048]th THE IMOLYIDUAL'S OFFICIAL PEASOASEL FOLDER
[9050]goey WuSta gina "re SECKET [se] tases
[9051]4 painted
[9053]14-0000
[9055]fe rs
[9056]". ‘ SECRET aad - -
[9058]. ”~ . When F Sef det an OFFICIAL USE ONLY (rot fifi?
[9059]8
[9061]QUALIFICATIONS SUPPLEMENT TO PERSONAL HISTORY STATEMENT
[9063]er
[9064]READ INSTRUCTIONS CAREFULLY BEFORE COMPLETING ENFE OR PRINT AVOID USING LIGHT COLORED INKS
[9065]BIOGRAPHIC AND POSTON DATA
[9067]: 7 POSTION THE ane © OFFICE OF ASECNMENT TTOCATION ‘Covers, Gr)
[9068]: .0PS OFFICER wH MEXICO CITY
[9069]a Ss a
[9072]B MOEN SE ASREERYICE ,
[9073]2 g
[9074]i Mékico. Gath | STATOW tt toun],. 2} Jund 1962 posune 477 | |
[9075]i "awd doar . (Ve
[9076]y i
[9077]2 H
[9078]i r
[9080], :
[9081]3 H
[9082]i ;
[9083]4 . .
[9084]i H
[9086]i
[9087]: |
[9088]| |
[9089]' | _
[9090]|
[9092]pecsee  [< marceFiiD | SS~S~S ees, vua ,
[9093]ne A enn ee - 4
[9094]GACH —_ SEvER@Aal i SYRACUSE UNTV IY 50
[9095]: { | |
[9096]: | | :
[9097]tert SECRET er won
[9098]i My tol
[9100]wee
[9103]14-0000
[9105]6
[9106]ad - ee a one rd rr rs aoowes - at ~
[9107]’ f |
[9108]: Voss Sts SECRET .
[9109]2 . _
[9110]F : . } UW hen't fed In’ an
[9111]! SECTION & J MARETAL STATUS
[9112]VORESENT STATUS th age Movred Witowed Senmrne Ovoried, Manvliod Benning SFELAY
[9113]2 NAME OF SPOUSE tow See ede’ fn tthe den
[9114]MAIS Vipera Cesac —
[9115]2 Gare OF Bin} 4 PACE OF DR Cy Dee Ceente
[9116]Feb 27 1922 SAN JUAN AKEEATMA
[9117]7 3. OCCUPATION © PRESENT EMPLOVER ;
[9118]. . Gholula, .
[9119]Pla FE SSO Loy verssb4D EG KAS AMERICAS Bee MEXicu} !
[9120]7, CHQENSH® . \ © FORMER CIZENSHIE,S COUNTERS @ DATE U. § CITZENSHIP ACQUIRED .
[9121]Usa vig uvaly weg! Atine : 1956 ; 1
[9122]SECTION . NT CHILDREN AND DEPENDENTS OTNER THAN SPOU ° :
[9123]aa waSonme | bak ne Rat oF a
[9125]iF
[9126]I
[9128]ewer nanan re atten te matt tiie tenet RNAS 5: mE a tem yannee +
[9130]if
[9131]| enn nveaen
[9132]|
[9133]i { i
[9134]i nt net arene artnet at ene eee
[9135]i j
[9136]i |
[9137]H — t a eae ;
[9138]i
[9139], { ; . :
[9140]a a SE ne werner tent ee —-- ;
[9141]' SECTION XI PROFTSSIONAL SOCIETIES AND OTHER ORGANIZATIONS _ . ‘
[9142]— as DALE cre WEMBERSOIP
[9143]NAME AND CHAPTER ADDASS aweper, Sheet Cry Shor, Covater! From tO
[9145]|
[9147]|
[9150]|
[9151]|
[9152]|
[9154]i a ere ee ne Se :
[9155]i se ne ! voce ee *
[9156]| se sop
[9157]i
[9158]: Pe or i
[9159]i H :
[9160]: Date | TGNA US OF EMRLOVEE i
[9161]i 4 : : ” Ae, ;
[9162]: we Cea a cd | Cha a& fete yo Speer Pd eet ek :
[9163]{ tee eee en. i
[9164]SECRET
[9170]14-0000
[9172]CERTIFICATION OF LAMIHAGE ROP LCIENGY
[9174]TYPE CHANGE ly LatauAGE CATA FRIOKS re ATA Fotse 16 Feat
[9176]: f
[9178]rene ware te 1c
[9180]cate or pintn [E.onae |) orrice 96 civision |
[9182]O. ON THE DATE sHOwN IN trem 6 ABOVE, (OU WCRE resteo in SPANISH: (NEW WORLD) _RLUS 7
[9183]ARE AS FOLLOWS: NAME UF LANGUAGE.
[9185]TL eMPLOTED NS.
[9187]LAM, COUR
[9189]LANGUAGE
[9191]DATA AFTER Trot
[9193]AND (OUR TEST SCORES
[9195]TEST Q 7 Zero LT INTCRMEETATE
[9197]r. B37 atant HT NIGH
[9198]RATINGS € = cursenrasy N 2 NATIVE
[9200]12. SIGNATURE
[9202]| Rb
[9204]CL BY 017470 * i 13. LO momoen
[9205]EX-2 IMPDET Lod - 20723
[9207]. REMARKS
[9209]es
[9210]A te Mpepee eet teeta?
[9212]ODSOLETE PREVIOUS
[9213]CoITIONS
[9214]DI QLT Sie ieee CONTETH- 2026 10143"
[9216]le OP/QAR
[9218]THC DATA above (ircHs 2 tHeau 5) witt Be FILLED IN
[9219]WHEN CODING AN APPLICANT FOR THE FIRDT TIME, THs
[9221]FORM I$ THEN ATTACHED TO FORM 1962, 4ABDIER QUALIFICAS
[9222]TIONS CODING RECORD,
[9224]wren rorm Whe penores no LanGuace
[9225]Gaaencn Coe ENTER THE FOLLOWING 1M
[9226]irem br "NOFFLANGUAGL" (12-016176)}
[9228]GeLeTICNS
[9230]A Bus
[9232]CATA #OR (TEM 2 THRU] is
[9233]ExTRACTES FROM FORM V2TR,
[9234]Lancuase PROFICIENCY Ani's #}
[9235]AVAHDS DATA. un
[9237]ECORD CHANGE
[9239]ADOITION 10 RECORD
[9240]CHANGE TO EXISTING ACCORD
[9241]BELETICN OF OATA FAG C41 STING RECCAD
[9248]teva 19624 SECRET  [(
[9250]A ee SOS AE * OS
[9252]veeaee
[9255]14-0000
[9257]SECRET 7
[9259](WHEN FILLED: IN) ;
[9261]CSRTIFICATION oF LANGUAGE PRUFICLENCY
[9262]Lanecoves no fe. Nate (LAastericstemooue) U CANGUAGE CATA PRIOR Te TEST
[9264]LAN. COUE Ps [vu fi/t[vcan
[9266]RUSIOS-VIPELA, CHARLOTTE 2,
[9267]LANGUAGE DATA arTCR Tost O Gate Testo cate or aint | 6 anane |9. orrice on CIVISTON
[9269]LAN ni P W/T] year
[9270]add 06/22/67 orf/12/29 - ,
[9272]NOTICE TO PERSON TESTED
[9273]0. CN THE DATE SHOWN IN ITEM 6 ABOVE, YOU WERE TESTEO In SPANISH (NEF WORLD) ALIA
[9275]AND YOUR TEST SCORES ARE AS FOLLOWS: NAME OF LANQUAQGC
[9277]™ ZERO | = INTERMEDIATE
[9279]. prssaorancine egy 3 ™ suiaut H @ IGN
[9280]. f & ™ CLEMCNTaRY N @ NATIVE
[9282]. REMARKS 2. SIGNATURE
[9283]i FOR
[9284]4, QUALIFICATIONS : 13. LO nuMeca
[9285]oye DATE_ sy aug , * 1hé8
[9287]FORM OBSOLETE Prtvious . GROUP 1
[9288]Vb 1213 gotrions (10-48) SECRET [uaseogetitd eros) 1 = GP/QAB
[9290]Hike, IVE RAR Re Su e
[9292]LANGUAGE PROFICIENCY TEST OATA
[9293]_LANGUACE DATA BDEFCHE TEST
[9296]+ teammate
[9298]DATA FOR Item O THRU T 4 !
[9301]LANGUAGE BHOFIC! trey ano ;
[9302]AMAROS GATA, 2 Of 86
[9304]QUALI ica TIONS REGERD sta
[9306]PUTER UNOCHR “Type” -
[9307]A = ACDITFON YO RECORD
[9309]Co + ChaNSe TO CxISTING RECORD
[9310]ign 6 OF CATA
[9312]FROM EXIKTING RECORS
[9314]ROO
[9316]14-0000
[9318]SECRET “,
[9320]CY whan titediny
[9322]LANGUAGE PROFICIENCY AND AWARDS DATA
[9324]10 Dart OF hate
[9328]Roe al Witting’ (38) PRONUNCIATION (38)
[9329]tony 7 tf
[9331]: TVPE OF AWARO
[9333]AOEVUMENT (AD SASEO ON TRAINING IMHATwad
[9334]RATAEDIATE . DRSCTED (6) O8 VOLUNTARY (V)
[9336](CERTAY ted EWR OVE ROR A RORY AWAID OF 6 1€4) UC 0-43)
[9338]RENATO Bi
[9340]17 1 CERTIPY THAT FUNDS Akt QUARAELE
[9342]SECRET naa MRD COPY
[9344]a
[9346]Poerpeemesremnsenmememonenimte terme tciemre mn ——
[9348]14-0000
[9350]te oe
[9352]2 e "SECRET “ att:
[9354]_ : - ig then Filled tan
[9356]“Yer PEREGUIC SUPPLEMENT . rn Ture DATE
[9357]PERSGELL HISTORY STATEMENT = omy ' 1 10 Septerior 1957
[9359]Tait form provides the means edesahy yout efhiaral personnel pecdede et qt be begt current, Even thevgh if duplicotoe
[9360]tion you Rave furn d privinwety, at Hibs mepeeaaer for;meu ty complete Sesticup A throvah YL to these
[9362]. Vou need caapte Sectione Vif theough Ali? only shames bob Oy LB no then since you entered on duty with
[9363]the orgenteation or af you believe the shew coquires sore complete Sivek bgp than you hove previously reparted.
[9367]SGHRUNG, Charlotts L
[9368]a. CURRENT apomess (No., Strood, City, dene, tate) 2. PERMANENT AODMEDS (We., Street, Céty, Lene, Atate)
[9370]3817 Davis Place, Ni. 4., Waahington | 5536 South Lixde Highway, Dayton 9, COhie
[9371]a. HOME TELEPHONE NUMBER O- PTATE, TERRITORY, POSSESSION OM COUNTRY 14 BHICH VOU Now CL ail MESIUENCE
[9372]En 2-1618 Ohio
[9373]SECTION 40. : rien Ty OE WOTIFIED iN CASE OF ENERGEACY .@
[9374]1, name (Loat-Piratece ) PREPT RAAT PEDUING Th ued. : a- wecare SHEP
[9375]Father
[9377]2 AUG el Daa ss BDA we __
[9378]3. wOME anuRess (No , Strest, Chty, seas, Stade, Counteyy,
[9380]36 Youth Dixde bistyey, Dayton 9, Chia
[9381]4) BUSINESS AUORCES (Neo. Street, Carty, Looe, Stete, Country: ANDECATE Name OF f10w Of IeMPLOYER,
[9383]536 South Dixie Hixwey, Dayton % Ohio. San Has Gardens
[9384]B. WOME TELEPHONE NUMER £ HU INE SD wt Auwate Te QUSTNESS TELEPHONE FUTENSION
[9385]VO 32-3511 : Hane
[9387]tf APPLIC ADLE
[9390]9. tN CASE OF EMEQUENCY, OTHER CLOSE Sta ativas ( Wewee, Mother, Fatdery way Alt SE MOTEFIED, 17 SUCH NOTIFECATION
[9391]US NOT DESIRADLE OCCAUIE OF HEAL Te GH OIUEM REASONS, PLRARE SO STATE,
[9394]Sectiow 11)
[9396]tar
[9400]Byker See,
[9402]Fy
[9404]vOrteed sore shan once, inclining snowleonta, ese # separate sheet for farmer sife or
[9406]fur add prave Ef merraage rovade oame tata for fiaaga.
[9407]eat)
[9409](hail
[9410]4. GATE GP WAMHE AGE I Lace rf wsewiage (CHty, Stata, Gsuaters
[9414]fyeg Manes ane, 19% Street, City, Ste, Cowncres
[9416]Spode: Ff yaw have devon
[9418]and tein
[9420]so sONNE AA OF Soo
[9422]Pe AtVING
[9424]Ty: oak oo tatu To. causa oF acat
[9426]Bee __. Tee
[9428]eOBwE SS tGave aref setresa, of Bevasaqdy
[9430]Hid. Peace Ge 8 eta (Cary,
[9432]— ETE —— sees
[9434]vie pare ce gtatn
[9436]TY. $k Bhan ce Taso Us TONITE uP
[9438]ite fF afadat 08 Weeeased of
[9442]TA Dek AAP Lary
[9443]at, feet fea tanterer as
[9445]Girsod, Trtp, Fetter, Sauster:
[9447]Near hoesas ihe,
[9451]: SECRET a
[9452]ry
[9455]14-0000
[9457]SECRET .
[9459]Bree Filled fn
[9460]Stctiow il com TINUED FP DAS, Af ry
[9461]Tt. DATES OF MOLI TAMe SERVICE OF SPU gt EProes and Tus } ay womte amy ©
[9463]72> DRANCH OF SP M¥ICE 23. COUPE wit omic AEA THOR! Safe heh
[9464]24: DETAILG OF OfHEe SuvtAmMENT SroVied, Vib. OF TOsticn
[9465]. of Section tv RELATIVES BY BLOGG, MAURIAGE OR ADOPTION LIVING 4BA0SD 97 wHO ACE HOT U.S. Cra Tens e .
[9466]t- TULL MAME (Laet+Piret- -Middies ft BEL ATIONSRLP . Bs 6GE
[9467]4. ADDRESS OR COUNIMY ih weicm PLL ATive RESIDES | ue te +
[9468]: _ rf
[9469]Citizemaniy (Cowntey) @- #MEQUENCY OF CONTACT OATE Ce LaaT CONTACS
[9470]t+ PuLe wane (Leot-Piset-Middie)
[9471]OF COUNTRY F%
[9473]4+ ADDRESS Of COUNTRY Im WHICH MELATIVE RESIDES
[9474]B CIVITENSNIP (Country) Ser Taney OF CONTACT 1 Uae orate CONTACT .
[9475]: 1. FULL FAME (haat sFiretMIddT oF 2 RELATIONS CEE
[9476]~ nooness Of COURTAY it aHICH PELATIYE RESIOES .
[9477]€- fegQurNcy oF CONTACT ;
[9478]G- SPECIAL REMARKS. $F ANY, CONCETNIGS THEST RELATIVES . j
[9479]yea
[9480].
[9483]HMERT UNDER ANN RETIREMENT Act
[9485]: ” OF SECTION V ; ; - — FINANCL AL, STATUS
[9486]or ae i nN - ~ oe
[9487]4 BRE VOU PNTIALL YS GEO ONDEMT 0% YOLM FEL ABE? [xl a
[9488]2,09 VO NAVE ANY FCNSNOEAL PREV AEST ra, UR OFFIC EAL CONNED TIGR ita, aon a LOSPGRATIONS OR BUSINESSES OF If 08
[9489]ONT US. CORPORATIONS Ge BUSIMLST£S WAVING SUBSTANTIAL FORLtéw sutines saz fo adres ej ao th VOU ASE
[9490]A®SWURED "YES. 9 Gan POULT E RETASLS ON A SEPARATE SMCLE AND ATEACH [fs & SEALED Bout hohe, :
[9491]ite ne oA NNN ee Re
[9492]2 ON YOU DECEIVE ay amenity FOAM tHe Se ETE STATES CR DIGTRICH OF COLUMBIA GOVE
[9493]PENS1 ON, Oh COMPINGAT IGG OR MILii shy Gh HAMA GhitviCe? “Jorars | no
[9495]ak TO HAVE ANTBERES 74k TO Gulgtrem 3 anowk, Give COMPLETE LitAu 3.
[9497]HAL See BST PMAICATED OY PAU CHDING FTES,
[9499]EMCE FS 7102- SAL ARE, STETE STHER SOURCES Ob” Ma Cumann es
[9501]BR eITHOUK AETe
[9503]SECTION ¥ COnfiautd 9 Phar oo
[9505]SECRET ;
[9506]. 2
[9509]14-0000
[9511]. : SECRET
[9515]SECTICN ¥ COmTINULD Fotm PALE ¢
[9517]POF ED ET LT WEN MET Oo. week BLE eT
[9518]sruness (Ctty State, Cawntsr)
[9520]Beas iey
[9524]nome pessin,
[9526]oF
[9528]Dayton, Unio
[9530]vase fagton,
[9532]HANERUP TONE
[9533]Utve PANT ICUs aes,
[9535]tm, OM PEISTIUMED the,
[9536]"VES" FF BUEbTICm F awuVe,
[9538]7% WAVE YOU EVER BEM
[9539]Oo. iF VOU MAVE ANSBERED
[9541]“Oth y ime COUGT AND LATE(S)
[9543]@] SECTION vt
[9544]1. COUNTRY OF CURRENT CiTisimiose COTAZONTHIP ACQUIRED BY > Catt ERE ONET
[9545]: us weeetece Cc) vtnre (Specaly y-
[9546]! 3. HAVE VOU TAKEN STEPS fo Cus TOP ’
[9547]POCSENT CITIZENSHIP? i om) “as (Z}«:
[9548]%- TF YOU HAVE APPLIED FU% lg. ESTES TMA Eh, INDICATE FRAGENE SPETLS SF COUR APPLICATION (Feral papers, ate.)
[9550]AAECe TAD MAST LEVEL OF Boulet ite aT TAINO
[9551]; | fee fee, uh tol hb ee + MD HECORE
[9552]fo freane. AVE WE SO, sh Crete fe, ae week She Riate auuet* stubs thattan wHicwre CfROnE
[9553]f COLLEGE Of Liivea sere ttoae
[9554]fabaedt DEGRE REN Th eles,
[9555]nhece COMPLETED
[9556]Tee tere (Specefy)
[9557]. a PCRS Gee Ak aD PEC Uae due Bf .
[9558]ann ene cst tem i en te TRA A Rt —
[9559]T { GATES abPesnes 5 fot as,
[9560]Mae Of 40nGd6 . + SILbY GH areci at rsatien oo :
[9561]: ! tune to nouas
[9562]— reer veneer saree ne earn trate me
[9563]' i ’ 7
[9564]i . ! .
[9566]- ° 7 aan
[9567]. t “
[9568]eomeleneeneencth mipcennacnamnnm
[9570]ae sneer arena ateseneenaenene tn em me
[9571]feosteted aehvals iat a6 Dede anee, Fotedbagence, Cossinications, ef 3
[9573]Piamy thatmind (Fall teae titre 16 epee
[9575]4.
[9577]j y Oats Ente sa
[9578]“AML OF $C G3 1 ftulee OF SPET EAR USAT OCH o_o etree
[9579]. teew
[9581]a a a en nie reaaeT
[9583]so Diet poucabiywal Tasppean veil ont.
[9585]14-0000
[9587]Vo - SECRET
[9589]chen Filted Ja;
[9590]SECTIOA % CONTEAUEO FROM PAGE @
[9592]pee oe ee te — -————____ _.
[9593]YT. LIST Amy SIGNLEIC ANT Pup sho wateatAls. oe “sic vou agro tut AU THOM (be not sudert copies ealese reaurated)\
[9594]PHOICATS TITRE, PUBLICATION DATE, AND TYFE OF amr ting (None fiction, sctontelic artecios, genered entareet ay
[9596]jecte, novets, short stories, etc.)
[9598]@. tMOICATE ANY OLVICES @vlCw FOU MAVE FNVENTEO ANG BEATE BWCENLA ON NOT THEY ARE PATENTEO
[9600]‘ 9. GIST any OUBLIE SPEAKING AND PUBLIC RELATIONS EAPEMIENCE
[9602]10. LIDT AMY PROFESSIONAL, ACADFMIC OR MORCRARY ASSOCEATIONS OR SOCIETICS IM WHICH YOU ARE NOW OR CERE FORMERLY A
[9603]MEMBER, LIST ACADEWIC HONORS TOU MAVE AECK VEO.
[9605]$ IMCLUNIVE OATES (Froa- ond To-) “a. Geaoe!3 Ore icr/OIVISION/ORANCH OF ASSICAWENT . 4
[9607]27 Aug 51 = 27 Apr § DoP/WH/TL_(uqa
[9609]4. 89. OF EMPLOYEES UNOEA yOUR DIRECT | 8. OFFICIAL FOSEVION THTLE +
[9611]i - SUPEAVISLON ° Secretary (Steno). : ‘
[9613]4- DESCRIPTION OF DUTIES
[9615]rf 1. #MCLUSIVE DATES (Prose ond Tow) 2. GMAOL | 3. OFFICE/SOLVESION/GRANCH OF ASSIGNMENT
[9617]; }-27 Apr. 52_= 27. Sept 53 _. ~7_..1 DIP /AH/ 11 (Hqe )—--——--—_—--
[9618]: j 4 9. CF EMPLOYEES UNDER YOUR DIRECT JS. OFFICIAL POSITION THTLE
[9619]: 1 suPcavissoN? Intell (Rpta)
[9620], 2 PWT Grsceiption oF OUTIES ~—— _ ~~
[9621]. Al) duties of Reporte Officer
[9622]Wo Tmetusiva ares (Prone and fooy PS Gaact [al Gretel olvi sions Haucn OF AGSIGNWENT un res
[9624]- .| L2? Sept 53-20 4pr 85 | 9: mpp/a/Ir Ce
[9625]? So. DF CMPLOVELS UNDER VORP nipeey * SF PRCHAL POSEFION THEE
[9626]. 1, THPERYISTON one to tro | Reports Officer _. _.
[9627]; , lho Uvseniption or opts ——————————— rs
[9629]1
[9630]an | Duties of Chief reporta officer af
[9632]i
[9633]: mare THCLUSIVE Dates ¢ Froo- and Tor) fe exes [H Ure versorvisian avancn OF ASSEGRMENT — ~~
[9634](| | 20 Apr 55 = tune 1957 Ma DOP/M/IT (Hoe)
[9636]wa WS, OF TPL OVETS UNDER YOuR O1RECE { B. See rcdal eQarmiay trite
[9637]PSPUstON one = tio i. Gnlet Reporte Officer: et
[9639]6
[9641]Phe tmCLuSees DAtes G Pree ane Tes) he: Se aat re SP ice OTE I STOMA DIANEN OF ASST CAUESE
[9643]; June 1957 = present j A) BOPAWH/TIT (Hes)
[9645]Fe ee le ene te ane te
[9646]OPAC AL PUDEL LON FTE
[9648]fA NO. UF CewLOrErs UNDLa vOLR Oieect tte
[9650]- ff supsavisron i Roporta Officer
[9652]nn BO
[9654]BERIF TION GF Su TAeS
[9656](tee etartigeel pegee of coated)
[9658]A.
[9660]14-0000
[9662]o
[9663]: SECRET
[9664](When Filled Iny :
[9665]‘ SECTION Kit Ceikowee AnD OTHER OEPERDERTS Qt "5
[9666]— - : at aS ¥
[9667]1. MUMDER OF CHILOREN (Including atepcrsideor roNuMACE oe otace orvinoryts Cine todind spore, t ‘MP:
[9669](
[9671]and adopted childcon) mi ane uswaraicn. 4 to s08 OF
[9673]UNDER BL YEARS OF AGE, AND AME NOT Sture tatae sunboet, oe cast net OEP S wipes |
[9675]SUPPORTING. i —~d. OF AGL ent ARS AG DBR SUP Pus “HD
[9677]PROVIDE THE FOLLOWING INFORMATION FOR ALL CRILSMEN AND ULPINOENTS
[9679]Save COMPLETES F - . Torgvan a
[9681]on
[9682]- £8 Lay 7 H fe ee OM wa Pa
[9683], . SEGRE)
[9686]A
[9689]14-0000
[9691](*
[9693]. "BO. CHARGE ALLOTHENT NO.
[9694]$9. STATE/DC TAX DEDUCTION $
[9695]22, umPcoves BAYROUL no,
[9697]21. NET AMOUNT OF AWARD $
[9699]23. FORWARD CHECK TO
[9701]- a . 7
[9703]24. ALLOTRENT OF ASSIONMENT
[9705]- |
[9706]2”. SECRET “y |
[9707]2 s : ‘ ) (Whon Filled ta) nh See
[9708]T Peasonnes cma aeheU OT 2 UN. |
[9709]tafe! ! LANGUAGE PROFICIENCY AND 4 AWARDS DATA 36 |
[9710]a COMPONENT 6. GRADE 6. CATE OF BATH .
[9711]nes . to fae Ut ye i
[9712]7. tanouaoa, 0 coce (G8-37) | 9 oaveor tes? YO. annwaesary Cate (20-34) ;
[9713]stay oaamal den TL tat
[9714]JJ. resrrurmrose | 42, _TEST. SCORES 1S Furosery {99).
[9715]seen REAOING 134)] WRITING (3B) | PRONUNCIATION (36) — UNDEHOTANOING (3971 AW sneame nor
[9716]7” > Lor, ' es {,i ! AWAnDAOLE
[9717]74, | CERTIEY THIS EMPLOYEE FOR AWARD
[9718]DIONATURE DATS
[9719]18 AMOUNT OF AWARD | $100 90
[9720]18, FEDERAL TAX DEDUCTION $
[9722]Fore
[9725]2D, CHECK NOY BATS
[9726]L .
[9727]1273 use PREVIGUS EDITIONS SECRET oan MRD COPY .
[9728]= rr rn Lae ‘ a ths
[9730]7 SECRET -.
[9731]acne emer ree ats - —Wten Bled
[9732]ai {LANGUAGE PROFICIENCY AND AWARDS DATA
[9734]ream
[9736]t mm TS SS RAONENE 8. GHADe—(G. OATW OF OraTH
[9737]' Saear ey lniwe ia ime et. 1, 7029
[9738]PT anauaan en See “Qo Bare Ge yest _ ; VO. ANNIVENSANY DATE (20-33) |
[9739]> _ yk Ree vg to ote
[9740]| ee = ce eC
[9741]i sa . TFS) scones _ I}, cuistorrry (36
[9742]awan READING (34) f wuitina 13H) | PRONUMCIATION 190] aPEANING 1571] ONDERSTANDING 1385 TAwampapen_| [ Nor
[9743]u r . z 7 Tal ty awamnanie
[9744]i 14. | CERTIFY THIS EMPLOYER FOR AWARD ; TPs OF AWARD
[9745]Gian ature : pate ars A.M Tene n- Wee o- v
[9746]. | on .
[9747]i ny . 17. LOSRTIY THAT PUNDS ARK AVAIL SOLE eee
[9748]| 16. AMOUNT OF AWARD Bric ay OBLIGATION ALF, NO, cones
[9749]i |
[9750]T] 18. FEDERAL TAX DEDUCTION $
[9751]| 7 “PRO cnanse DAULOUMENE nO,
[9752]19. STATE/DC TAX DEDUCTION $ |
[9753]emt Fa. amecores PAYROLL Hoe —"
[9754]if 24. 3
[9755]' 23. Foawans chsca TO a _— [FF SRST Foy sasionsnr 4,
[9756]| Pa? : Pras fe
[9757]SECRET tomes MRD COPY
[9759]lAvied s
[9760]woe 8o73 Lad tRaVIONS ECITIONS
[9762]iadeeetenne i ceteiearetaeeee ieee ee rE te peemmnaesatmnoe:
[9763]- aie ene tee tteee he a
[9766]14-0000
[9770]SECRET
[9772]eWNen Fildied In)
[9774]PART 1-GENERAL
[9775](as 301
[9776]oo .
[9778]1929 ‘
[9780]3 Date ’
[9781]wont vise
[9782], 1 WAVE NO PROFICIENCY
[9783]April 1957 Cs ANY FOREIGN LANGUAGE
[9785]SECTION A, Reading (40) .
[9787]§ CAS MEAD TERTS OF ANY DIFFICULIV, OF & GENEMAL NATURE OF 1m FITTED F Aw AML Poe Atte, USING THE DICTIONARY
[9789]t owLy Rawtiy, -
[9790]FOAM FAMIT LAR STEIN, UEING THt
[9792]GATE GF grate
[9794]2.
[9796]Bs LANGUAGE
[9798]4 CAM READ TEXTS OF MOST GRADES OF DUFF ILL SY, OF A GIND HAL MATIUE OR fu BI EE AS
[9800]GICTIONARY OCCASIONALLY.
[9801]$ CAM MEAD TEXTS OF AVERAGE DIFFICULTY (fewapapern, roferance materiala, fe. Jr.USTNG THE DICTIONARY
[9803]PULQUENTLY, .
[9804]'
[9806]B CAN READ SIMPLE TENTS, SUCH AD STHELT Stes, NEWSPAPCR HEADLINES, rre.. UStuG THE DICTIONARY FREQUENTLY,
[9808]5- F HAVE MD READING AUILETY 5M FHF LANGUAGE,
[9810]SECTION 8. Writing (41)
[9812]THE DICTIONARY, 1 CAN
[9813]Ce AMMATIC‘L Ema, 1M
[9815]SIMIC AD GUSThe LAL WETM COMPLETE Surr has ap EGET USING
[9817]1 CAN WATE PrasoWaAL LETTERS and
[9818]Ve WRU PACTUAL ABH ALI VE EAP LE MOTE ESL TE CTA OA ECE RE Ee, ay te pee tp
[9820]MAUEVE STYLE, USTNG THE RICTIGNARY ONLY waAtLY,
[9822]WIENG PME DECTIONARY ONLY
[9823]CLAOETY, WITH bE GRAMMATICAL
[9825]By
[9827]1 FAN RITE PENDOMAL LETERRS Ate Siti Ame STUPLE MATER AL wT COuPAE TR enccesy,
[9828]. 7 PaHTLY, ' CAN, where TACTUAK WAUHATE LS BOG EsP OG tony ALE REAL Wi fie Edom eal TZ
[9829]£00085, GUT TA AR STYLE WHICH WAS MOT RE AStEat, UFiNG Int DICTICNAaY OCC ALIONALEY, -
[9831]: Te cadeenenaeneeneanianamaeemneinestetiadamemnmnemtnimnenmniemnmeenenemenedmnetienaammteel
[9833]1 CAM WATE PERSONAL LETTERS ANG SfwiLab SiM7Le MATERIAL, WITW AF ASSUABLE SUCLESS 16 CONVEYING MY MEANING,
[9834]. j BUT WETH OCCASIONAL MINGH GAAMMATICAL ZRA GSS AND BN GOVICUSLY FOALIGN, AWY GAD FTYLE, USING THE OICTIONARY
[9836]\ OCCASIONALLY,
[9837]‘ 1 CAN GRETE PEMSOYAL LEPTE AS AnD SEMIL ER TIYFLE HATEQPAL. @LTM REASONABLE SUCCESS Sh CONVEX ING UY MEANING,
[9838]Gt WaT MANY CHAMMATICAL LRBGHS ANG Sfp SB vOer FORERGN, AMR ARG STYLE, BLING Tod GICTIOnNsRY FAL CUENTLY,
[9840](CANNOT @RETE IM tk LANGUAGE!
[9842]Promacintion (42)
[9844]: SECTION C,
[9845]: Se MY PRONUNCIATION ES WATIVES
[9848]e 2 MILE MATUVES CAN DETECT Am ACCENT fy tre PECMUNC TATION Mtv HAVEL SS DIFFICULTY UASESSTAMDING ME,
[9850]G) WY PRONUNCIATION $3 Obviously FOmREGH, OT S5Ly RARELY Cash OFT Ca ty F929 HATEWEd TO GUGLASTANO.
[9852]UMCTATIOW US OCCASIONALLY DISK ICL FSR RATINGS TO LAB eK Pan,
[9855]¥ Ge to RAYE MG Seok IN PROMUN CEA CON,
[9856]. CONTIMLE OW REVERSE NUDE
[9858]voee ne Bade SECRET tacan:
[9861]14-0000
[9863]CONTINUATION OF FART It-LARGUAGE ELEMEATS
[9865]SECTION 0. Speaking (43)
[9867]PRACTICAL AND SOCIAL SITUATIONS! 4 CONVERSE FRECLY ANO HDTOMATICMLLY
[9869]1 A SPEAR FLUENTLY AND ACCURATFLY IN &
[9870]“UM ALG FOELOS wEte mwicH § am FAMILE
[9872]2. § SPEAR FLUENTLY AND ACCURATELY IN NEARLY ALL PRACTICAL ANO SOCIAL SITUATIONS: Ff CAN CONVERSE th MOST FEELOS
[9873]WITH WHICH 1 AM FAMILIAM AND fF EMPLOY SOME POPULAR SAYINGS, LITERARY GUOTATIONS, AND COMMON @ROVARDS.
[9875]a4 MANAcE TO GET ALONG 1% Ted MOST COMMON SITUATIONS OF DAILY LIFE AND TRAVEL,
[9877]SECTION €.  Unteratanding (44) .
[9879]BOTH FACE* TO: FACE AND ON THE TELEPHONE! 2 UNDERSTAND
[9880]PLAYS, AND LECTURES.
[9882]he J UNDERSTAND NON TECHNICAL CONVERSATION ON ALL SYQJICTS,
[9883]NEARLY EVERYTHING 1 NEAR ON FHL RADIO AND AT INE MOVIES,
[9885]1 UNDERSTAND NON" TECHNICAL CONVERSATION ON NEARLY ALL SUSJECTS, BOTH FACE*TO*-FACE AND ON THE TELEPMONT) I
[9886]2. UNCER STAND MOST OF WAT 1 WEAR ON THE RADIO AND AT THE MOVIES, PLAYS, AND LECTUAES, INCLUDING MOST JONES AND
[9888]PUNS,
[9890]() t UNOERBTANO NEARLY ALL CONVERSATION ON TOPICS OF DAILY LIFE AND TRAVEL, BOTW FACE-TO-FACE ANO ON THE VERE:
[9891]PHONE) 1 UNDERSTAND MUCH OF WHAT F NEAN ON THE RADIO, AND AT THE MOVIES, PLAYS, AND LECTURKS,
[9893]BOTH FACE* TO*FACE ANO ON THE TELEPHONE! J UNDERSTAND SOME OF WHAT
[9895]AND LECTURES,
[9897]4. bE UNDERSTAND THE SIMPLEST CONVERSATION,
[9898]| HEAR OW THE RADIO AND AT THE MOVIES, PLAYS,
[9900]8, 1 AM NOT ADLS TO UNDERSTAND Tet SPOKEN LANGUAGE. .
[9902]BEFORE CONTINUING — CHECK PART tl TO ENSURE THAT YOU HAVE CIRCLED ONE HUMBER PER SECFIOR,
[9904]PART IUITEXPER TENCE AS TRANSLATOR OR INTERPRETER (45)
[9906]EMPERTENCE AS A FRANZLATOR,
[9908]YP oHAVE Hap
[9910]2 VOHAVE HAO EXPORTENCE AD AM INTERPACTER, oo
[9912]BOTH OF THE AROVE STATEMENTS APPLY,
[9913]aa soy
[9915]32.
[9916](0) NOME OF THE ABUVE STATEML ES APPLY,
[9918]VP CEMTIFY THAT Int IHFOMMATICN GIVEN ABOVE 1S TRUE ANS ACCURATE TO THE BEET OF LY MNORLEOGE AND OFLIEF.
[9919]THES CERTEPICATION COMSEP TUTE S wy APPLILATION FOR A MAINTENANCE ABARD FAOVIOLD 1 4M ELIGIULE UNDER THz TERMS 06
[9920]bouuat@aramd Teal t MUST FasS AN OMSECTEVE CARGUAGE PudracieNcr TEST serune t
[9921]Fo€ BATE OF TESTING, ANNUAL MAINTENANCE AMARDS @bLa aE
[9923]REGULATION MOL 250015. Pam, ICTS).
[9924]BECOME ELEGINLE FON AN AwAHD, AND THAT DARE SPE CTENE oF
[9925]CUNRLATIVE AG OF THE AMALUEMSART CATE OF COMPLETING THIS FORM,
[9927]SPUN ATURE
[9929]CATE StGNEO
[9932]fa drlote | jection, -*
[9935]14-0000
[9937]RLY on paneheelaatens Memes ate oo ARICA RNA LEAN RRIE NS SDM ie 7 I 02
[9939]Fee
[9941]ween
[9943]eee Ta
[9945]FORM WO.
[9946]nat 952
[9948]TEADLE Rs «127 Zens. 1252
[9949]Ay
[9951]-_ _
[9953]SECRET
[9955]Security Information °
[9957]raz #3, Charlotte
[9959]we : = i
[9960]Name: Last, First Middle
[9961]. Sse
[9966]TO: . All C. 1. A. Personnel
[9968]milo - g-f -
[9969]FROM:. _ Persdnnel Director i
[9970]SUBJECT: PERSONNEL QUALIFICATION QUESTIONNAIRE
[9972]t
[9973]1, The Agency is currently revising the system for machine coding
[9974]employee qualifications, thereby permitting more complete and accurate
[9975]data on all personnel, The new system will aid in implementing Agency
[9976]policies on promotion from within by facilitating the selection of personnel
[9977]with desired education and experience tor vacancies which may occur. It
[9978]is also expected that the new system will provide readily accessible statistics
[9980]for planning and management purposes, .
[9982]2. The attached questionnaire is designed to.cover adequately those
[9983]factors in which the Agency is interested. Although the information is, in
[9984]a large rmeasure, already retlected in previous forms submitted by you, it
[9985]is felt that your time within the organization may enable you to emphasize
[9986]those qualifications pertinent to its needs. The questionnaire also serves
[9987]to bring your education and qualifications record up to date.
[9989]3. Your cooperation is requested in completing the. questionnaire as
[9990]thoroughly and accurately a3 possible and returning it to your Administrative
[9991]Officer within the tirne allotted. .
[9993]Mfrdlom,
[9996]e'E, Meloon
[9997]C/ péfsonnel Director
[9999]SECRET :
[10000]Security Information
[10004]1400000
[10006]SECRET
[10007]; Security Information
[10009]_PERSONNEL QUALIFICATION QUESTIONNAIRE
[10011]1. Serial No. i (middle 3. Oltice
[10013]: no entry)
[10014]( y) GEHRIG , . Charlotte Luise FI
[10018]2 4, Date of Birth f 5. Sex: ___male Q Martial Status 4 6.CIA Entry Date:
[10020]i 12 Jan, 1929 x “x_femate (2) [ Nr. De pendentanae Aupint 1951 .
[10021]i 7. Citizenship: 8. Acquired By: (1) » Birth {2 Marriage (3 )__.Naturalization
[10022]t
[10024]i ; U.S. (ayo Other(specify)
[10025]: Other Year U.S. citizenship acquired, if not by birth
[10027]SEC. 1. EDUCATION
[10028]1, Extent: (circle one)
[10029]1, Less than high school 4. Two years college, or less 8. Masters degree
[10030]2. High school graduate 5. Over two years, no degree 9. Doctors degree
[10031]3. Trade, Business or © Bachelor degree
[10032]Commercial school 7. Post-graduate study
[10033]graduate (minimum 8 sem. hrs.)
[10035]2, College or Unive raits Study:
[10037]3. Tra eC, Ot NTO PEL » ane pee raed Ur hing:
[10039]we ote fest 15
[10041]Scheal
[10043]Miami Jacobs Muginsss tyoeiag and ehorthand
[10045]ers) [Tepe
[10047]: 4, Military or Intelligence Training (full time duty #4 a student in specialized
[10048]schools such as intelligence, communications, ordnance disposal, command &
[10049]staff, ete.) Attendance Dates» > .
[10051]_ School From | To" [Tot/mots Sty or Specialization
[10053]i
[10054]i
[10056]SECRET 1
[10057]Security Information a)
[10059]14-0000
[10062]’ Tet tee nna teem ma iyne she ernment tn emma
[10064]CE ae a a nee ee
[10066]se en A ne or IR RI
[10068]1 a) SECRET @
[10069]Security Information ,
[10071]SEC. Ul. WORK EXPERIENCE. :
[10072]CIA Experience: State the specific nature of duties performed with CIA and
[10073]CiG, starting with your prescnt position, Take position titles from your of-
[10074]ficial personnel papers, if you have personal copies, Please do not request
[10075]your Official Personnel Folder. Include geographic area and subject matter
[10076]dealt with, if applicable. Position Title is your classification title such as
[10077]Geographer, Intelligence Officer, etc, Duty Title indicates your organization
[10078]position such as ~- Section Chief, Branch Chief, Administrative Assistant, etc,
[10079]and is to be filled in only if different to the Position Title. Approximate dates
[10080](month and year) are sufficient. Use a continuation sheet, if necessary, to
[10081]adequatel describe your duties.
[10082]Description of Duties: f haya ton reanacal htt by
[10083]Cf dinsert-ating aot rotting u)) renorts recived
[10084]from oa obotion, basa aperooriate action an
[10086]1,
[10088]78D
[10089]ranorts racalvad fron other apanetaa he Sarwandiof
[10091]tris inforratt ate the field ar donpl ine requosped
[10092]tata, I inform tha fletd o7 atditional info it
[10093]Maadquirtara on ts ysduale_a 7_organtsall na aa
[10094]requested or as daarcad -acevaary, ‘I alsa maintain
[10096]Duty Station, i: overseas: two CE notobooka, ‘
[10098]Description of Duties:
[10099]Same as above with a Gite fatlon.
[10101]PE/aH/P- rat
[10103]Office
[10105]sanee GPP i aor
[10107]Title:
[10109]Title: Ranortsa Of finer
[10111]rom 33/71 To {2 Tot.ros. 3
[10114]Pi/dH/sraes,
[10116]T had leas
[10119]Position
[10120]Titles tos Ligaen 00% bege —_—_ _
[10121]Duty -
[10123]‘Tithe: feports Oretaer Duty Station, if overseas;
[10125]Fram Lisi) Te _fet.mas, 1 [Description of Duties:
[10127]aerate nerntere ene
[10128]As a casuih Yo tyeeead 4 Lays tet ss, renapanday
[10130]‘aowacn iT. 2 took
[10132]rade 9 Salary BUG an! dissaeminikiesn Tar
[10133]. a limthad uranak af shortracd,
[10134]Office rr/mftr _
[10135]Position
[10136]Title: | Seor-tary {Ubasorranny)
[10137]Duty
[10138]Title: Duty Station, if overseas:
[10140]Description of Duties:
[10142]Uishemt sated
[10145]Se
[10146]Froma/“1 To Tot,.mses. 7
[10148]rooorts,
[10150]I nagam bled
[10152]n zs og aaryry
[10153]Grade 5. Salary 3¢M1I1.0
[10155]Office
[10156]Position .
[10157]Title: Seoretary (Stacneranky)
[10159]Duty Station, if overseas:
[10160]+ Y ussldy
[10162]wiiosevdar up Tiles
[10164]Vee montis in 4 .o pool ane. ding elatsan 2 3
[10165]SECRET {stax sania.
[10167]Security Information
[10169]|
[10171]16 apm. al pee, my
[10173]14-0000
[10175].
[10179]a
[10181]SECRET
[10183]Security Information
[10185]SEC, I,
[10186]2.
[10188]WORK EXPERIENCE (CONT'D,)
[10189]Other than CIA: (Describe work experience for the last 15 years in sufficient
[10191]detail to perinit specific coding of your qualifications,
[10193]Include military work
[10195]experience, List last position first.)
[10197]| From /. "1 To 3/5 Tot.mo's /.
[10199]Chasi fication Gradc(if in Federal
[10200]Service) 3 3 ___ Salary 2265 703.07
[10202]Number and Class of Employees
[10204]Supervised: none
[10205]Employer Da artnent of Intertor
[10207]Kind of Business or organization...
[10209]‘(ive., paper products mfr, public
[10210]utilit
[10212]trom Li «ey To % Tot. mo's au
[10213]Clas sifinnie icat on ete if in Federal
[10215]Service) Salary (1.70 /or,
[10217]Number and Class of Employee
[10219]Supervised: 2 - 4
[10223]Kind of Business or organization
[10225](i.é., paper products mfr, public
[10228]From 2/59 _Tor/s Tot.mo's 7
[10229]Classification Grade(if in Federal
[10231]Salary 4200 / mo.
[10233]Service)
[10234]Number and Clase of Employees
[10235]Leena
[10236]Employer_; wedge tae of
[10238]Kind of pant inens ar organization
[10239](i.e., paper products mfr, public
[10240]utility) trate ay tHoutakton
[10242]From iL fLLS 2 14 Tot.mo's.4
[10243]Classification Grade(if-in Federal -
[10245]Service) Salary
[10247]Number and Class of Employees
[10249]Supervised:
[10250]Employer petetdajen fro So, (er nn. tren, Va
[10251]Kind of Business or organization
[10252](i.e., paper products mfr, public
[10253]utility)
[10255]From To Jot. mo's
[10257]Classification Grade(il in Federal
[10259]Sé¥vice) Salary
[10261]Number and Class of Employees
[10263]Supervised;
[10264]Employer
[10266]Kind of Business or organization
[10268]{i.e., paper products mfr, public
[10269]utility)
[10271]=) Security Information
[10273]{ Description of Duties:
[10275]Exact Tithe of your position
[10278]Description of Duties:
[10280]T did mtatintical craftine, cartopranhy
[10281]Park{ag of (doertit fea J 6 aoe gy
[10282]- oy " wat ee tttony
[10284]Bop TN et cet oe,
[10286]Duty Station if overseas:
[10287]Exact Title of your position
[10289]Description of Duties: An ar atsistant to tha
[10291]axoentives Twas reepo sitts Par purchasing shoe
[10292]for tho pif t shopne aid teatrindt:
[10293][ had © 3) -rasnonsiht ttt,
[10294]fo pate renorts an tha
[10295]biatrans ad acted as salos clears for tha shopna
[10296]Exact Title of your position
[10297]Agstohaut Bookkeaper
[10299]Description of Duties:
[10300]Imada month! y financial, rapourtn, had the
[10302]y hoaka, #22 k-ping and
[10304]rasporstutlite of the booka
[10306]q
[10308]vy clorks and
[10310]Peanhese ann! ava
[10311]of the haoba aid aanh,
[10315]Obnee Popa,
[10317]ation if overseas;
[10319]Duty
[10320]Exact Tithe of your position
[10322]Lovarzed ove month
[10324]Description of Duties:
[10325]storatory and
[10327]In the offica of the Chemfent
[10328]Live Hontus in tha fachorv,
[10329]15]. | ena
[10331]Duty Station if overseas:
[10332]Exact Tithe of your position
[10334]Duty Station if overseas
[10336]SECRET & 3
[10338]14-0000
[10340]a SECRET
[10341]@ Security Information @
[10343]SEC. Il. WORK EXPERIENCE (CONT'D)
[10344]3. Special Work Experience: Check any of the following organizations by which
[10346]you rnay have been employed.
[10348]01 U.S. Secret Service :. 24s Air Force A-2
[10350]02 Civil Police 25. Forcign Economic Admin.
[10352]03 Military Police | 26 Counter Intelligence Corps
[10353]04” US. Border Patrol 27” Immigration & Naturalization ;
[10354]05 _U.S. Narcotics Squad 28” Strategic Services Unit j
[10355]- 067 FBI 29 _Forcign Service, State Dept. §
[10356]a 07 Criminal Investigation Div. 30 Central Intelligence Group é
[10357]21 Office of Naval Intelligence 31” Armed Forces Security Agency ‘f
[10358]_. 22 Office of War Information 32. Coordinator of Information 4
[10359]23” Army G-2 33 Office of Facts & Figures Z
[10360]20___Office of Strategic Services 34___ Board of Economic Warfare :
[10361]3% Federal Communications Comm. H
[10363]SEC, 1], FOREIGN LANGUAGES
[10364]List below the foreign languages in which you have some competence.
[10365]include uncommon modern languages, Check ( X) your competence and how acquired,
[10367]COMPETENCE HOW ACQUIRED
[10369]Be sure to
[10371]CIA training)
[10373]‘LANGUAGE
[10375]Equivalent to
[10376]Native Fluency *
[10378]Native of
[10380]and written forrn (e.g., Arabic), explain your competence herein :
[10382]Lr AAn > den TEST SERRE Dla" icesnend haath mene ~ seem aay ES a LT a er a re Be
[10383]esSpecialized Languaye Competence: Describe ability to da specialized language work
[10384]involving vocabularies and terminology in the scientific, engineering, telecommuni-_
[10386]eations, and military fields. List the language with the type af speciality.
[10388]ae ECRET
[10389]Security Information 4
[10391]14-0000
[10393], SEC, Vil, PROFESSIONAL AND ACADEMIC HONORS
[10395]SECRET
[10396]4 Security Information
[10399]SEC. IV. AREA KNOWLEDGE.
[10400]I, © List below any foreign countries or regions of which you have knowledge
[10401]gained as a result of residence, travel or study. Study can mean either —
[10402]academic study, or study of a foreign country resulting from an intelligence,
[10404]military, commercial or professional work assignment.
[10405]. Dates of - Manner in Which Knowledge
[10407]Residence, Study Was Aquired (check (X) one)
[10409]Etc. Travel
[10410]es es
[10412]es
[10414]Pd
[10416]Specialized Knowledge of Area
[10418]‘List specalized knowledge of foreign country such a3 knowledge of terrain,
[10419]‘coasts and harbors, utilities, railroads, industries, political parties, etc.,
[10420]gained as a result of study or work assignment. Include name of employer
[10422]Country or Region
[10424]or organization,
[10426]How and When Gained
[10428]SEC. V. TYPING AND STENOGRAPHIC SKILLS (PRESENT UTILIZATION)
[10429]Per Cent of Approximate {‘Prefer Assignment
[10430]Time Used Proficiency) Using Skill Oftener
[10432]Yes dix No
[10434]2
[10436]. Licenses: List any licenses or certi- ‘ Hobbies: List any hobbies such
[10438]fication such as teachers, pilot, marine, as satling, skiing, writing, or
[10439]other special qualifications.
[10441]etc.
[10442]painhine, sling
[10444]List any professional or acadernic associations or honorary societies in which
[10445]you hold membership.
[10447]@ SECRET
[10448]Security Information &
[10455]14-00000
[10457]SECRET
[10458]& Security Information &
[10460]SEC, VUI, PUBLICATIONS
[10461]List below the type of writing
[10462]general interest subjects, current events, etc; fiction: novels, .short stories, etc.)
[10464]of any published materials of which you were author or co-author.
[10466]SEC. IX. INVENTIONS
[10467]Describe any devices you have invented as to type of work for which intended
[10469]and whether patented. .
[10471]SEC. X. CIA TESTS
[10472]Describe below the type of tests which you have taken in CIA:
[10476]SEC. XI. PHYSICAL HANDICAPS
[10477]List any physical handicaps you may have.
[10479]SEC. XI, OVERSEAS ASSIGNMENT
[10481]Are you willing ta accept periodic tour of duty ov rerseas?
[10483]| (i) 2 year Tour (2) 4 year “four G} Not ineerested
[10485]SEC. XUI. WORK ASSIGNMENT
[10486]In view of your total experience and education, iar what assignment in CIA do
[10488]you think you are best qualified ?
[10490]sat
[10492]feal Tan best cualtfied fer a ummerta oro rtszire peaition,
[10494]SECRET
[10495]Security Information
[10497]1
[10499]14-0009
[10501]Ay erecta eee
[10503]ST frtencn nara stan fever rarmnes emontgtin 98
[10507]SECRET
[10508]Security lnfurmot’ on
[10510]SEC. XIV, MILITARY STATUS
[10512]1, Present Dratt Status
[10513]Have you registered under the Sclective Service Act of 1948? Yes No.
[10515]If yes, indicate your present draft classification
[10517]2. Present Reserve or National Guard Status
[10518]Do you now have Reserve or National Guard Status __Yes __No.
[10519]If yes, complete the-fottowing,
[10520]1. National Guard
[10522]2. Air National Guard
[10523]3.___— Active Reserve Status (member of organized unit)
[10525]4. Inactive Reserve Status
[10527]Service Grade Location
[10529]Reserve Unit with which currently aftillated
[10531]Service Mobilization Assignment, .if any
[10533]Location of. Service Records, if known
[10535]SEC, XV. CIA TRAINING .
[10536]ou have taken while in the CIA,
[10538]List the training courses or subjects .
[10539]Course oF Subject
[10541]2-1) Jor 1972
[10543]SEC. XVI. REMARKS .
[10544]Use this space to indicate any other qualifications you may haye which you do
[10546]not describe above,
[10547]pane np no me te
[10549]SIGNATURE, 442, ea2pr
[10551]DATE 18 Sentemder 1952
[10552]. a we
[10554]SECRET
[10556]@ Security Infornration Le)
[10558]14-0000
[10560]Bite aye
[10562]ne gn
[10563]i scr sevice cammssion “SLICATION FOR FEOERA. “MPLOYT
[10565]US CIV SEEVICE COMMISSION
[10567]INST RUC TIONS If antec te prevent delay ao . caneutoeationn c Tnetyrcticere on the afore cant reganing drqwwton of the appivetion
[10568]catia praner evere qreetun on thre forms clearly att coropiet ID yeu are apiteng Ge an UNWETT TAN eeaminaton, eras ths aprication
[10569]write oe pootin INK. be asisin Bad Dita Bintes © fe the ther nameatia the enncuss ment, Be sure hs mad te U\e pane office
[10570]elas Hien, rest the etaneraten aanounement cenrdalty aod tidlow alb anv ne fea ets pegurrest be the apvcuncement, Nett the etboe eth which
[10572]dreceune “tr yeu are epping for a WKIETEN eeaminaten, follow the mi Cite (his applicetem of ane change re vate eddones
[10573]RAME ww URAMINATION CR BING OF AIETION APRLITU TUR .
[10575]; DO KOT WRITE IN THES BLOCK
[10576]Fer Uso of Chel Servite Comeussica Only
[10578]your appl.
[10580]VGN OF mentioned 10 eteminetion announ
[10581]ae rn
[10583]TA STREET ANG ee Se AO ER
[10585]1401 = 16th St., N. W.
[10586]aT GY ca RST ORE FUineFadina saral Ty ne
[10588]Washi i
[10589]o pal 1B) HOM! } ‘
[10591]WRG Sr a and Sta
[10593]iit born outside U3 Sa
[10595]_ see Dayton, Ohlo rs
[10596]‘i
[10598]ha Ci wan it WAN RISet WEMOCT SOUS Wasi
[10601]J be ee [5 reer Banca
[10602]14, ay HAVE YOU Evin BLIN femora By tue Feora, eovennmcaT? (7) ves EX) no
[10604](2) TF SO, CINE LAST GRATE ANS CATE OF RAST CHANGE IN GRADE ’
[10606]INITIALS AND
[10607]OATE
[10609](0) CHECK AF YO WILL ACCEPT APPOSNE MENT IF OFFERLO-
[10610]Yuu iM au not ha eonantored fer any poston with @ lower ontrance WN WASIGNETON, 1. C, a ANYAHERE IN THE UNTTO STATES:
[10612]eolarv. ; ne
[10613]10) CHECK IF YOU WALL ACCEPT SRORT-TERN APPOINTMENT UF CFFLACD, FOR (2 owrsne rit ence stares
[10614]D908 vont CJ s roe wontes 610 12 MONTHS #0 AP YOU WILL ATTLPT APPOUNTSIENT: IN CERTAIS LOCATIONS OMY, GIVE ACCEPTABLE
[10616]NOTH. Acvoptance op aefural of a tecoporary sare teen appaitenoat
[10617]will not alfect sour oppurruciey ta adtat a pradatwael appontnent
[10619]1. ” nnn 15 THE LOWEST ENTRANCE SALARY FOU WILL ACCEPTE 8 00.00. cee eaeenee
[10621]GE) HOG AGL WILLING TA TRL SET CI
[10623]j
[10625]16 Pepediae Tt we dauparant Feo yen Gey Gurnish ait information requested religions, elo, Gelfice ap organs
[10626]fetew In adiient deta te cmable the Gav derece Cammission nad the einer with oe withwut comprogation, aimwing the aumaber oF hours pes avecit
[10627]apgenabig elt va ad wee Sola gree ve fall cre tat va determing yas ABE weeks per yaa EA wa yo wee Cngaged fa een, wity, OM ary
[10628]Qe dications Ure oi ack Me Ue fare Beart with tewe  eapentenee shoud Se deacnged en gis apacey Letowy in Ha BS FALE
[10630]poatian, Sar
[10631]present wk ona, taninta na . the Ufaipel tessa sith fa) Ef you mere seer emys oval ot aay penton ater a aay rent tone
[10632]yee perf AQ os stabi ¢, A is thar cheesy Gea Sita apphoaran give wine Dena oa of year
[10633]ie qr pravea, inent to thy work [RSS Sutea oe eae the dacitasan = a 3
[10636]“actly ehad war deve perronmted,
[10638]for wines yeu are apphang mar De sue |
[10639]Uf your duticn changes matnally whith werking for the aame einpleyer, uae (O) Hf yon Rave ewe Bern cobead op are now uaeenteral, dadicare J
[10640]@separste bak ty verents cak petio, bad ney tadade doy pertinent Uhat fact in the space srownded bets ic “Prescot Pasta,”
[10642]Peet
[10644]PRESENT POSITION
[10645]EF UML) Ban’ Torn  veaey OT TTY a cP TTA or very purine pone’ 07 CL AFCA TOR EAE a
[10646]vr Folornt Seeenos STARTINS, SE8p_ aye
[10648]¢ [ee TBS
[10650]__ Statistical P Draftsman
[10652]AMG AM THLE Are SPURNS
[10654]Meg, Mildred Voorman
[10656]Til Pedoral, | WAR OF Bose Se Ot CRLAAEATION GS og) w Melonate arta
[10657]sere divine suntufectusa of loses, ate ) + ‘
[10659]PRESENT, §
[10661]Peep M Es
[10662]“Washington, D, C,
[10664]“REOE Ana kere Ge ne ed (aria,
[10665]name dopa foend, dtm oF eth
[10667]Board op ogeenent teal Names 29,
[10669]AA om EMPLOI
[10671]BRO Oe CUM ONES eed OLD Be NO”
[10673]REE Sa teh
[10677]WON Ur rot
[10679]statistical. di
[10680]typing see
[10681]marking dlacritdes oo
[10683]YT PAGE)
[10686]14-0000
[10688]We CONTINED ~
[10690]) OATES OF IWR CI wast (tonsa, zeae) TT eased 1708 OF Yous rosttos ] Bau TON Sea) Lae OF Lines
[10691]warnms 100 an hr
[10696]Paes OF GBAOVERNT (ote sed Stier wiuy ake TE agro aeeeg Mt AA Oa
[10697]Mr. Ray F. McXechaie
[10699]Dayton, Chio
[10700]RAGE ANS QSCETSS OF ENR OUTS Crm wianivetwon, or pormn, of Pedoral, | Kini OF DAMES 2 AGAMIATION Ue @. wholesste wth, Inowteme ofoicy. |
[10701]name depercovent, berveu of ortebinenment, end dryiswn) mranulactare ef labs, ore)
[10703]San Rae Garcens, B, #, 11 Dayton 9, Ohio Nursery and Gift Shoppe
[10704]a yc 177)
[10706]WOUDER INS UND OF EMAGHES BUAta SES BF YON
[10707]New Job
[10709]2 - 6 clerks
[10715]ga Loses sosenegnneseeatvonesetsnssstsesssvennesnomannage sinus
[10717]| ------Made_resork 9. forthe. execut, ive oi. the. buekitsis Zinafona, eben
[10719]33
[10721]CATIS OF LWA CTARAT (month, yeas) PRACT TITLE OF TOUR POT TiN i CABSSERATION CORY SALARS CA ssn
[10722]i wervacw)! srattring 5
[10723]om: B50 9, 5/30 ___t bat. Pokies eper__/ Li
[10724]FACE OF EAMOUMENT qusty and Sta AnD Sina a ii Tad ULDA TE SUPREME
[10725]Mr, S4iitan F, Seale
[10727]FIND OF wuss Ce UNGAR LATION Oo da, Fre alk, fe agama
[10728]Manulactura tf kuths, ata)
[10730]sampashington, D.C,
[10731]FAME BAD ASIA OF WATS UAren erganinetiony ar poreant It Kederel
[10732]name dapariment, bereau cs eatsbLenaent, and drearan)
[10734]National Peanut Yourcil
[10735]mont Cirele. #1dg._Nashington,_! CC, ss Trade Assoctation
[10737]NUMBER AND RIND CF Roos Series ef sus REASON FA LEA vENS
[10739]cere HONS
[10740]DESCRIPTION of Ww Ley a
[10742]FTN eee reall ite tet Caner oon maneneaggen eg ee
[10744]ee _ ere taper put emer ee
[10745]Tat Hid UF POR RAIDEN “ SAGE” Po pecae? Of bakers,
[10747]N) RATES oF BARS ONT tomer ts, peas) I
[10748]4 i, | we za Keteredoerete) yrasring 6 rep
[10749]feb wr BY? Benes pe
[10750]Pla GF UASTEENE ary at rey Varid tae pe rica Te | SR ee
[10751]Dag | Mp. Herbert Hauldormin Per
[10752]RauE WS ate (gatlnteed, ge person, iF Voderal [HRB Go Gave Shia
[10753]Rate dapart fahata it ated Are secon} nan sat ete j
[10755]Fricsisive, Flant 2 Savten 9, G Manuf. of ‘rtpidstrea
[10757]| return to callese
[10761]TRYDEER ARO pe
[10762]none
[10764]“GESSeip TON CF Sn eae
[10767]14-0000
[10775]2 eee, Seiad a a
[10776]th, pear) TRACT TAL OF MNT TR “" [ag PROM GRATE SALARY 8 EARMINGN
[10777]Ulin afeervice) | STARTING §
[10779]FInd, t eo
[10781]DATES OF Ow CUES
[10783]yRow 0
[10784]MAuE @ > | a jwutuians EUrLAVISOA
[10786]PLACE OF THRCIEST? featy and State)
[10788]RIND OF BUSINESS G® ORGANIZATION loa. whoiesals elk, wneurance agency,
[10789]manularture of locbs, ofa.)
[10791]MAME ANG ADORLSS OF EY THER (Bert, or ganiration, oe
[10792]Name dopert cea, duraau oF establiahment, and
[10794]MUMGER AXD BIND GF EMTLOYELS SUPLAVISCD BY YOU REASON FOR taavina
[10796]sesame ememnenmenenssentes seas senatoronmraneanseeacsretesstmeeeebarntenegesanets wen eneennnemmenTetS MEE CSrErsesenccunwennes Ren emeeT carn etbeerenebene en enen sn mnt Neeet manne:
[10798]de eee emen tment eee es cate Peeeeememngteenmgeneenseenane RoneEpEaeeeaneEne: Mun ttennNtnMmnRMSnReeeEZEDs neers tEDEs Demanamebrnnnecetensts ne nunannmenenenn tastes MORGaaaneeses
[10800]es more evece aurehne use a continuation sheet (ramient For Noa Mara oy of payer the ene ise as thie page. Witte oe each edeet your name,
[10801]adilreea, date 2 teeth, aed esamination titie. Attach to ineule of the arpootwa,
[10803]u. MiTaRy TRUNNG fa the epace Below, descsihe any training reseed ta of traioing fertiye), each ae hours per week. Detaded information
[10804]Sermcee (oot alieady Leted under Item 14) that woukl aseet ing any specie! eazvice echools you attroded ie especially important. (|
[10806]appointing oft re i nig you most sflecuively,  ladicat ual_ amount pegre may be ueet pre full deecriptions,
[10807]"DESCRIPTION OF TRURING-
[10809]petiad
[10811]at LocaTion
[10812]From | Oe ee mee nema eeneneeen
[10814]$8 ECUCAIION (Cirule Arghoat grade completed 1A GIVE ANZ AND LOCATHS OF LOOT HIGH SCHOOL ATTENDED
[10816]yok d & 5S 6 Fy 6 8 RT
[10818]TOS VICTS STUDIED IF NOM BONO WHICH APPLY TO. POTION DESIRED
[10820]BARN QQ Tel APPROPUATE BON TO INDICATE SATIAFACTORY COMPLETION OF
[10822]t Gaeewage re = aiaal eres. OFS 74) ei Bore Domes Y
[10823]wajoe pares ATTANOED i i
[10824](2) HAMEASD (QOATOON OF CONLEGT G8 Ue ERSTE aN seme emer | mene 5 nee - Poona
[10825]SPICALTY j a tee MONT ae | |. emcnt
[10827]AO din | BA. {b=50 |S.
[10828]SLE. 5
[10829]- 122-50.
[10831]LIV 1G10 Sh8F Gis DATE COLLIGE SUBIECTS
[10833]Tj] Baette
[10834]PRAY
[10838]“LApsResabe ‘Boybonaet oi % ~_a
[10840]fy OTHIM tear AL AUBNEAS, STIS COURSES
[10841]as SHIGEe (show fame and haat
[10842]“USAR UCE Tarai 19 PUALIC OF PRIVATE CUPLOT MENT
[10844]sO MEMCEL AP AYT TRAE OR Pity
[10845]SUR UN eA ae piled ghee trrcian, 14510 Operator, baa Aor, aryor, CRA, ata HF
[10847]tO cree PRA ANS Se segnea ow js bisneinith
[10848]POHEG NE LAM hoa
[10850]= on .
[10851]ly vas OES tei Gret AIne 2 LICENSE AND STATE.
[10853]PGE Lice WEE OR CLUTIMEATE Gs dang
[10855]French
[10856]DDE, ONE TRAST DRO IN ANT FITC T A Fa ENTS ne Tene CENA OH CRA CAD Cerboy .
[10857]PP RUE OD RES et GUAIKA AMD LET So Med Sern PE ee a on rmranrenranrern tarntnenc
[10859]2D Be ND SAE AL gee tee OT CONT RTD LEE AE SEY TOR APPLICA EIGN SOON AS
[10861]GRAB AVA MR Le gy MUSE barr Ne, Lusinets,
[10862](ES a EE I Aras bo a NONS (do not sedaid cone Unie fegnna led)
[10864]tren, eovreatcwss
[10865], - Oe ESE Ck at
[10867]Guatemala hi Bn8/48 Eduaaticn GDS ee ANE se EDT OCPEMENCE
[10868]* Se ong west Thee MO ATRL US OF ENS SUCHTIES, ATC,
[10870]ME,
[10871]BAY Uaere
[10872]me paare
[10874]iXter w
[10876]FOR AD Pb
[10878]as Lsth ate Cater tet
[10879]CAR ARE Be tn CAP ROE
[10880]SA BN
[10882]2 nb,
[10884]Caleulator
[10886]ARE TERE, ORE Oe wb La REET E REY EAD by
[10887]_ a
[10892]on
[10894]14-0000
[10896]i
[10898]ng in the United Staves on Tae
[10900]PA REPEC E Leet three perees
[10901]Piatt sails atime and fines ter the po
[10903]FULL aM +
[10905]rat
[10907]I.
[10908]Yr, John Lewis Oskwet Hizh Scheel, Dayton 9, 9
[10910]Cazanovia
[10912]Miss Treadosia Horan - - >
[10914]Mr. Verry Schwartz
[10915]—TaoieaTe "TES" CR CHO’ AmSwOa OF Fitna ” T provi Cowan ls a
[10917]TS WAY sey sOF OF MATE OF TOUR PELTENE §MPLOTEA REGARDING YOUR
[10918]CHSPACTED Quatinicstigms FTTH,
[10920]a ne A Aen wena evan
[10921]m fee ORS A CITIEEM OF OF LO TOU Owe ALLEGIANCE ro THE UNITEO | °°
[10922]Seve se SaeeTanreran bated
[10924]27 APE VOU tye OR WAVE VOU,F VES CTEM A M2 MOEA OF THE CoMMUNEST
[10925]PARTY GA OP AMY COMMUNIST ORGANIZATIONS ~
[10927]28 AST YOU HOW, OF HAVE YOU fvts OTL A MEMOER OF A FASCIST O8GAN.
[10930]DO ARE YG here OR HAE VOU EGP SOE 8 Mt MADER OF ANY ORGANI ATION
[10931]IAT WIE MENS GOCE Cm CW RIAATICN OF PERSONS WHILH AD
[10933]YOCATES THE (Te RTH POVE OF OUP CONSTITUTIONAL TORM OF GOVERNMENT,
[10934]GROAN OP ANITATION, ASSOCIR TIA MOVEMENT, GROUP OR CUMMINATION
[10935]OF PELs, MMA ADOPTS Te & MIE COP AUVOCATING OM APPROVING
[10936]THO LOMAS IOR IE ACES OF FORCE OR OLENCE 10 OE NY OTHER PF ASO
[10937]THREE PHT NTA RTE CONS TET TION OF PE UNMET ITAL SOR OF SET te
[10938]WWE TO BLT Taf FORM OF A PAE GF THE UNITES STATES BY UNCON
[10940]2 isTirMay Ui sted
[10942]a jou. anewor ts guestian 27, 24, 10 29 ahova fe '’y:
[10945]Ot corbhinatta persone and datos of
[10946]mambarrship complnta detaite nd pote ecrieitias
[10947]therein ant make any planation you desire regarding i
[10948]nut membhaschip on activities therein
[10950]WD BINGE 168,01 ETH BIRTHDAY, A dE ‘CO PCR BELA ARRESTED, IN(ECTIO 3
[10952]OO REMC MTG COURT AD RAPT A DAAT INA CRUMINAL PAOCED DING
[10954]OM CLAG 10D, FIRED GR IMPRIV 48 D Cf FLACED O% PROBATION OM 14k
[10956]JOUR LB DEEN Git It TO TABOSE BAH, OF COLLATORAL FOR TUE VIO AL z
[10958]LG BAY 160 POASCE REGULATION OM ONDINANCE EXCLUDING METOR i
[10959]i
[10960]e
[10961]H
[10962]5
[10964]x
[10966]TRSESIC VILLA TINS POR WIE A rms OF FORIEICUNE OF 29 CR LES? WAS
[10968]Urea
[10969]If your anawos te wich cases under Hem 39
[10971]Ye
[10972]batuw, Geen ineah case (hj the date, (2) tha natues of tha
[10973]attense on riainton, (3) ta Gama and looattan of the court,
[10974]{4) the parnatty im af aay, ar atiar cipoattian of the
[10976]cace EM apyonuted, your Nngergeente will be inhon
[10977]pe een Ses entnnn samuemn a etme | atm
[10979]PET COTE peat be
[10980]OT OR UNSATILF RE Hae - AM POSITION
[10981]YW your aiswer fa Vee! geee in ftom 39 the nama’
[10983]addreace of amplayer, data, Ares peregn in Bagh cane
[10984]Wee eG Fete BETA MAUELD BE FEE G Chel LACE COMMS on
[10985]PROTA TAGE NSE ATING GU ALO ERE CUTE SERSICE REN RNTME OS
[10986]U your anawet iy Yer" gery daice of and reawas for |
[10987]j-auch dahasinast tr free 19 :
[10988]BD HAVE 10 AWE PIOUCAL MAGICA CISTALE, OR OTUTR DISABHITY
[10989]BOLE Gait BE COMUEE AEG Ms SEGtGMIBG YOU TU HORA. a
[10990]yours ) give conipleto souniein trea dh aa |
[10991]thet conrdsteral-on can be given tO your physical fitnera far
[10993]the sob,
[10995]steak Cry Cal RR!
[10997]a
[10999]GY (LU MBIA SOD UM Tae SAME ROTIAEMCHT ACT Jit ANY
[11000]OF UIMER COUE NSAP roa Mist hie CF Ravat CoNew fh,
[11001]U gous anewer iy Yas," grea vonipietn setaite in Lom 39
[11003]) GALE OK (Afeulp pi aths te GY
[11005]fr
[11007]wien fe which vou are sapiens fer eet
[11008]7
[11009]Orre compere cyssant
[11011]Andee ren ned nn seeneenennanseesene, sreeaeeeraanugnenae-|+nsenencuearane
[11013]Univ. of Syracuse, Syracuse, N, x
[11015]loko Gandug ia tient furans >
[11017]sap wed tie Untied Grates who are BOT rotated te vou and wha have itesove enowledge of
[11019]al ooneaal toperyreda hated unter Item 16 (RAPE RIRNCRD
[11023]Principal
[11025]as) Ane nseeRnancantecsinesscssen nos sreetsseupenrenns.[amrererarere bees
[11027]k, D, 2, N.Y, Teacher
[11029]Professor
[11033]+ INQICATE “VES OM WO” aNtwhE aT Mating “1 it PROPER cchumN
[11035]Yh ABT YOU AN OBPICIAL OR EMPLO IEE OF ANY STATE, TCARITOAY, COUNTY
[11036](@ BUNICIPALITYY sateeeensnsane x
[11037]df yout answer fo YN
[11039]BUS THE UNITED STAYS S 9/1 HUMENT FUPLOY IN A CIVILIAN CAPACITY
[11040]BRE RELATIVE OF YOURS (AY BLUGO OF MARRIAGE? WITH WHOM YOU LIVE x
[11041]A MALE LIVED WITHIN THE PATE La MONT HOE
[11043]i) your anawee ta 'Y
[11044]salative (2) fall name;
[11045]Depa: for A
[11046]MAT ONE
[11048]SPECIAL INSTRUCTIONS FOR CLAIMING VETERAN PREFERENCE
[11050]A. If you are claiming preference ae @ PRACRTIME VETRRAN who hes
[11051]tern warded | a ceinpmagn belge cae eoribien, of a @ DISAHLED VET.
[11052]MAN, eo WIPE OF A DISA. VETERAN, of os the WIDOW OF
[11053]Z_ WAR OR CAMUAIGH VRTRHAN, attath Veturan. Preterence Claim,
[11055]CSC Form 14, Cogether with great qpecifiet therein,
[11056]B. Uf you ate a WAR-TIME VITREAN not claiming diaability preference
[11058]oar aiuuld NOT submit your diechasge with this application, Preference wilt
[11059]Urntatively ctedited ta grat end Wo egganted, you will be ewquleat to submit
[11060]to Um appointing OMcer pel ty entry on duty, offeial evidence of separa:
[11062]hea fron active service in the wrmed forces of the Uncted States lo tine of wat,
[11063]1 43 nO
[11065]27 th) WERE YOU CVER tM THE UTED STATES MILITARY OF AVAL Stance
[11066]IASUNG TIME OF WARD ....., =
[11067]1B) 1S THE WORD HONGRABTE” OR FHE WORD “SATIAFACTORY * UtEO
[11068]1H YOUR CIDCUARGRK OF SI PARATION FAPLAS TO SHOW THE TYPE OF YOUR
[11069]PLMARGE OR SEPARATIOND oo csacenes
[11070]AC) WAS LUHVICE PERFORMED OF AN ACTIVE PLLL SIME aeais wire rae
[11072]MILITARY PAY AND ALQOWAUT EST
[11073]1D | DATE OF ENUHY OR LHTRILG HT LERTCE | Ontt OF SerARaTION on SUFARATIONS
[11075]BEING OF TERME Chr iny, Navy, | STAAL Ul none, five grado oF
[11076]Marine Carpa, Coaat Guar, et.) i fatiog at tiene cf separation).
[11078]ore ir ar
[11079]|
[11081]TMP CITE STATES MILITAR COO NASAL RMIT
[11082]CTO RTE REE A OR ORION OR EE
[11084]URN RECEIVE A CAMPAILN BALL OM LER UI e RIBOONT cee
[11086]1 yams
[11088]ARE YOU A DISARITO Viti Msn? .,
[11089]Maa, and you have ant listed your dleabihiy in answer ta to
[11090]fteut 33, anpinin ya Lizn JS below |
[11092]GD ABE YOU A VETER AHS Witaye fat) MAD NOT BE APA, _ _—
[11094]NMED thd & Cede L CONNECTED | i
[11095]Poste MTA darts ES PINT
[11097]WIFE Oh A tee Tai.
[11098]JACEE HEB S
[11100]PO ARE TOU TH!
[11101]Uae RUT wre fe
[11103]THIS SPACE FOR USE OF APPOINTING OFFICER ONLY
[11104]‘The information .entained ta the answers to Questiem 37 otpwe has been veel
[11105]19
[11107]hed hy comparison with the dlteharge certificate ua...
[11109]peony:
[11110]SF aRSeaT ET
[11112]i e oe eG.
[11114]fe WW edyuitet, une paper the yas toda on Pale wee
[11117]Before segning Chia apy
[11118]TCURTIFY chat the ara
[11120]and Selif, and arc made ut gonad Faith. .
[11121]False statement on this application . og es ty
[11122]is pasahanl« by Law (UL 4 Cote, ss NGNATUSE Fen CANT
[11123]Tatts 24, Section Ao) pew Mak
[11125]re
[11127]OR Gener mam eae
[11129]ation cheek back ver Poba wisee care Unst 5
[11130]iements male by mein thie sppice: ton are true, complete, emt correct toa the best af my kogwiedse
[11132]wohave anwwered ALL guestiand correct!
[11134]hale, aod og’ourcat Hf feruate,
[11135]g ren same getty Atay bo haw)
[11137]acue IMR G
[11138]heb 4 eng TAD Tae Pee ian
[11140]Ve beeen t
[11143]ON te te oa neue a coe ERENCE Se Lemme nene somerset 9 were TO tersvernais an ere
[11145]: Ae op 5 Ky Wst, Scbjuls
[11146]Wath gon addr 3 ‘
[11147]7 FEC? Davis place pw
[11150]14-0000
[11152]MN ee
[11154]Ter mene tte nets ok ean maleic Aly Mn epinee mae alae tn anne cm en iin Gon rasta,
[11155]ire oe a ed? Accent
[11157]TON NE ne leans ion eee atm ee
[11159]PERSONAL HISTORY STATEMENT
[11161]Instructions: 1. Anyrer al} questions completely. If question {s not applicable write “NA.”. Write
[11162]“onksren” only if you do not know the anawer and cannot obtain the answer from
[11164]perennial records, Use the blank pages at the end of this form for extra details on
[11165]any question or questions for which you do not have ‘sufficient room.
[11167]2. Type, print, or write carefully ; illegible or incomplete forms will not receive consid-
[11169]eration.
[11170]HAVE YOU BEAD AND DO YOU UNDERSTAND THE INSTRUCTIONS? __...Y@S_
[11171]Bec. 1. PERSONAL BACKGROUND : :
[11172]Telephone: .
[11173]Mixs . Office ... RE..1820.
[11174]A PULL NAMS 35%... Charlot te. -Loulaa seets panes Zehrung... Ext...
[11175]Um Mo aed (Hid Mister (any |
[11176]Faszass) - : Home
[11177]PRESENT ALUREAS .... ASQ AGH. Stayt i. Mashtngton, De Cy eevee USA......
[11178]. (50. and Number} (ity). - (Country) .
[11179]PEBMANS ST AULEESR San. Raa. Gardena ,bayton..9,. Ohio. RR.-11..... sanees
[11180](St. and Number) ta bo Us
[11181]B.NICKNAME Bherrh WHAT OTHER NAMES HAVE YOU USED? ... ngng---—-----—
[11183]© enone nonrenenesemeneerecremee UNDER WHAT CIRCUMSTANCES HAVE YOU EVER USED THESE
[11185]HOW LONG? 0 ES Ip A LEGAL CHANGE, GIVE PARTICULARS ccccccscnece cecneeceeuee cnc
[11187]G. DATE C¥ MIRTH. 1/2/29 — PLACE OF BIRTH 2.20 DO YEON. OKO cone USA .
[11188]{C1 (Stated tannery)
[11190]7. PRESEN Cneevene USA WY BIRTH FOR... BY MARRIAGET not
[11192]Country}
[11194]BY NATURALUATION CERTIFICATE NO. .1Q.0.. 2 ISSUED oo. cee BY nee eee eeeeeeeeeeee
[11195](Dated qcuun)
[11197](Country
[11199]HAVE YOU AAG A PREVIOUS NATIONALITY? _.... PONE
[11200]T¥ea cr Na. t
[11202]HELD BETHSEN WHAT DATES? TO we ANY OTHER NATIONALITY? .. sceeetenee ce
[11204]“Weantey)
[11206]GIVE PARPICULARS lo ecu cmences mneesmen ect races eneernerenmnye ees sa snavptoanensecee tase conssncaqecd cceerese
[11208]GIVE PARTICULARS:
[11210]HAVE YOU TASES STEPS TO CHANGE PRESENT CITIZENSHIP? TQ |
[11212]re tant 38- H
[11215]14-0000
[11218]! E. UF HORN OUTSIDE U. S. WHEN DID YUU FIRST ARRIVE IN THIS COUNTRY? _. aeeee nenee seerre ees cadebe oe
[11220]PORT OF ENTRY? |... ON PASSPORT OF WHAT COUNTRY? 00.2. eee eccmerenecer ee
[11222]Seinen mebaang teens He de sev
[11224]1
[11228]3 LAST U. & VIBA ....... :
[11230]. aType? (Piste of leave)
[11233]Sec. 2. PHYSICAL DESCRIPTION
[11235]ace 7? sex Peron 52 8" werent 225
[11237](Date of Issue)
[11238]se . a scouts
[11241]36 warn PM comprexton Bede scars.00n@.
[11243]. slender :
[11244]BUILD «00. -semeennsernerone-» OTHER DISTINGUISHING FEATURES ——_-____—-_—_—__---- =
[11246]— - 2
[11248], spose
[11250], Sec. 3. MARITAL STATUS
[11252]A. SINGLE meee esses MARRIED _._. DIVORCED _.W0..samennmee noes WIDOWED
[11254]B. WIFE OR HUSBAND (IF YOU HAVE BEEN MARRIED MORE THAN ONCE—INCLUDING ANNUL-
[11255]MENTS-~USEH A BEPARATE SHEET FOR FORMER WIFE OR HUSBAND GIVING DATA REQUIRED
[11256]BELOW FOR ALL, PREVIOUS MARRIAGES) . . .
[11258]NAME OF SPOUSE ccc ecco sccescsceeeeceseceeeeececnee eee toeerenne senses
[11259](First) iMbidde)
[11261]PLACE ANU DATE OF MARRIAGE |. eee ence eee ter eee erence ner preteen teeter eee asec
[11263]HIS (Ui HEH? ADTRESS BEFORE MARRIAGE
[11265]Use nd Havabery CER YO Rated
[11267]LIVING OF DECLASED oo eee DATE GF DECHASE wee ee
[11269]PRESUNT; GR LAST, ADDRESS oo. ceaecea tanta renee
[11271](St. sad Nucoberd (Country)
[11274]DATE OF BIRTH oe PEACE OF BIRTH 222. ees ce cceeceepeecran ve erent ee weeny cates
[11275](Cie? “ {Stare} (Country)
[11277]_ ITF BORN GUTSINE UL S.INDICATE DATE AND PLACE OP ENTE
[11279]-. WHERE?
[11281]CITIZENSHIP ...
[11283]. WHEN ACQUIRED? _.
[11285]: OCCUVATION oo een eres LAST EMPLOYER 2. e cercnecceseeen ee mnebegeneceme
[11287]EMPLOYER'S OR BUSINESS ADDRESS .... sete gee sence nee amanen ee ce seenaaeae sence csemene ssa cene snes scones vee creer see
[11288]. aed Number) iCitz) Ghat (Country)
[11289]MILITARY SERVICE FROM 020. ——2 TO ow. BRANCIOGF SERVICE cevecssmecevesnseedls
[11291]iDaste) (Bate)
[11293]COUNTRY 2. nee ceecen teen ces DETAILS OF OTHER GOVT. SERVICE, U. S°CR FOREIGN
[11295]toss met
[11297]a) . oS
[11300]14-0000
[11302]anne: SY
[11303]. Sxc. 4. CHILDREN OR DEPENDENTS (Include partial dependents): none
[11304]i Lo NAME ete eceeee tect eneeetenace RELATIONSHIP oc negeoneecneeens ee AGE ene
[11305]CITIZENSHIP |... panemeenitee ADDRESS oes eecemen stay "ay nen oo
[11307]2. NAME W..cvecocecnn-csorennee: tea nant gntnonneroeteanes sevecesneceane RELATIONSHIP 1. -ncoaecncsnnsneremees AGE assem sceten
[11309]CITIZENSHIP .....n-ssmecnceneestaneseeey ADDRESS Be aed Namba GT
[11310]je ond Number) city)
[11312]3, NAME _ wae RELATIONSHIP 00... -epesesconeecseeence AGE -oaeeseeee
[11315]- (SU and | Namier) (City) [Stated 4 y .
[11316]ER I I TE sa iiaeiiniiiamdeaimeindsiateadiiaiinaimiemmmnainaammme tana
[11318]Sec. 5. FATHER (Give the same information for stepfather and/or guardian on a separate shect)
[11320]FULL NAME ........c28rU0l | Penford .. Sehrung.
[11322]one (Migdied (Laety
[11324]LIVING OR DECEASED ..... 2AVINZ DATE OF DECEASE oe CAUSE weccsescnernrsseeee
[11326]PRESENT, OR LAST, ADDRESS wet ehatense rena tten ee bene tears nent Meces ter Mente conmrve tebe cnnnvenetanenseeneneg n enve ns ee -
[11327]iiiates ( Country}
[11329](St and Neiniwep (City)
[11331]Roseville, Ohio USA —
[11333]pare or mney 2/23/2892 prace or ammri ....22 By Onto |
[11334]{city} “(Bastsy "(eountry)
[11336]niet daateeaneeeaimmmemmetnernel es eee meee i ne aT MES
[11338]TR HORN OGTSIDE TO SOINTICATER DAT AND PLACE OP ENTRY 20.0.0 oo ee eee
[11340]jg 5
[11341]CITIZENSINP mails WHEN ACQUIRED? _... birth cence WHERE? i
[11342]: ty
[11344]thst nxeroyvnr O87 Sxployer ~ over PO yea.
[11346]8 U SA
[11348]Statey 7 (Gonatry)
[11350]ome tiger
[11352]ocourartone®
[11354]EMPLOYER'S OR OWN BUSINESS ADDRESS ..
[11356]MILITARY SERVICE FROM ..-.2070.. TO. ceca ae . BRANCIL OF SERVICE, oo. eeesee in eects cneee :
[11357]Date . ;
[11359]COUNTRY 0. eee ee) DETAILS OF OTHER GOVT. SERVICE, U. S. OR FOREIGN
[11363]1
[11367]| (Patey
[11368]t
[11370]i
[11372]i
[11374]t
[11376]Sec. 6. MOTHER (Give the same information for stepmother ona separate sheet)
[11378]cooky
[11380]_ Hazel Charlotte. Jackson, _.. 2ehnrng
[11384]LIVING OR DECRASED Tiving..... DATE OF GEUCCASE oo CAUBE oo .- ee
[11386]FULL NAME...
[11388]PRESYNY, OR LAST, ADDRESS _ San Reg, Gardens; i dayton-04..Onio—--,,USA.
[11390]Cage! tteantry)
[11391]pate or nintHto/27/1896 pace op wintry Montasue, Michigan USA
[11392]errizensurp USA) wHeN acauIneD? Darth. were... bog ceeeeeee ves coves
[11394]iCity) ytiatel tUeantry?
[11396]IF BORN OUTSIDE U. 3. INDICATE DATR AND PLACE OF ENTRY 00 20 n- eens
[11400]@) 19 --eRens
[11403]14-0000
[11407]21 om renee ere ee tenerpene meine eet CS LLAehanetle kink che mdy os mete en ae
[11411]Seah Sie
[11413]Ae erctrin alesnvbet AUR aE oR
[11415]ay,
[11417](4)
[11419]occuration ..boUsewi fe Last EMPLOYER Detroit Bovrd of Education
[11421]EMPLOYER'S OR OWN BUSINESS ADDRESS .
[11425]MILITARY SERVICE FROM ...uLTIT_..
[11427]SEc. 7. BROTHERS AND SISTERS (Including half-, step-, and adupted brothers and sisters) ¢
[11429]L FULL NAME --—_dlangy. eos SNOT 1.) oj) 0s]: Sa ann “isa ACE BL... ne
[11431](F iret (Middle)
[11432]Verity Hall rladletown Hospital,liddletown, Ohio
[11433]. , coum no BSA
[11435](aig pad Nu SE Won ~~ Getate i ona ( 7
[11437]BR FULL NAME, .on. ec ceccac cee cee eens seceee tn eennicee as sunenocenee nee gennaceseve nsens adie neers snpnecmmenentiea snegneinees
[11438]Urine (Mickle? (haat)
[11440]San Rae Gardens, Dayton 9, Ohio USA
[11441](8H ond Nuratwe) (City) Citatey” (Counter) .
[11443]Mary. _Flizabeth Zenrang....
[11445]3 FULL NAME .u....0.6 teed ecraeemnnenee vee senna
[11446](First) “(alain ©
[11448]USA
[11450]PRESENT ADDRESS ..
[11452]PRESENT ADDRESS ..
[11454]PRESENT ADDK ESS “
[11456]“itated “Wountey)
[11460]“(ai and Number)
[11462]4 FULL NAME .... 0. sete eeenestinecrewane satin setenatee nies satsece cermee tise seeesenemecmene einen ee
[11463](Bint) ” (Middle) “Gian
[11465]PRESENT ADDRESS . ctewense errs scaem ener eretwecercencerewereeeet tenes tev srtney san naP eee eetancares hesbadnanenee
[11466]“ae ‘and ‘Nomber) . (city) (tate) (Country? Withenshipy
[11467]AGE wee ee
[11469]Ce ES |
[11470](Fiant) (MN ididte) . . (laat)
[11472]PRESENT ADDRESS 2 oe ce eee ec tccee e cce rece eens te sosceenemsanenna coagaeace san igteneteeeete
[11473]OM, nad Nuahery Hyd {Htate) {Couetev) Prat inne St >
[11475]soe get cntenrtgty teases
[11477]SEE gee cee
[11479]Sec. 8. PATILER-IN-LAW
[11481]FULL NAME cece cece ene ceeee renee ce neree ne eeeaecee can saeaneeseeaa seas seagacenee tees santo aecaseneeeceneseen te
[11482]“(Fiest) > eBay . taney
[11484]LIVING OR DECEASED .. 0. 1... DATE OF DECBABE oo ee CAUSE ern enene
[11486]PRESENT, OR LAST, ADDRESS «4... sateen ceeneepeneceuen caw eeeetens tenteceenteee
[11488]“(se Gad Number) (ity (State)
[11490]DATE OF BIRTH _..
[11492]-. PLACE OF RIRTH —..
[11494]TY BORN OUTSIDE U.S INDICATE DATE AND PLACE GF ENTRY .o..cccsece ee et aeeweaee ,
[11496]CITIZENSHIP oo WHEN ACQUIRED? 000 00. WHERET Oo
[11498](City)  vewater)
[11500]“ QCCUPATION 2 ee ce eee LAST EMPLOYER 20000 e cette oe
[11503]14-0000
[11505]it a nt ee tee etn ae
[11507]Sec. 9. MOTHER-IN-LAW
[11508]PULL NAME ou. .nn.... cscs resneenecenenmccueenenenmnntetaneecteesticantee sau seusensenaneuaeseeaencanscaeezsseenensanansentenrscseacenen
[11509]ri) Chast)
[11511]ia
[11513]Shem Ba atten EY Pe FS TAO LEN
[11515]LIVING OR DECEASED .....,... 200-0... » DATE OF DECKASE ..........--.. CAUSE cocci eneeeee
[11517]PRESENT, OR LAST, ADDRESS ..... vescnunmeeeepeensvuneensaevetssngaeasunsecnuecetuenscsaosesausesasesstseseteanessonuenes
[11518]Sw. and Nemter} (City) qState) (Oountey)
[11520]DATE OF BIRTH wu. nsecsesnne esos PLACE OF BIRTH 2 o..cccccecceceens ewececeunenemessmanatecnsnsanasesnecomensmane
[11522]IF BORN OUTSIDE U. 8. INDICATE DATE AND PLACE OF ENTRY essere stteeanenintessnsectesanincenens
[11524]CITIZENSHIP o.....cesesrseeee WHEN ACQUIRED? occa cence WHERE? vec. econ nies cammgetecgencens
[11525](City) (Stato)’ = (Country)
[11527]OCCUPATION ou sccceeecestereee rene LAST EMPLOYER ..
[11529]peers CUPATION a snnermnctcrsnrsct RE DEES IP at TTT SANCEIS a TY FS unre 7
[11530]See, 10. RELATIVES BY BLOOD, MARRIAGE OR ADOPTION, WHO EITHER LIVE ‘ABROAD
[11531]OR WHO ARE NOT CITIZENS OF THE UNITED STATES:
[11533]1. NAME COl,Paul 2ehrung oo ReLationsiip.co8sin AGE ...38.
[11535]HI_USA_WE, APO 633 Post waster
[11536]{St and Number) qcuy) eae (Countiy)
[11538]2NAmMe Gistont relatives in Svedemecarionsinp eX Bets
[11540]Grandparents on kother's side cauo from Sweden _
[11541]CITIZENSHIP ecco cccseteeceuee eee ADDRESS ee .
[11544](St and Nutahes) tity} (tater,
[11546]B. NAME co escerce seer reeieetsustes permeates renesemenmne RELATIONSIUP veces oo AGE cece
[11548]CITIZENSHIP 0. neseccew ree cesecenereeces ADDRESS .
[11550]seer ewes coal taints anette Rhee bton nom ne
[11551]a
[11555]ADDRESS ...
[11557]CUTTARNSHEPR 0 eee
[11558]2 SS EL a ES Sa Ss I
[11560]Seo, 11. RELATIVES BY RLOGD OR MARRIAGE IN THE MILITARY OR CIVIL SERVICKE OF
[11561]THE U.S.OR OF A FOREIGN GOVERNMENT:
[11563]L NAME, cent ctetennenens swan stseressarrneersnesseasret anes assess say a vene ees estanes
[11565]EL USA #6, APO 633 %Poat ia aber,
[11567]4St and 'Namber} recey (State) ine yet trys hE ev.
[11570]CITIZENSHIP . USA... weteereee ADDRES
[11572]j 5 Xaingenance WE USA FE
[11574]4
[11576]i
[11578]1 3
[11580]Sol, Paul Zehrung -xecationsmp 224822 age 38
[11581]i TYPE AND LOCATION OF SERVICE (IF KNown) Divressor of Xajnse
[11583]a. RELATIONSHIP ..
[11584]Waghinstan, D. 0, USA
[11586]“SV asd Nuinber) 77 estate Geant
[11588]: NAME. Ja jor Jaek unaek Lin
[11590]p
[11592]crraunsate . 95800 ADDRES |
[11594]TYPE AND LOCATION OF SERVICE (iF KNOWN) Pan ABO, raimags Son,.-D. we gin vee
[11596]lir
[11598]3 NAMB wT! ww RELATIONsINe AUES AGS.
[11600]appress 513. N 29th St. Billings, Mont. USA
[11602]{Si ard Number) rrr ‘Sent an anagy
[11604], crtzensutp USAC.
[11606]! : TYPE AND LOCATION OF SERVICK (IF NuwN) SOCiS1 Work = Dent. of Intertor
[11607]@) -located in Kortana fa arts
[11609]SAO RT Uma, oe UN RLe aN eee a nena
[11611]ISRO TPE Pr spear erat een petimerippetmipesecriecea renee er eue vm
[11613]14-0000
[11615]MISSIN Tastee
[11617]i Spire,
[11619]Te camer a Eh Site 208
[11621](8)
[11623]Src, 12. POSITION DATA
[11625]A.KIND OF POSITION APPLIED For... Adudnistrative. position with Latin...
[11626]AmeriCa, Economiat, Statistician, or temporarily as a
[11628]we BOOS COPDAL..ccecececcccceseaces sceneecaiecssessesecesseslensseaectenses sctesesesuecesasesepeteceeesccsscstssesasesponnoncee
[11631]B. WHAT IS THE LOWEST ANNUAL ENTRANCE SALARY YOU WILL ACCEPT? 3 _..
[11632](Yea Will Not Bo Considored For Any Position With A Lower Entrance Salary.) - .
[11634]GIF YOU ARE WILLING TO TRAVEL, SPECIFY: OCCASIONALLY ........AR~--—2-—- 2. sscnenenaneneve
[11636]FREQUENTLY 200. nccccccscesseusccccsnsnerennecessstssseseuny CONSTANTLY. 2h ctenccssssssseresmecensnen som somes mmecemeeae
[11638]D. CHECK IF YOU WILL ACCEPT APPOINTMENT, IF OFFERED: IN WASHINGTON, D. Co ver neernve
[11639]x
[11641]ANYWHERE IN THE UNITED STATES ................ QUTSIDE THE UNITED STATES ....
[11643]E.IF YOU WILL ACCEPT APPOINTMENT IN CERTAIN LOCATIONS ONLY, SPECIFY LOCATIONS:
[11645]int Sab OM i SEE: Smo LBA Ef co OTR RR Cen a CE SE
[11647]1
[11649]Sec, 18, EDUCATION .
[11650]ELEMENTARY scuoon 4098, Garrolltpnsest Carrollton,'0. USA.
[11651](tity) (Sate) (Countez}
[11653]DATES ATTENDED 2999 — 1944 GRADUATR? F898 eeeeeee
[11654], Ohio “USA -
[11656](Contry
[11658]HIGH SCHOOL OMAR west de Debchtents
[11659](Cl (State)
[11661]GRADUATE O38 eee
[11662]USA
[11664]“eanter)
[11666]| TRANG” % Bop h
[11667]MAlon AND spRolaLry Eeongsded & Spant shears compLeren wb
[11668]BA -
[11670]55)
[11671]DATES ATTENDED ., 3946 19S ee DEGREE Teeter scree reenn aee cee
[11673]councn Universidad de Sun Cyadpa, Suatenala
[11674](City)
[11676]MAJOR AND SPECIALTY ...SPSNish oo YRANS COMPLETED 9 credits
[11678]DATES. ATTENDED ...... 2224 2 Doe
[11680]EY. apperss Syme
[11682]Syracuag Univ
[11683]eee City)
[11685]COLLEGE 2
[11687]seerterees. 5 pe
[11688](State)
[11692]DATES ATYENDED ...... Suaner 1948 oo pecneg.. none given,
[11694]CHIEF UNDERGRADUATE COLLEGE SungEcTs .... economics ~ statistics _
[11696]Ry +
[11697]etait eee ne reee ee PE Rah. gcomges pat 2144 OTe Fura...
[11699]CHIEF GRADUATE COLLEGE SUBJECTS oo eecee cere
[11701]2 DP
[11703]Clty, Guesemala CA
[11705]FERRE SRT oneerremene ecrerenm ew vase
[11707]14-0000
[11709]ry » ~ - - a Soe ee
[11710]Sea M. ACTIVE U, 8. OR FOREIGN MILITARY SERVICE none
[11711]eee (Garante yy ee ct), [| a nn Teo.
[11712]stneeiesenraeces Gia Bacay rc GEE Wey Ten page a piace
[11714]REMARKS: w.....0..02-- es -ncncmncetsanestocnerstrarcmetonemecoeeamsnnss
[11716]SELECTIVE BERVICE BOARD NUMBER... 2-20... ADDRESS 000. occcesstsssssesssessoteesnssaseeeeeomnectstonanuensone
[11718]IF DEFERRED GIVE REASON ....ccsnececiees sonresencerneeneeentencenceneerssneaensasnsnsasenosensoneestessaseressensesaseanen
[11720]Ae hy
[11723]: INDICATE MEMBERSHIP IN MILITARY RESERVE ORGANIZATIONS u......nectme ren eece
[11726]Sec. 15. CHRONOLOGICAL HISTORY OF EMPLOYMENT FOR PAST 15 YEARS, ACCOUNT
[11728]4 FOR ALL PERIODS. INCLUDE CASUAL EMPLOYMENT, INCLUDE ALSO PERIODS
[11729]. OF UNEMPLOYMENT. GIVE ADDRESSES AND STATE WHAT YOU DID DURING
[11730]. PERIODS OF UNEMPLOYMENT, LIST LAST POSITION FIRST, (List all civilian em-
[11731]j ployment by a foreign government, regardless of dates.)
[11732]: 4/51 CLASSIFICATION GRADE
[11734]FROM 0. ZOE eeeeeeeee To - (IF IN FEDERAL SERVICE) —..
[11736]: EMPLOYING FIRM OR AGENCY ,., E9ard_ of Geourapito Wamog
[11737]+ Interior Bldg. ;
[11738]Z ADDRESS —....6..6. 8th Stat, Ue, Washington, D. G. USA |
[11740]SE DE, Teh cht abe lindacee
[11742]. (at. and Number} (Citys istnte) mantey?
[11745]; KIND OF BUSINESS eoccscccccescuessndecersesaee wame or sureevisorvas bkldred 3.00 7m F
[11746]i , : .
[11747], TITLE GF JOB uy gs 29 GSO pee Fe
[11749]4 7 ara lt H
[11750]youn putieg ...... craving dire Grafting, typing
[11751]+ - ae scene cee wresteTecoeesdeocense toes - ~ ~
[11753]CLASSIFICATION GRADE
[11754]. (IP IN PREDERAL SERVICE) ..
[11756]3 , 2 fe, .
[11757]rom 8/69 po
[11759]EMPLOYING FIRM OR AGENCY... 880 (00 Gordons, ING.
[11761]a te Bor 2  F1 hte
[11763]AbprEss ..... 20% 240 Layton 9, ite Be 22 Cake we
[11764]tan aad “Number) (Citas (Stated .
[11767]KIND OF BUSINESS PUTSEPY vase or supervison 22”.
[11769]rite oF son... SLOPE SALARY. 3420 cee
[11771]keeping, acadnss shed
[11773]YOUR DUTIES ..... baal
[11774]gw Wrelesalo, makicg tlorat aepenge:
[11778]REASONS FOR LEAVING....29 beks u jok sore in lire
[11779]: tea) ; waged
[11782]14-0000
[11784]e
[11787]NE easton
[11789]5/10 CLASSIFICATION GRADE
[11791]£/60 CAT
[11792](EF IN FEDERAL BER VICE) o. nccorecemeremeres sete
[11794]PROM occ TO le easrateese oe
[11796]EMPLOYING FIRM OR AGENCY babdional. Peanut Couret) oo
[11797]appresg ..i11 Dipont Cirele Eullding, Washington, £. %. USA :
[11798](Gi (State) (Comenry)
[11799]pals
[11801](Dt and Humtery
[11802]. NAME OF SUPERVIB0R LP “ilies 3
[11804]TITLE oF Jon ASSt. Pookkeopor  gararyg.. CC pew 2 :
[11806]KIND OF BusiNEss .TPACe A199C.
[11808]your puties ... bookkeeping, f1line, goneral office work, firancial
[11810]eports
[11812]deme etter cares oteasasras mteea nee nied = LIE te M TALES OaMPE he DEE bre aad SSEEE EO EE:
[11814]REASONS FOR LEAVING... roturn..Lone..bo.velp.my fether in bis business
[11816]CLASSIFICATION GRADE . *
[11817]L470 LIT icine TREN PDEA DEREIEED oc csec eee ese eee fy
[11819]FROM 00. Lee
[11820]EMPLOYING FIRM OW AGENCY... Prdeidodtva, Qenarel Loto ra ec eceee
[11822]Plent #2 Tayton 9, Ohio USA
[11823]it
[11825]ADDRESS ou. cess secceeccceeserctccses mes snracstser sinner lea cagnncneerte byes cnisciecterere
[11826]. and Murnlery iCity) (States
[11828](Hi
[11829]Le ccecen NAME OF SUPERVISOR ES s
[11831]|
[11832]i
[11833]ot SEIS SAORI 2 AES PGS TIM SEEM LOMB an ar Gast 9
[11835]Fee awe tutus
[11837]KIND OF BUSINESB
[11839]TITLE OF SOB cececcsecssectecssccecsurpreneceeressves mesmiee BALARY Qiececmerencencerscersee VERE eccsscecanecussnsiveee me
[11842]your puting .........0%fLe9 work in tre chemlesl lehovstertes
[11844]: wore in Bae fuctory proper
[11846]REASONS POX LEAVING wc OEEOTLED COMER ee
[11848]4nd UE
[11849]FROM ero OTB
[11851]ven CIP IN FEDERAL }
[11853]EMPLOYING FIRd on aAGENey,...CRents 5/10 Store
[11855]- LEB RUSS.
[11859]ADDRESS ...
[11861]a thea
[11863]KIND OF nUSINESS 32975000 NAME OP SUPE RVIEOR
[11865]TITLE OF SOB 0 RIA ee cececneeecenccceseee SALARY § cece cece eee PER oe cece cece
[11867]0 See rsnent
[11872]tat
[11873]REASONS FUR LEAVING) 22273 |
[11875]Cc]
[11876]8
[11878]14-0000
[11880]od . So
[11882]16 HAVE YOU EVER BEEN DISCIIARGED OR ASKED TO RESIGN FROM ANY POSI-
[11883]TION? HAVE YOU LEFT A POSITION UNDER CIRCUMSTANCES WHICH YOU
[11885]DESIRE TO EXPLAIN? GIVE DETAILS;
[11887]SEc.
[11889]caper cena Oceeamnstnetineestinenaneentetntnnetntennarmnntettretnnestntistnthfaumesn
[11891]Weta tetas ene rena nthe nets eetienrsmne: een nate e eaten ntnns cores nates Mae eben eben enenas beeen ager ene ene hacen testes ran aeen, Oeeneasenaaal fee rirrer renee toons)
[11893]= PIRIEY Se cette eg TE IT PIE RT EE TOE ATE NI TS a A SS SORBET 8 BENS te rt hie ee STRIATED
[11895]Sec, 17, GENERAL QUALIFICATIONS
[11896]° A.FOREIGN LANGUAGES (STATE DEGREE OR PROFICIENCY AS “SLIGHT,” “FAIR,” OR
[11897]“SLUENT")
[11901]READ f WRITE...
[11903]. SPEAK Sf
[11905]LANGUAGE
[11907]LANGUAGE .Franch... . SPEAK alight. reap £agR Uw weirs L9Le
[11909]> LANGUAGE Leer eee we BPRAK oleae READ Lee WRITE Co cece eenstecene
[11911]DEGREE OF EROFI-
[11913]. BIST ALL SPORTS AND HOBMIES WHICH INTEREST YOU: INDICATE
[11914]CIENCY IN EACH:
[11916]j Art- ~dvawing , painting, crafts, studied at school ~ good
[11918]Enithing, “good; Basketball, fair;
[11922]Reading;
[11924]GMUAVE YOU ANY QUALEFICATIONS, AS A RESULT OF TRAINING OK EXPERLENCE, WHICH
[11925]MIGHT PUD YOU FOR A PAITICULAR POSITIGN?
[11926]ro in (Gus temats, diving: with wo Gh
[11928]: 7 “Loarning the life ond | ways of | a spans sh Pandy and ofty.
[11930]. I have gulte # complete imo wedge of te fl
[11932]: h & period of avout 3 »
[11934]{ .
[11936]a D.LIST ANY SPECIAL SKILLS YOU POSSESS AND MACHINES AND EQUIPMENT YOU CAN USK,
[11937]SUCH AS OPERATION OF SHORT-WAVE RADINO, MULTILITH, COMPTOMETER, KEY PUNCH,
[11938]TURRET LATHE, SCIENTIFIC OR PROFESSIONAL DEVIGHSs -
[11940]calculator
[11942]sHoRTHAND . 79.
[11945]APPROXIMATE NUMBER OF WORDS PER MINUTE IN TYPING —. 5Q,
[11946]@)
[11948]eM ROROOR Menuet ee Kote ee
[11950]en
[11952]14-0000
[11956]tHe eae see ween
[11958]E. ARE TOU NOW OR WAVE YOU EVER BEEN A LICENSED OR CERTIFIED MEMBER OF ANY
[11959]TKADE OR PROFESSION, BUCH AB VILOT, ELECTHICIAN, RADIO OPERATOR, TEACHER,
[11961]LAWYER, CPA, ETC. |.
[11962]mons ro
[11964]1¥ YES, INDICATE KIND) OF LICENEE AND STATE ...
[11966]SAAN Sot dea S LN nce gg
[11968]FIRST LIC. OR CERTIFICATE (YR) —........ LATEST LIC. OR CERTIFICATE (YR) «00.0
[11970]¥.GIVE ANY SPECIAL QUALIFICATIONS NOT COVERED ELSEWHERE IN YOUR APPLICATION
[11972]SUCH AS:
[11973](2) YOUR MORE IMPORTANT PUBLICATIONS (DO NOT EUBMIT COPIES UNLESS REQUESTED) .
[11975]{2) YOUR PATENTS OF INVENTIONB
[11976](3) PUNLIC SPEAKING AND PUBLIC RELATIONS EXPERIENCE,
[11980]H
[11981]i
[11982]|
[11983](4) HONORS AND FELLOWSHIVB KECKIVED |
[11984]|
[11985]t
[11986]i
[11988]wu. SAL did a:lot of extenpt and declamation work Jn public speaking
[11991]i I 2.) a ee
[11993]el necelyed a partial scrolarsnin from Coane] ob Syraguae
[11997]PE acon
[11999]G. HAVE YOU A PHYSICAL HANDICAP, DIBEARE, OR GTHER DISABILITY WHICH SHOULD BE j
[12000]CONSIUERED IN ASSIGNING YOU TO WORK? IF ANHWER IS “YES,” EXPLAIN: :
[12002]HGO YOU REC
[12003]” GOVERN E
[12005]FOR MHATARY OR ON:
[12007]YWUNDRE ANY BETIRBEMLNT ACT ON ANY PENSION O OTHER COMPENSATION
[12008]VAl SERVICE? [EF ANSWE® IS “YE3," GIVE COMPLETE DETAILS:
[12010]Sree seme antlns miter Sahat WIN awed’ ae
[12012]15 Ore 8y—4
[12014]TERETE SIT IS eer sersane wrens:
[12016]14-0000
[12020]Sec. 18. GIVE FIVE CHARACTER REFERENCES—IN THE U. S—WHO KNOW YOU INTI-
[12021]MATELY—tive residence and business addzwsses where possible.)
[12023]Steet and Number City State
[12024]x Min, John Lewis 00 nus ann _OSkwood Eigh Sehool, Payton, onio
[12025]RES. ADD. A ee ce teceete | meceneeeeeree -
[12026]g Mee. Herbert Haldernan _ 7 £2, Dayton 9,0nLo
[12027]™ RES. ADDL wah
[12028]: -_———a-bin, Albert F. Kuhl, Deus apn Serries Bldg. —Pexton. Ohio _.
[12029]_ ; Res. ADR PA
[12031]Xr, _ George fohlnayer BUS ADD.
[12033]Me
[12035]x RES. apd. —#.
[12036]: 5. kiss Katherine Sith pus apn NA
[12037]- RES, ADD... §9 Wiltshire Dayton. ‘9, “Ohio...
[12038]ER TE EI ae EE = sapere cies Sees oer eee te se
[12039]Sec. 19. NAMES OF FIVE PERSONS WHO KNOW YOU SOCIALLY IN THE UNITED STATES—
[12040]NOT REFERENCES, RELATIVES, SUPERVISORS, OR EMPLOYERS—(Give residence
[12041]“ ...._ and business addresses where possible.)
[12042]. _ . Street and Number Cita State
[12043]; i wikss Teadesha. Loran... pus app. A... sees -
[12044]2 RES. ADD. Rae 2. Cazenovia. NOY.
[12045]g,... iS. Bd Bastin = nus apn San Rae Gardena Layton 9, Ohio
[12046]s RES. apa Pease. Ave., ‘West. Garr ollton,..chio
[12047]‘ 3. ...... Miss. Setty.Hollia_... BUS. app. Arlington. Arbx,.Avlington,. va.
[12048]. RES, ADD. 140]016th.St.,.0),. i. Washington
[12049]4.0.63. Haber SeLwerté oo nus ann od of Syracuse, Syvacuge, N.Y.
[12050]RES, ADD... a
[12051]Be wnt ational bani, a
[12052]Y 2. i Q .
[12053]Ske, 20. GIVE TH AT YOUR LAST NORMAL, RESIDENCE IN HE U uU 3
[12054]: (Give resifenee and busines: addresses where possible.)
[12055]‘ Steeet au ather Cily State
[12056]: ur, Rar 2. NeKecnnie oo sus app San hao Gardens, Payton 3, Ohio
[12057]i ; RES, ADR, _... SSue *
[12058]school )2. ww. BUS ADD...
[12059]neighbers RES. ADD.
[12060]RUS. ADD.
[12063]Src. 21. FIN: ANCIAL B: ACKGROLN D
[12064]A. ARF YOU ENTIRELY DEPENDENT ON YOUR SALARY? ... 29 1P NOT, SPATE SQURCES
[12066]LTD
[12070]14-0000
[12072].
[12074]i
[12075]H a2) .
[12076]i C. HAVE You EVER BEEN IN, OR PETITIONED FOR, BANKRUPTCY? ......
[12077]: GIVE PAKTICULARS, INCLUDING COURT? ...
[12078]i dD. GIVE TI THREE 2 CREDIT REFERENCES—IN THE U. 3. ~
[12079]i 1, NAME ....eredian E111 liote] appress (260l-16th..St Uy. jHaahinsgen-DC '
[12080]‘ awame EPS. Bite apparss 140L=1eth St, ashinston Te
[12081]z Lt ity) as
[12082]3. Name Delta Gonma Sorority apparss SOL Valet. hyo. +, Syracuse NY.
[12083]U3 and Number) Venyy (State) :
[12084]_ a '
[12085]Sec. 22, RESIDENCES FOR THE PAST 15 YEARS . j
[12086]FROM AedeBh To...Present 1401 -16¢n Stes Malla Maopingtens DG USA; :
[12087](81. and surter (City> (Mate) (Counuy) : 1
[12088]prom 6-60. 70...425h.... haiti NL aa
[12089](8, and punter)
[12090]FROM e750. TO ... fd Ma ishington,. PGs. USA H
[12091]° (Btate) (Country) H
[12092]prom 2248 ro... : . |
[12093]7 a
[12094]FROM 27 =46 70... 27488 two cosregea of Syrecuso Univ, siracuee i
[12095](34, and number) iu (Mtate) {Country} t
[12096]rrom 7748 go £788 C1P. OO Guotemula City, Susterala '
[12097]: (St. and mursbes » (Chay) tRtnte) (Country) ;
[12098]rrom time defaye this San Noe Gardens, Layton 9, Ohio USA
[12099](St and number) sony) (Btate) (Country)
[12100]FKOM .
[12101]Sec. 23. RESIDENCE OR TRAVEL OUTSIDE OF THRE UNITED STATES :
[12102]A. FROM _... 7946 TO oT Nox go Cit a. XZ rexico. oe tou ist ee
[12103]“(ney 4 Purpose)
[12104]Gus vtomela. . .
[12106]rrom...7*48. 0 ro 8+48_000G
[12108]PROS oo oe eee TO i cee
[12112]a
[12114]FROM | oo ee TO oe eee ee
[12116]FROM .
[12118]Sec, 24. Chit URS, SOCIETI AND ONE R ORGA SIZATIONS
[12119]: LIST Nantes AND ADDRESSES OF ALL CLUBS, SOCIETIES, FROVESSIONAL, SOCIETIES, EM-
[12120]PLOYEE GROUPS, GRCANIZATIONS Ub ANY HIND CLUDE MEMBERSHIP IN, O16 SUPPORT
[12122]OF, ANY ORGANIZATION HAVING HEADQUALTOSS G2 ERKANCILIN A FOREION COUNTRY) TO
[12123]WHICH YOU BELONG OR WAVED BELONGED:
[12124]Delta Gomma . ~ Pho 90) Wala Ge, Svracuge,
[12126](Name tied Chapter) 7" “ost ant Number? Cis) er
[12128]1947-50 active - 1950 to preannt tractive .
[12130]Lo...
[12132]DATES OF MEMBERSHIP: ..
[12134]2 Spanish Club Syracu se Univ., Syracusa, vi. Y. USA
[12135]“(UNane and Chapters 7 . TEBE and Nee 9 1s? “Yotaty een Mane
[12136]1 -
[12137]DATES OF MEMBERSHIP: W ea a | 8 cena anee Men ceetnee sesaneeeneseue: oer ~ wees tees
[12138]a, _ Beon Syrac
[12139]"(Name snl Chapter) Sh ad
[12141]O48. De
[12142]DATES OF MEMBERSHIP; | 1948 “9 cect ge ep ee gees guys twee
[12143]¥ Westminster bran ayoeplan ct :
[12145]7. Browntos - Grace Setool = We
[12147]2
[12150]14-0000
[12153]Jo. Girl Scouts - High Sv ool = Best csr-olton, Oro
[12155]ft. Honmador &, - Weatniustesc Pres ztar€9 Church - Dayton 9,u, .
[12156]u
[12158]194504 . . ak
[12159]f€. Alumni Association of Syracuse Univ, Syracuse, i. Y¥. USA
[12161]195D-
[12162]a W.Internatilonal ‘Rolations.. Cloud. Sesacuss. UshY ».. Sy: TROUSS. 3
[12164]“(Ratoe and Chapterd (80 dnd Nuinber? reer
[12166]DATES OF MEMBERSHIP: 1946272809 ene egeennnnenstannee
[12168]USA
[12170]¥. US
[12172]& 2nd & ist Cadinot - Crepel - Srracuse vniy,, Syracuse, NZ. Wes
[12173](Name! and Chapter) {Btate) (Country)
[12175]DATES OF MEMBERSHIP: ...
[12177]& National Yorensic League « “Oakwood High School, Layton 9, 0. VEA
[12178]= rr Name and Chapter), - _ (Bt and Number) ar a "(putes . spennemseees “Yeooatey
[12180]DATES OF MEMBERSHIP: ....194528.. 8004V@ ne laecanee
[12181]high school sorority
[12183]a Sigma Theta Fri + Dayton 9 Ohio USA
[12184]‘ Sane Name and Chapter) tales “|
[12185]DATES OF MEMRBERSHIE: .
[12186]en eS SESS EE
[12187]Sac. 95, MISCELL ANEOUS :
[12189]A4:PO YOU ADVOCATE OR HAVE YOU EVER ADVOSATED; OR ARE YOU NOW OR HAVE YOU
[12190]EVER BEEN A MEMBER OF, OR HAVE YOU SUPPORTED, ANY POLITICAL PARTY OR ORGANI
[12191]ZATION WHICH ADVOCATES THE OVERTHROW OF OUR CONSTITUTIONAL FORM OF GOV-
[12192]ERNMENT IN THE UNITED SPATEST
[12194]. NO
[12196]IB WYES,” EXPLAINS (ccc cece eceeeeeeece seceeeceeeeenenearemnisninn acecveeseeeeas sr cenenteesaneseneecoaceusensecesasoreese
[12198]BDO YUU USE, OR HAVE YOU USED, INTONICANTS? ..XES oo ee IP SO, TO WHAT :
[12200]an eccasional drink at dir sera und ‘parties ‘
[12202]EXTENT? .
[12204]CHAVE YOU EVER REDN ARRESTED, IN7 BOANY VIOLATION OF
[12205]LAW GEHEK THAN A MUNOR TEKAFFIC VIGLATION? IF SO, STATE NAME OF COURT, CITY,
[12206]STATE, COUNTRY, NATURE INSE AND DISPOSITION OF CASE:
[12209]: “UF ANSWER IS * “YES GIVE DETAILS PELOW: , :
[12212]BLIST BELOW THE N
[12214]NAMES OF GOVERNMENT DEPARTMENTS, AGENCIES OR OFFICES TO
[12215]WHICH YOU HAVE APPLIED FOR EMPLOYMENT SINCE t94u:
[12217]seater:  Gouncil.of.
[12219]JOPALS DPA:  dboude. Buergy.. Cou.
[12221]~-Beonomia Advisors; round of Geassva pide Langs.
[12224]14-0000
[12226]a ater)
[12228]Ane et
[12230]qr)
[12232]FIF, TO YOUR KNOWLEDGE, ANY OF THE AROVE HAS CONDUCTED AN INVESTIGATION OF
[12233]YOU, INDICATE RELOW THE NAME OF THAT AGENCY AND THE APPROXIMATE DATS OF
[12235]THE INVESTIGATION:
[12236]Board of Geogrspnie Names 4-1-5)
[12238]PO Set og etree serrate SR be at PM eT RES NET TD
[12240]Sec. 26. PERSON TO BE NOTIFIED IN CASE OF EMERGENCY:
[12242]NAME. ....... 89muel D. Zenrung _. ceonenmane RELATIONSHIP... £6 ¢h er
[12243]San Rao ‘Gardena, ! Re Rv il ‘Dayton, 9, Ohio USA
[12245]ADDRESS ...... echteaeedonees 2, cesesnecorsredyserctvanseneanan
[12246]: (St and Number) “aie “tated (Guantry)
[12247]ALES LEAL ORR EEE 5 SETS he a en NNER ROE SOE TS
[12249]Pat LB ODIs ETD TS,
[12251]Cee RET SL ES
[12253]Sec. 27. YOU ARF INFORMED THAT THE CORRECTNESS OF ALL STATEMENTS MADE
[12254]HEREIN WILL BE INVE STIGATED.
[12255]ARE THERE ANY UNFAVORARLE INCIDENTS IN YOUR LIFE NoT MENTIONED ANOVE WHICH
[12257]MAY BE DIZCOVERED IN) SURSEQUENT INVESTIGATION, WHETHER YOU WERE DIRECTLY
[12258]INVOLVED O# NOT, WHICH MIGHT REQUIRE EXPLANATION? It 80, DESCRIBE, IP NOT,
[12260]ANSWEK “NO,”
[12261]tO cecser wnetenentetnneenseesaeeagunecnneteneeunnstenereinec eanggeeecane
[12263]pate
[12267]Sec, 28. 1 CERTIFY THAT ‘THE FOREGOING ANSWERS ARE TRUE AND CORRECT TO THE
[12268]BEST OF MY KNOWLEDGE AND BE ree VANDTAGKEE THATANY MISSTATEMENT
[12269]OR OMISSION AS TO A MATERIAL. FACT WILL CONSTITUTE GROUNDS POR IM-
[12270]MEDIATED GISMISSAL OR REJE <CTION OF MY APPLICATION,
[12272]. 6?
[12273]- SIGNED AY. Bhd artes. Saee AO DATE Tey. 2
[12275]we acu Statef
[12276]° et f
[12277]fb nt 4 Read Come: ;
[12279]Wane
[12282]he. Hues athe Pee ter,
[12284]sSematyre as 4
[12286]USE THE FOLLOWING PAGES FOR EXTRA DETAILS, NUMBER ACC CONDING TU THE NUS xM-
[12287]BER OF TUE QUESTION TO WHICHE THEY RELATE. SIGN YOUR NAME AT THE END OF
[12288]THE ADDEG MATE IF ADDITIONAL SPACE ES REQUIRED USK EXTRA PAGES THE
[12289]SAA Side. AS THESE AND SIGN BACH SUCH PAGE.
[12291]@ OR wteqeuntar meat ey gece
[12294]14-0000
[12296]aye
[12298]oe
[12300]CT ee ne ee EeEEEEEEE
[12301]Seo, ll = br, J14 sohruns, Sr. Uncle. él.
[12302]USA 1210 Wilson Dr., Inyton, Ohloe USA
[12303]Nechanical Engineer - Wrig:t Air Field,
[12304]Dayton, Ghio
[12309]ay Me ey err sweetness etme mee
[12311]14-0000
[12313]. y
[12314]‘ CONFIDENTIAL yy NY
[12315]SECURITY APPROVAL” / 3
[12316]Data: 16 Oct. DR
[12318]Chief, Covert Fersonnél Division Your Reference: L2b19
[12319]t Chief, Security Division ’ Case Number: §68h0
[12321]SuasECT: ZEHRUNG, Charlotte Louise
[12322]1. This {te to advise you of security action in the subject cane ag indicated .
[12323]below:
[12325](YJ Security approval {9 granted the subject person for access to classified
[12326]information, : ‘
[12328]Frovistanal clearance for full duty with CIA is granted under the provisions
[12329]of Paragraph D of Regulation 10-9 which provides for a temporury appoint-
[12330]ment pending completion of full security investigation, .
[12332]The Director of Central Intelligence has grented a provisional clearanca
[12333]for full duty with CYA under the provislong of Paragraph H of Regulation
[12334]1C-9. . .
[12335]g. Unless the aubject feracn enters on duty within 60 days from the above
[12336]date, this approval becomes Invalid.
[12337]Subject 1s te be polygraphed as part of the ZOD procedures.
[12339]pees
[12342]BA
[12343]we
[12345]CEST IOENT TAL
[12347]_
[12348]EOE ain
[12350]14-0000
[12352]Od ~ .
[12354]Qe ,
[12357]As af
[12358]\ INTEROFFICE MEMORANDUM
[12360]Date: kb August 1951
[12362]%0: Chief, Covert Personnel Division
[12363]FROM: Chief, Security Division
[12365]vOJECT:: ZEHRUNG, Charlotte Louise —-S6BLO.
[12367]1. Reference is made to your request for security clearance of the subject
[12369]pereon who ie being considered fur employment in the following positions
[12370]2 This is to advise you of the following security action:
[12372]a. CX) Provisionul security clearance is granted to permit subject's
[12373]employment on 4 temporary basis in the following urow or In the following
[12375]capacity: D Street Pool
[12377]This clearance ia granted upon the condition that subject: 1.
[12379]not
[12381]Ve ccesas Oo Chass ig Fg eria . ho AY WOCRRY @ gecure gre ;
[12382]have a L 1 ified mat 1; 2 toh t as;
[12384]3. not be iusued a badge ov credential;:4. not represent himeslf ay
[12386]3
[12388]CIA employes; und %. not be assigned ty any unelusoified duties other
[12390]than indicated abova.
[12392]b.CJ Nume-cheaka have been completed on thie pervon. Arrangements
[12393]should now be made by your office for an interview in thio Diviaton.
[12395]Bpon
[12397]completion of thia interview further consideration will be given ta the rem
[12398]quasted Limited clesrunce for uecess to information slansified no higher than
[12400]~ Seeret. [f subject hus not entered an duty ander a previously grastet (Lr
[12402]dinagnal gleurance the interview should p46 arranged ofter entrance on duty.
[12404]c.f J Subfect in sseurity approved for temporary appointment to 4
[12405]tion requiring accesu to information classified no higner than ret.
[12409]Officlals of the employing office should be advised of thia grecu-
[12411]pity limitation and ahould be Lastructed to supply Purare ous
[12412]A nore
[12414]advice es to the limitation se ay te insure gentinued compliacs
[12416]Security setion to offer fall »pproval is continuing and your
[12417]office will recetve advsee of full clesrance upun cumpletion of
[12418]action, Upon receipe of full security clesrance, the presest li
[12419]will ba rescinded and aupurvisory should be advised sccordingly.
[12421]- - tua sel,
[12423]804 DLE Iq
[12425]i
[12427]abe
[12429]CONFIDENTIAL
[12431]Foss eA.
[12432]jin, 1934 FEES
[12437]14-0000
[12439]ere ARIES MO AAR, TESA AL Bhi 2 eel Ubaa aS al edt eee heat
[12441]p
[12443]DEPARTS NT
[12444]cr
[12445]INTURTOR
[12447]TO een nina ame nicte eens cee eran one st 2
[12449]14-0000
[12451]OF eee te LE ee LS SD AR ee ENS SO OOS ON oe EE ee eS mR DY es as ak a oe oe re me
[12455]*  WwalTED STATES) @IMENT OF THE INTERIOR &
[12456]Led MGI Gt PAO... 0 LE EVTION AND MAMAS aatal
[12457]WASHINGTON 0G Date of Action . Journ .
[12459]Rey Zies Cherhethe Le Zabmemg ofo “Ls of
[12460]Sen Ras Gardend, Mette 11 0.00" Poruanent
[12462]Dayton 9, Chico
[12464]IHDSVIBIYS APPOLDTIGEY
[12466]~ Effective Dote: Apyil 2, 1981
[12468]Position -
[12470]Grede end Salary
[12472]Bureeu
[12474]Branch Divieies af deer rachy
[12476]-*
[12478]Heedquorters
[12480]Depenmental
[12483]. Gp 1%, © saptha Bo Koid
[12485]thie appolatzens 12 cunfeat te a trial porled of ono yoare
[12489]“Wrtaz tite sppulniment yoa wihl he covered My the Mathonal
[12491]Snake eauriey 2, e@iine
[12493]a '®) ems Porauinel ufsiser
[12494]Aga.) = Sige od CRM exit Pancaae
[12496]We brech Dies of ta Saeretay
[12498]Appropriation Tote: i 3 Soph
[12499]Gen opeia kena, Semityg YU
[12500]ASTKITATION Renbee alnctou 2 Gttntal rretue tor the action receamerteds
[12502]Bisa tetera
[12503]Sorvice Certivies x 1625510
[12505]dep Savi Sa
[12506]Pay presigarelaisen’ Joya lay
[12508]6-2-5138
[12510]OORT sceste BREAU SOTHICATION COPY
[12512]20
[12514]Bears ozieal Draftexan
[12516]G8—3, 82650200 per annus
[12517]of ee FS)
[12519]Hathing ton, De Co
[12520]Departwental
[12522]ot, TELLER
[12524]Se OE Vowgd Ay Puma, Ivaeovier, heard oa
[12526]0 Secn solepted for gppoicinuas fen viva d
[12528]Politi sepeyn, snlisnl cert Pieate, and Fors a
[12529]engay are ¢cbachad,
[12531]a" PCR ORT a
[12532]Gtity UGAL AUTHORITY,
[12534]fog ilar
[12536]To
[12540]_ a
[12541]conv 1 SfA108 CHANGE
[12542]APPOINTMENT
[12544]sooretary
[12546]Biro)
[12548]Tp
[12550]fa Mae iam
[12552]Wee Fe Abd. btenticss me
[12554]Nee Lorthe BeReid
[12555]Clad hES~3aEC4
[12557]Dea ieee et cme eee
[12559]|
[12560]i:
[12564]C8 Certificate vo,
[12566]Be75A0 dated 1/r6/5r.
[12567]Cote Fege 2,115
[12569]ng _.
[12570]HA tuke OF PORNO
[12572]Cee ed tan lon
[12574]_jf¥ Cnie
[12576]EIA TS PT
[12579]14-0000
[12581]GrANDARO rone softy savt) wee UNITED STATES rome TER
[12582]crate. Senerce eon SSION \RTMENT OF THE INTERIOR g. Jojo q § Rey
[12583]OCTODEA 1946 oe 2 ON
[12585]Orr ics OF THE SSCRETARY ooo 4 °
[12587]NOTIFICATION OF PERSONNEL ACTION
[12589]1. NAME (MAL M108 —MRG.—F TREE MIDDLE INTTIAU—BAgTE 2. DATE OF BIRTH | 9. Joumna ca Acton Na | 4 paTe
[12591]Tha ta fo th a yu of he fatecin eleva affecting your employment:
[12593]J y NATURE OF ACTION (usd STANDARD TERMINGLOOY) @ REFECTIVE OATES | 7. CIVIL SERVICE OR OTHER LEGAL AUTHORITY
[12596]6. POSITION TITLE
[12598]& SERVICE. GRADE,
[12599]SALARY
[12601]Office of 3 10, ORGANIZATIONAL
[12604]Division of Csorraphy or 3 :
[12605]Research Brash ; wee
[12607]11, HEADQUARTERS
[12609]Rashingtesty Do Co
[12610]{ ] FEL xl DEPARTMENTAL 12. FICLD OF OCPT'L [ FiKLO { { DEPARTMENTAL
[12612]13. REMARKS
[12614]Ang lesve reaniviog te your eredi$ will be tranaferrede
[12616]yoparated withows renzlegmen’ wightoe
[12618]Sa RAAT OOTP
[12620]SNFIGATION AGT acrion
[12622]Veet hh
[12624]Tye. POSITION C1
[12626]eye
[12628]wen]
[12630]t
[12631]OSS WBA TE OF OATH RR LEGAL RESIDENGE
[12632]AST | Waccenmons oncel
[12635]we ineed TOL APPROPRIATION 2ASSGUT.OSS Berking
[12637]| omy oa istariars OPPice af tho
[12640]J TO
[12642]SOG eceseawree sect YOKE ee Re
[12644]4, PERSONNEL FOLDER COPY
[12646]Cnn Seeree
[12649]14-00000
[12654]PL ee terete Gt eer
[12658][ote
[12660]‘Give tls card fa the
[12661]arrounaiad CLERK
[12663]the - inet
[12664]Pus OUTPATIENT CUKie 1
[12665]4th pad © Sirects Sw, " Cha
[12666]EL BH Est 8 ea)
[12667](er Goss 176) PATIO
[12668]2
[12669]| Statistical Draftaman_ _
[12670]. . at
[12671]a. oare of orn 1/29/29 ng an acscoetunn on wage ear?
[12672]AT THE SERACE CHICKLO BLOW,
[12673]4 [DJ pwor-ruccrocran 0. [“] on cym C1 paoraree is. [_} muterion
[12674]MP CACAL 7 TTT ane s, MENTAL
[12675]CJ recrnarion 9 [7] pia mee, 59g Mee det, 7. im MCALTH
[12676][CU] vepopatcer te [7 searicay Sef puer | 1, [7] otawaréiosy
[12677], fo} ecient [7] protons ss, {J cue.
[12679]of 3
[12681]| 21, AMES A
[12683]MEOICAL APFOHNT MENT A4D REPORT
[12686]14-0000
[12688]Seo ce ee
[12690]4
[12692]4
[12693]i
[12695]aa 26, Cdl. 3. Cone Le.
[12697]“
[12701]STANDARD FORM 61 intvisto arent 160)
[12702]PROMULGATED BY CIV FEel ie COMMISSION
[12703]CHAPTER AG FEOTRNL PUTS ONNEL MANUAL
[12705]APPOINTMENT AFFIDAVITS
[12707]IMPORTANT.-- Before swearing to these appointment afiidavits, you should read and understand the
[12708]attached information for appointee
[12710]heaters?  eecceeesecee! Lhe... ee reterry... BCH SAB Pat. Bis Coe
[12711]‘Drpariment of agency) Geog epny ue division) of employment)
[12712]1 We case htt hee Leta. Fhe “pe sessenenseeaes , do sotemnly swear (or affirm) that—
[12714]A. OATH OF OFFICE
[12716]I will support and defend the Constitution of the United States against all enemies, foreign and
[12717]domestic; that I will bear true faith and allegiance ‘to, the same; that I take this obligation freely
[12718]without any mental reservation or purpose of evasion; that I will well and faithfully discharge the
[12719]duties of the office on which I am about to enter, SO HELP ME GOD.
[12721]B. AFFIDAVIT AS TO SUBVERSIVE ACTIVITY ANO AFFILIATION
[12722]Iam not a Communist or Fascist. I do not advocate nor-am I a member of any organization
[12723]that advocates the overthrow of the Government of the United States by force or violence or other
[12724]unconstitutional means or secking by force or violence to deny other persons their rights under the
[12725]Constitution of the United States. I do further swear (or affirni) I wiil not so advocate, nor will
[12726]I become a member of such Organization during the period that I am an employce of the Federal
[12727]Government.
[12728]C. AFFIDAVIT AS TO STRIKING AGAINST THE FEDERAL GOVERNMENT :
[12729]Tam not engaged in ‘any strike against the Government of the United States and that TI will not
[12730]80 engage while an employee of the Government of the United States; that I am not a member of
[12731]an organization of Government employees that asserts the right to strike against the Government
[12732]of the United States, and that 1 will not, while a Government employce, become a member of such
[12734]an orgunization.
[12736]D. AFFIDAVIT AS TO PURCHASE AND SALE OF OFFICE
[12738]T have not paid, or offered or promised to pay, any money or other thing of value te any person,
[12739]firm or corporation for the use of influence to procure my appointment.
[12740]E, AFFIDAVIT AS TO DECLARATION OF APPOINTEE
[12742]The answers contained in my Applicatian for F
[12743]dated _..... ADM Og... eee 1DIO., filed with the shove- named epaetnent, or “agency,
[12744]which I have reviewed, are true and correct as of this date with the exceptions noted in the Declara-
[12745]tion of Appointee on the reverse of this form. (If no exceptions, write “None” on the Declaration
[12747]of Appointee.)
[12751](Signanue gf tire mtee)
[12752]Subscribed and sworn before me this ...... Gl... day of 4-5 A rAhaee  A DL 19 §
[12753]. — a
[12754]7] f City) yak? (Seated ;
[12756]seat] a“ lo . (Osan tore of offen) go ey a
[12757]t ag yo LDaall Minaig ‘ 4,
[12759]Ge er . ALiy- ee. y om
[12760]NOTE.—-If the onth is takan before a Notary Public the date of exptration of Ais soma mised shou! fa
[12761]tO OL4O-$
[12763]bo showa,
[12766]14-0000
[12768]WECLARATION OF APPOINTEE
[12770]This form is to be comyleted before entrance on duty. Quertion 3 is to be answered in all cases, otherwise
[12771]answer only those questions which reguire an anawer different trem that given to the corresponding
[12772]questionson your application form, Lf no answers are different, write "MONE" in ftem 10, below. Any
[12773]false statement in this declaration will be grounds for cancelation of application or dismissal after appointment.
[12775]Impersonation is a criminal offense and will be prosecuted accordingly.
[12778]1. PRITENT AUURESS (attend and aumber, city and State)
[12780]Jp 1G He Sf _ _Weshiagven DiC
[12782]2 (A) Date oF mATH (2) PLACE OF BIRTH (city of town end State or country)
[12784]L11fag Daytot  , GY. USA
[12785]& (A) INCASE OF EMERGENCY PLEASE NOTIFY (5) PHLATIONSHIP | (C) STATET AND NUMBER, CITY AND STATE (0) TELEPHONE RO,
[12786]- ” ra fs . ~
[12787]Swrntudl DB Zehrung Futher lan lee Garycuns- RR i NWA SPSd
[12789]Fane
[12790]@. DOES THE UNITED STATES COVTANMFNT EMPLOY. IN A CIVILIAN CAPACITY, ANY RELATIVE OF YOUFS (LITHER BY BLOUO ON mannan) WITH WHOM YOU LIVE GR HAVE UVEO WITHIN
[12791]THe past ze monTHS! (_) ves
[12792]its 20, fot each euch relative fil in the Blanka below. It u additional apace ia neve: dee Tron
[12793]POSTION (2) TCMPORARY OR NOT
[12795]POST OFFICE ADDRESS
[12796]mama (Give attest number, a any) ComanT he hay thea Wa WHICH
[12798]Ps complete wes under Item 10.
[12800]eS
[12801]INDICATE “YES” OR “NO” ANSWER BY PLACING “X” — | veel Hg [a t08
[12802]IN PROPER COLUMN ig
[12804]10 SPACE FOR DETAILED ANSWERS TO OTHER QUESTIONS
[12805]WRITE IN LEFT COLUMN NUMBER OF ITEMS TO WHICH DELAILKO ANSWERS APPLY
[12807]3. ARE YOU A CITIZEN CF OF OO YOU OWE ALLEGIANCE TO THE UNITED STATEA? ..| x
[12809]8 ARE YOU AN CFTICIAL OR EMPLOYEE OF ANY STATE, TERRITORY, COUNTY, GR
[12811]ar unvatuatey woaration aftee $y ¢art acteie, amount of
[12813]suttrenment pay, wed untas what ratiramant act, and ating |
[12815]af ratised frani tuilitesy or naval services. :
[12816]BFR CAPE ETE LET A DISCARD ah EOACED TO RESIN, POUUNSS, {
[12818]Oot UNGATISEA I Git SLAVICE PROM ANY FOUTTION?, y yon
[12820]Mi yruranswor es Yeu, que in Itorn 10 thn tania and addtwes &
[12822]of amployer, date, antl tassoa tt each v:030.
[12824]Le
[12826]MURIGIPALITYT ae aeereseee weteerssacnece te esee
[12828]M your answor ia" You", give dotaily in Item 10, x Toren es
[12829]410) 100 APCLIVE ANE ANEINTY HOM THE UNE TED STATES Ui DIST EET ¢ i
[12831]COLUTIIA Gay AEE NDEI AMY RE ELRE ALE ACT OR ANY PUMICE ay verre meres .
[12833]GUT UE Tae HPAP TOMAS AL Otter g ‘ a
[12835]Marois umaseat is You! qtivn yn fram {0 reason foe poluratnent, | .yor | .
[12837]thal e, age, optional divetibity, ac by Coase Of eobuntary A baae tebere eee cee ce pene en te ee cea eenee cereeee feener es rerenweamenecee oe
[12839]SUIALOHED MIC UGE ASA DEETROONT IS Ciptachad PP
[12840]COTES BINED OR IMPURE CRILIEE DON
[12841]Ft TO CLMSIT BAL OC
[12842]BEGULA CH GR GROK,
[12844]Mf yaue ansvor ist dint atl aueh cates under Har i.
[12845]Una sntguch care wo wo data, (7) the nature of she otonda
[12846]ar vielanion; (3) the name aad dovatun of the court. (4) the
[12848]penalty imposed, fans. of other disposiion of the cace | ceccsslesnessncneus seageasenceeseenaenee seaaetesen sores
[12849]fl appointed yaur fingerpunta will be (akon !
[12850]Hl j pees ereeeenmenteces ceeeeege creepers tee sete :
[12851]ore rt iret enmeanenee a ee eer iecenen cement
[12852]_ . INSTRUCTIONS TO APSOINTING OFFICER
[12853]The apreroting officer befure whom the fereguing certificate ig msde shall 01) Crtsamashes ? ting officer is rexponabte for obterving the
[12854]Leta fatlindice — ctizenstip pee vetate of LY the Civ Sersne Mule nat CO bpprepaation eta,
[12856]Ferm @f isestitates an adavet fea beth purpesea and is deceptaldy juset cf
[12857]Gbeenebip rates in Use ahaee ul ie wedeuce, ta donbel it cuaet the
[12858]Prpraarnent sheads met IN yeuieucds oad arance hae been securel (ote
[12859]vihes of the Ctrl Sroive Ceamintian:
[12861]determine ty hep aon etiafaction (bat eee appointment wr otd
[12862]wih the Civil Seeviee Act, apphe able Civil Seavice Kudos ari
[12863]acts of Cemgress pertaining fo angeintine a
[12865]This form whould Le chee bedd fur hedltiog.
[12866]bowaths ony gecord Of recent din ba,
[12868]ike
[12869]t i WD endas (5) Sfanibore of Baenh Serie 9 of the Civil Sereiee AOC provides thet
[12870]ce oreinpeted wrth the apt cutin’ or Se Mm Eri eeete Ae. a
[12872]sol ageraiene anny be chr bed aqamt che inedat vortswate The
[12873]Ut questioned on ius personal history for agieereent 4th bee
[12877]fetice penmon, autatabey in cate
[12878]cour mirest, aiid pate uariy tre the | Lhe cestitys
[12880]aids pros tac
[12883]foread to
[12885]yes
[12886]he seferard (hat apheant 1 met aut
[12887]Dro suet deteciination ia meade, Ua: apps
[12889]Hf denaite oge timite Raye heen extebhabed fee the pewocn, tee abt
[12890]cotne wee Tings bec appers tia
[12892]nut be etnaursiocd,
[12894]BE Breed Orratens Gorin | 16 —edidaek eh
[12898]14-0000
[12900]SO
[12901]ra Z
[12902]Effective Dates qoncucouadanp x
[12904]o Subjeet to investization.
[12906]ee ne rage ee I NR NE SC RS SR RE Tn a I eet em ee Caen Lee SY Otte Gee eet at
[12907], .
[12909]> UNEEO STATES O°" CTIMENT OF THE INTERIOR . rr
[12911]id ONTSON OF PURO, UPERVISION AND AAS AGARNT mo . - ‘ \
[12912]WASHINGTON, 0.C, . Bate of Auton : , downed i
[12914]-. Ret Hae Chariectte Ly Yehrung - .
[12916]. San Sao danians, RR. 1) ~ Permanent ,
[12919]one Aunioury
[12921]CS Certificate Now -
[12922]H-2580 dated 1/16/52.
[12923]C.S. Reg. 2.115
[12925]setioa ,
[12927]“ Dayton 9, Chie
[12929]INDEFINITS APPOINTANAT
[12931]Regular :
[12934]Postion . Statiatioal Draftsman
[12936]Grade and Selary | GSe3,. $2650.00 per annua
[12937](35-1533-3-50h) —
[12938]Bureau Gffiea cf the Seoretary "LAST Ste CHANG f
[12940]Branch ; , pee of fe revhy to
[12941]. fPreesared
[12942]Heedavanes Washington, De a ——Etestne
[12943]Departmental , Pepartmental ESE carina ,
[12944]Po Haturt OF PORTION
[12946]on Field
[12947]Oo I. © Martha 5. Reid
[12948]This appolatzont ia autjeot te a trial “peried of one year’, ty
[12950]x
[12952]Vicetn Add, bfentical——
[12954]Nis Marthe HReid
[12955]“+ GSe1ES3-36504
[12957]Te, Rositosstton ee MeWiemee
[12959]. Under this sopoin brant you will ba cavered by the Netlorel
[12962]Jee Meme wel, x.
[12963]BATE Ths ATRRDNE INAS _
[12965]o/Ui/ ‘5 1 :
[12967]s on, —
[12968]ee ($0) THOMAS H. TELLIER noite oan
[12969]S . _— R ets adie anne
[12970]wo . pa verrareey)
[12972]F Signed! Pneaned Paewmnat — fae
[12973].? io. BG Stow oon 7"
[12974]letica Tee i weere's
[12975]Agprondaticn Tice: Uy [ROG OOF Working Yund, Interior, Beard on : | Saee anne
[12977]Geagres he Mande, Sundry, 151, : ne
[12979]SUS RICANS Carlen ae Sen anions tee the getiar secones bead
[12981]Mias Sehrons has been aslesiiod for apvolacment fru Civil
[12983]Servive Gertificata N-f$f0,-
[12985]Wer Civil Service pavars, medioal sersifivate, and Fors &§ ——
[12986]. for praenppoiaisens dieyalty ohcok are attachods ene samen
[12988]Attechaente,
[12990]| eof era
[12991]. - -
[12992]¢ - ‘ i ie locandet Reaht AL
[12994]I - i
[12995]aN a scene CPARTMENTAL ACTION COPY | OSeS33- 3-3 of
[12996]Aare. :
[12998]14-0000
[13000]To a RCRA RACAL RATE. i ine thee Sy say mt as
[13002]2 A NMEA met Seah ny ee MeN feed eet
[13004]. tenes oe i ree eae tbe tea ee
[13005]ne “= _ .
[13006]REQUEST FC ‘ORT OF LOYALTY DATA ON AI «ANTS AND APPOINTEES
[13007]Chet pert ioe Opcomiaton —
[13008](Ulepie D2, FT MO 3804 O88 TO AE UST ONLY FOR APPLICANTS AND ACCOINTELS CASE SERIAL KO,
[13009]Pet RECOND CHECK & AND INGHINIFS ARE CONUUCTED ave use ony)
[13011]BY Civth SLEVICE COMMESSIUTE
[13012]CPART leit culivl Ore 9495)
[13014]YO:
[13015]The following information fa furniclidl far identification purposes on tha pore named below, Kindly furnish a nport on any
[13016]foyally information cantained in yeu bier The focerprinta of Chiba person nie attached 7 .
[13018](Athidle oF ote Bare)
[13020]1. FULL NAME (initials and (star anas (Uiven name)
[13021]tre ok oeeralhl, pane Zohrung Charlette Louise
[13023]2 ALIASES AND NICANAALS. 2. DATE OF TMS REQUEST
[13024]“ Sherr’ 2 ‘51
[13026]& SPECIAL NUMBERS KNOWN TO REQUESTING AGENCY (ENT punter oe FI fle wits, pamyaat nusabor, Anuy uf Navy sytias vowlee, eanian's cer) Graie of
[13027]Me Uneativg, sbea reyitineies Bude, Pool bouwity punber, ote, Kpeully which)
[13028]Social Seourdty Ho. 069-246-5135 :
[13029]& PLACE OF BRT SOATEOF BIRTH 7. TITLE OF POSITION ‘
[13030]Statistical Draftsman SENS
[13032]Jane 12, 1929 Mvision of deagra
[13033]% BUX 9. MARSTAL STATUS 1, IF MARRICD, GIVE SPOUDES FULL WAME, AND DATE AND PLACE OF BIRTH
[13034](7) mane CF sinoe Kone
[13035]Kerevan {J MARE D.
[13036]TR DATE GF APTOINTMENT ame ne EN Vo ET uxcerte - j ae mane.
[13037]APPL BAP AE Kt Civil bervlor or utter best quthuaity) us ez 15
[13039]BATONS WIT WHICH ie BOTHER THAN RELIC THAN RELIGIOUS OR POLITICAL ORGANIZATIONS OR THGSE WHICH GOW RELIGIOUS OR POLITICAL
[13043]Delta Gazsa Sorortty
[13044]14, DATLS AND PLACES OF RUSIOLNCC FOa Tie LAST 30 YLARG
[13045]ny Ta Bret City State
[13046]9 - of San czas Gardens RR. . 12 Day ton Onie-
[13047]ote pany eprom Gk rabnot ve on Sera
[13048]Tf] --—- 9, i van tee Gurdene-- Day ten cee eee NO
[13049]| Xalmat ave tyrasusa .. L. Y. we
[13050]even Calla GuatecAla.. City... —tiumtenala Code
[13052]cm laus shes. . TRIO
[13053]” . - a
[13055]re wl
[13056]rs Tusase
[13060]oe exo-tarena TEST, ONTS
[13062]oe Ne
[13063]recie Mey
[13065]tart torte A?
[13067]| noose od rior to Lipeese Address
[13069]Hie te yor Prividaire Phens 2 | Lt Paya 9, Chie
[13070]eA TH gio Unemployed :
[13071]riAa ee an Granta bts -
[13074]ton, yhto
[13076]van Rae Sardena, Re Re it
[13079]_Hattoncd Peanut Coumef\ a ata 4 aetene Birgte Bidtges de ee
[13083]is
[13084]paiety
[13086]“REEL
[13087]ro oF
[13089]i —_
[13091]ne
[13093]TOR RETORS KY
[13095]Deu oh
[13097]Varaunnet MPs ere
[13098]Chiles af she nero tary
[13099]leparior& of the invertor
[13100]Seaasinttan Fs, oe Ce
[13104]10 Tut.
[13106]ANE CARA SRE A NA Se NRE ROA tat nn
[13108]SLE Mend FOS Marcrs ON CASLS WIGS Gast ar Ng GRATIOT OILED
[13109]3
[13113]14-0000
[13115]a, FIOPOLED Position ORGANI CATIONAL DESI GwaTion,
[13117]tlon, pursuant to Chanter €2 of the Fejeral Personnel Manual.
[13118]tory information regorting this person's foyalty. -
[13120]employed by another agency and you heve determined from the losing agency thot the appointees
[13122]or lacumbent check has been completed,
[13124]working days after the appointee enters on duty (1) application, (2) file eoveriag any ine
[13125]vestigation of inquiry ennducted by your agency on 4 preappointment basis, and (3) Standard
[13126]Form 87 (fingerprint chart) unteas fingerprint search hoe already, been mete aa shoe by iten
[13128]5A below,
[13130]vidted on the back for your convenience.
[13131]sary to transmit forms in this case.
[13133]. "eo,
[13135]UNITED STATES & . SLRVICL COMAISS 10d
[13136]ora g. CIVIL SERVICE RECTOR :
[13137]ty TLOUNG *R® oy mee
[13140]ard & JEFFS"
[13142]aust 1ET BREAD INTENT LOYALTY cHecK =»-s HAR 15 1951
[13143]PRELIMINARY REPORT OF CLEARANCE ON INITIAL CHECKS gin,
[13145]PERSONAL
[13147]308 DRIVE, 8. ¥. wide
[13149]Personnel Officer
[13150]Cffico of the Secty
[13151]Dept. of the Interior ~ 7° ‘lo. - AND
[13153]wache 25, Die
[13154]CONFIDENTIAL
[13156]AND PLACE OF FMPLOTMENT
[13158]Preappointment toyal ty check hos been mde on the stove applicant for a ‘sensitive’ posi-
[13159]- This check revealed no cderogay
[13161]No further pavers are required if the Proposed action is the appointment of « person
[13163]For any nother type of appointment action, please subtit to this'office within thres
[13165]SEARCH WAS BEEM COMPLETES 45 PAT! OF THE POFOFFOINT REST LOThiSe CHECK,
[13167]FIMSPAPAINTS WERE NOT SusmhTTEDS AS Pal OF THE PREAPPZ INTO CeT LOFALTY Cofcr.
[13169]a,
[13171]G. FIMGCRPAINTS WERE UNCLASSTFUASLES YOU WAY EITHER Gf) weed Tet aPoDeBTwEAT aT ONCE and SIOU? WANTS
[13172]WEIN IME GTMER BEOUIREO FAPEAS, BR CTI BU TMMOLO GPPSIR Saray 380 Seow PEraIaTS SFPaSaTT Ue TAU COWPRLE~'
[13173]T1OM OF FINGLAPQINT SEARCA BEFORE YOY DECIOR UMEIR ES $5 sFPoias, .
[13175]UNCLASSUTIABLE FEastApayRts () ame atracned, .
[13176](7 omret oe ronwancec we veceeor fag ua CEmtdaL OFFICE, ’
[13178]Plears use the copy of this notices for your trenemittel or reply. Gpece has been pro-
[13179]a reply ia required, ever though it may Ht be neces:
[13181]REGIONAL DIRECTOR
[13183]cones ag
[13185]mS aeBdee ives
[13187]Rar repar ree: stromans reer sserreresanenernevten nine |
[13189]14-0000
[13191]poo os, o_
[13192]aT,
[13193]re
[13194]To: DIRECTOR, U. S. CHEVIL SERVICE RCOTON . /, U
[13195]. 1. Porme ottoched as tequested, Proposed personnes sation olfected Apri yas a LA _
[13197]. 4
[13199]2. Forma not crits 8 ted becouse proposed personnes action dropped from consideration,
[13201]3. Forms noe suber tted becouse thie ie an eppointaent ei thout break In service of a person who ves
[13202]employed hy snother agency and it hee been d-terpined from the Officiel Personnel Polder ef the
[13203]losing agency that the appointee of incumbent check has been coapl eted.
[13205]- Reprints cn Stesderd Pora 8? atteched, Decision regarding appointaent will not be asde oneal the
[13206]seoults of the FBI fingerprint search have been received. .
[13208]REMARKS:
[13210]Yorne $7 and &7 attached, ©: |
[13212]TITHE WTA BCL wie Whe
[13213]april 9, 195k |. (Sis) fa. Sh00H | Poreonnel C27 tfer,
[13216]SCTStiry
[13218]pxltven@esetaesde BS : Dept. of Int Lor
[13221]14-0000
[13223]wet
[13225]Fee tl nae eater renee te eee
[13227]3:
[13229]oe
[13231]- on _
[13232]‘ BOUNCY ANG ADDRESS (Str, cite, and tilt)
[13233]TIONAL POSH HO. ™
[13234]owe wracce mt . Miss kuthilda C. devrer
[13235](rar enapts CoC PURM HR - Return thin | Chief, Administrative Branch
[13237]INQUIRY AS TO AVAILABILITY "7 | Soreclen Or pore
[13238]: a . ; Washington 5.
[13240]Jan. 30, 1551
[13242]. Ponnon
[13243]Statistical
[13245]Mise Charlotte L. Zehrung Draftsman
[13247]San Rae Gardens, RR12 iocartom
[13248]Payton 9, Ohio ; Washington, 3. C.
[13249]: TH OF ArowTeerr, «= Indefinite
[13251]«Pesce correct address tf Uiforent from above; OO prosanione,
[13252]C2 tamponany rom aascnsssecsosersscceecoess
[13254]This office is considering you among others for the empinyment described. Please fill out the “Avuilebitity Statement”
[13255]below, indicoting whether You would accept this position if offered, ond return the entire sheer ts this office, Appointment
[13256]would be subject to the Civit Service sequirements described on the back of this letter. WhetSer yor are available or net,
[13258]please reply within sevaveczoctros escoreas days in ordes that one of those who are available may Se selected as promptly as pos:
[13260]sible‘to fill-the vacancy.
[13261]Poilure to reply to this inquiry will reault In the removal of your name from the register aff dligibies until sich time as
[13263]you request restoration and furnish the information asked for in the statement below.
[13264]TH19 13 A LETTER OF INQUIRY AND NOT AN OPF2R OF EMPLOYMENT. [fsefiscted, you will be notified
[13266]end given further instructions,
[13267]Other information: -
[13269]ce
[13271]C.,
[13273]Chief, ajnin.. Branch
[13275]. | ; : _ “tex Sincerely aura, =
[13277]AVAILABILITY STATEMENT
[13279]g PY ora Avaiistle and wish to be considered for the position T.. ibed above, Ecan report fev durty within AO
[13281]days after notification, Tam now employed by -, iH a .
[13282]yet. Lorie... red 7 a 727/n
[13284]dene mee nem en ncenercanearvmareasneennsnsceanne. ae AS
[13285]; Y OD t do sat wish wo be Sonsidered for thé positian described above. 7 am “giving my reasams on the other side of
[13287]thie form.
[13288]i (0 I request that my name be removed from the active list of eligibies until I report that [ am aeniinble for appointment.
[13289]z Gr Cuasides me available for other appointments, subject to the foilowing conditions:
[13290]F| The position must pag at tcaat $. oe, QB... per 2287 NN cece Cleary raqarck. fay. oF hour).
[13291]7 tn Washington, D.C; () Anywhere in the D. &: (] Queméc cae U.
[13293]-
[13294]1 om wilting to work:
[13296]J will eecept appointment in the following locations oniy:
[13298](24 no 13 months,
[13300]1 will a accept short: teem appointment fet: o i tod reeathe: oO3 3e to 66 manthe:
[13302]. 2 ;
[13304]Babe AI8Sb eee i RO ae
[13305]{iet8) ™ " : at 2)
[13308]14-0000
[13310]te
[13314]CER AOU hoe. eaters ene o
[13316]Saab ely heeds atte
[13318]eee BAR ALE 8
[13320]Sheat6, REA DAET ER MERA IS, “RR NR ELE 8
[13323]Pe ee 2 ee en
[13327]branoarD ror 78 ~\ 2D STATES CIVIL SERVICE COMMISSION
[13328]FEOr RAL RCWSONNEL CERTIFICATE OF MEDICAL EXAMINATION
[13330]MANUAL CHATTER Ml
[13332](Applicant must supply information below to heavy line)
[13333]- Oypewrite, of Print ia Tak)
[13335]1. Ma, * (rast KAME) (MIDALL RITIAL) = QASTD
[13336]Ma Ula rlotte Lh. Sehrun;
[13337]PAVORISS TS Tis OF Foshan
[13339]gan lie ut. rUulu, Ayton J, Vue Statistioul Draftsman’.
[13341]TFARTMENT OF buRt ay Ty WHICH YOU ARE T Oe tai
[13343]ice o hh ecre
[13345]Interior - cries of boos raph
[13347]0. ARE YOU NOW LNPLOYLD IN THE POSITION SHOWN Itt iTUM 5? [1] YES [NO
[13350]8. A) RAVE VOU ANY PHYSICAL DEFECT OR DISABILITY WHATSOEVERT ves hl NO. UF YOUR ANSWLA IS “YES,” GIVE DETAILS: i
[13352]Rashington, De Ce
[13353]TF YOUR ANSWER IS “YES” GIVE THE CATE OF YOUR ORIGINAL APPOINTMENT TO 00+ .
[13355]. 1
[13357](%) OOES'THE VETERANS ADMINISTRATION RECOGNIZE SERVICE.CONNECTED DISABILITY AN YOUR CASE? oO Yes Q: No °
[13358](C) HAVE YOU EVER: nEcciveo' DISABILITY RETIREMENT FROM THE U S. CIVIL SERVICE COMMISSION? o VES | - to, 7 Tg a
[13360]Sign your name in INK as it. eppeare aan appli-] SIGNATURE OF eee - ee _
[13361]edition In: the nce of the physician .
[13362]x. - Loe a
[13364]of ‘identificatto
[13366]cation Placement Recard
[13367]‘Before beginning ihe examination refer to items 9 and 10'on the Health Qualification Placement Record eo that you
[13368]Sign beth this certificate
[13370]DOCTOR: All qhestione on both sides of iia, certificate and on the lower half of the attached Health Qu:
[13372]must be answered,
[13373]will have kiiowledge of the physical requircments of the position to which the applicant is to be appointed.
[13375]ond the Health Qualification Placement Record,
[13377]1 HEIGHT: FECT incuce WIGHT "se. POUNDS.
[13379]Levee >» a 7»
[13380]"Gy DISTANT VISION (GNELLEN): WITHOUT GLASSES: RIGHT/:+ LEFT 2° ¢ WITH GLASSES, IF WORM: RIGHT : 5 LEFTS.O
[13381](D) WHAT IS TE LONGEST AND SHORTEST DISTANCE AT WHICH THE FOLLOWING SPECIMEN OF JAEGER NO. 2 TYPE CAN BE READ BY THE APPLICANT? TEST -
[13383]LACH EVE SEPARATELY,
[13385]WITHOUT GLASSES: WITH GLASSES, IF USCD:
[13386]employes in tho Fedorol classified rervica.ot may be, roqurated . , “or - -
[13387]by tho CIs2t Service Cotminkalun of tte authorined reptracntative. Ze oN 28 ow
[13388]‘Ans anter wil supplement the Eeocutive Orders of Moy 20 ond R WN. TO so Ro IN. TO
[13389]Just 18, 190) (Evecuth 0 Order, Buptemter 4, 1924). , y- a.
[13390]: ‘ bot. in. Ton. LZ INTO IH, : .
[13391]RIGHT. nen nee LEFT. —-~ a
[13393]i! EVIGENCE OF DISEASE OR INJURY:
[13394]“(h) thy COLBR VISION: 1S COUOR VISION HORMAL WHEN ISHIHARA CR DERERCULOR PLACE, Test ¥5 USED? 7m YES Oo no
[13396]I NOY, CAN APHLICANT PASS LANTERN, YARN OR OTHER COMPARARLE TEST? Oy YFs ry NO
[13397]4, FAIC. (CONSIOER DENOMINATORS. INDICATED HERE AS NORMAL, RECORD AS NUMESATORS THE GREATEST DISTANCE HEARD) ORDINARY CONVERSATION:
[13399]RIGHT BARE EFT EAR del 2 EVIDENCE OF DISEASE OR INJURY: RIGHT EAR Zaanem. LEFT EAR Sh *
[13401]& MOUTH AND THROAT
[13403]% PARA WASAL SINUSES
[13405]7. GASTROINTESTINAL (A) HISTORY OF PEPTIC ULCER: () YES [x] MQ. IF "VES" IS ULCER: a pares Q QUIESCENT (2) neacep
[13407]; Hoy LONG? DATE OF LAST X-RAY, : ,
[13408]SYMPTOMS PRESENT, 1 ANY (Serecity, frequence. eta): a
[13409]TREATMENT (Use apeco under “Remarks” if cxedwd): .
[13413]Oe eee
[13415]@ HETABCLIC MISOHOLAS (NDICATE ANY ABRORMALSTY OF THE FOLLOAING GLANDS BY A CHECK 11 THE APPROPIUATE GON, ASD EXPLAIN UNDER “REMARRS“),
[13416]( nrrvroo {[] pancazas £7) perutrary (J ovarian
[13418]10—25804-2
[13420]14-0000
[13422]| 4 DEFORMITIES, ATROPHIES, AND OTHER ABNORMALITIES, DISEASE NOT INCLUDED ABOVE
[13424]a ) IF ORGANIC HEART DISEAGE 15 PRECANT, is ey Contr?
[13425]GD) SH ORGANIC HEART DSTASE PRESENT? §=[J ves [kK] no Cvs (xo
[13426]Dp PULEL RATE. 1o * mas
[13427]SITTING 2 ___ IMMEDIATELY AFTER EXERCISE (UNLESS CONTRAINDICATED) — i So
[13429]TWO MINUTES AFTER xt ACISE en CARDIAC RESCAVE
[13430]{GO00, FAIA, OR POOR)
[13431]10. LUNGS.
[13432]“Recut Peper err teen -
[13434]SRSTORY OF TUBERCULOSIS? Ov (KJ Na. UF “YES.” HOW LONG HAS THE DISTASE BEL ARRESTED?
[13436]OF THERE (5 HIT LORY OF TUBERCULOSIS. 1S ANY TYPE OF COLLAPSE THERAPY BONG RECLIVED AT present? ([] yes [[] MO. iF “VES.” GIVE FULL DETAILS
[13438]UNDER “REMARKS.” 1S MECACAL SUPLAVISION NECESSARY? [] Yes [] NO
[13439]OF X-RSY 1S MADE, GIVE REPORT UNDER "REMARKS."
[13440]WL HERMA: [J VES [R) NO. IF “YES,” NAME VARIETY: INGUINAL, VLNTRAL, FEMORAL, FOST-OPLRATIVE, ETC.
[13442]If PRESENT, 15 IT SUPPORTED BY A WELL-FITTING TRUSS? [] YES [7] NO
[13443]RR VARICOSE Vises: (T] YES ENO. UF “VES.” STATE LOCATION AND DUGREE “
[13445]ame memset tine ban eter en
[13447]12. FEET: 15 FLAT FOOT PRESENT? [] YES [09 NO. AF “YES.” STATE DEGREE OF IMPAIRMENT OF FUNCTION GRE GAT MODERATE SERED
[13449]Fone ~
[13451]18. SCARS OF SERIOUS IRJURY OR DISEASE «_
[13453]—_ 7 ? G-120 el x .
[13454]18, NERVOUS SYSTEM: (A) INCLUDE SYMPTOMS ANO FULL HISTORY OF ANY MENTAL, NERVOUS, OR EMOTIONAL ABNORMALITY (U3E ADDITIONAL SHEETS IF NECES-
[13456]sO prorie .
[13458]GD HAS APPLECANTT EVER BEEN HOSPITALIZED OR TREATED FOR A MENTAL ILLNESS? Cves io
[13459]£6) WHERE QLAME AND LOCATION OF HOSPITAL:
[13461]® pareor DATES OF HOSPITALIZATION:
[13463]© DESCRIBE ANY RESIDUALS OF PREVIOUS MENTAL OR NERVOUS ILLNESS; : . .
[13465]COR ORD MARYS BELG
[13466]ONG ARL MALL, Civ OLTAILS UNDER “REMARKS,”
[13468]Huis? [J yis [Kp so. IF SO, GIVE DETAILS
[13470](FY ART MITTORY CF EPILIE TY O9 FAIK
[13471]PAGLOGY OR OTHER LARD PATORY | CASINAT
[13473]17. ENVIDUHLE Of% HieOR f OF VEnLFEAL CIODLASE IF BLOOD St
[13475]Ai Oke . :
[13477]NAME TYFLD OR FHUIXTED DATE
[13479]i
[13480]|
[13482]1
[13484]j
[13486]18, URINALYSIS UF INDICATED):
[13489]| CASTS BLOOD AAG ~ ~
[13490]i ] HAVE FOUND THE FPHUCANT ABRORMAL UNDER THE FOLLOWING HEADINGS:
[13492]Po
[13494]: 7
[13496]| |
[13497]| -
[13498]H REMADE: :
[13499]H _ £ -
[13501]i Loos phegastol sense’ Letet Novena’ BERLE of : thease
[13503]j eee
[13509]19 SIGNATUPS OF PHISICIAM OR EXAMINER ~
[13511]Albert F, Kuhl, M.D, | 2/8/52
[13513]at 00 YR a F . ot 3 Ton
[13514]FON TipgECtAAL CisiehArion) Chives i} xo
[13516]x ' Niattal
[13518]9. ADGHLSS OF ERAMINING Prvcaciall (Ty ped ar painted)
[13520]: 916 Harries Bidg, Dayton 2, Ohio
[13522]fj fou. tows
[13525]14-0000
[13527]a Mom dna att de pane
[13531]bate aed
[13533]seme Se
[13535]Ane tere cones Nn wet tema SAAN gah hatte Adin dtnabinednen AE ms Vtivedl nes sm
[13537]7 . a Coe a Se
[13541]okey am
[13543]\ HEALTH QUALIFICATION PLACEMENT RECORD
[13545](This section fs comparable to Standard Form 90 promulgated March 1945 dy Burcau of the Budget Circular A-24)
[13547]Quast)
[13549](MzaT MANE)
[13550]ess SUNG
[13552]Qa bald at
[13553]MRS Gis Pautte Tt
[13555]& TLECF RONTION
[13556]Statistical Draftsman
[13557]7 LOCATION
[13561]Stu ate GUraucnu, wey TOR go,
[13563]& DEPARTMENT OR BUR: HICH YQU 10 Le. tary
[13564]CENCE EP pr reeerae
[13566]InterSor = vision of Geo Tashington, De Cy
[13567]@& ARE VOU NOW LMPLOYED IN THE POSITION Ee eae 3 YS tw, UF YOUR ANSAER 53° YL" GIVE THE DATE OF YOUR ORIGINAL APPOINTMENT TO
[13569]THIS POSITION: .
[13571]TO BE COMPLETED BY APPOINTING OFFICER: Sechoas 9 and 10
[13573]Uy BRIE OUTUNE OF WHAT WORKLE DOES (h PHYSICAL OLMANDE OF THE POSITION
[13574]eet dows in brief and sicnpte terme what the employee | In Section 10 below eocircie the fumber of those factora which are qasential to
[13575]biolives oa tha nctons eavironmental details sch og steire to climb, dataoce | the dutice of the rexition fur which thie epplicant le belng considered, The biank
[13576]to rest-roo ties, cafeteria, wosk-shitt, etc, (Vee Sectiun # below.) tpaces may de uae foe epecial facture not Hated.
[13578]& TITLE OF POSITION AND CUTUAE OF WHAT WORKER DOCS 1M TH13 PUZITION (eidtien nt of dictionery of orvupefsoedl (fica €s Guide, 0s epplicasia)
[13580].
[13582]Statistical Draftsman - To assist in the performnce of drafting, lettering
[13583]and incidental statistical clerical work in the preparation and revision
[13585]of index zaps, showing the location of approved and disapproved nazes and
[13586]the extent of features to which nanes apply; charts, graphs and other
[13587]illustrative materials in connection with the functions of the Research
[13589]Branch.and for administrative purposes. .
[13591]aos WA TART TE nd 1S
[13593]relating ta physival re qa reruents act encircled o# nct covers! by this focus, Inticate
[13594]theee under “Remarta on Ue teverse suie. Whenever PAI TIAL capacity has
[13595]heen Indleated, eapioa uadee “Remarks,” giving epee quant ting
[13597]TO SE COMPLETED 87 EXAMINING FAYSICI
[13599]INSTRUCTIONS The lees as led ‘I Beta indicate the pliydent repurements of
[13600]the pee ton for wh thie bet vidual ;
[13602]PAY GSA capaitice for thie peartic +
[13603]eppeenis the aunibersencemte Er
[13605]PHYSICAL aan
[13607]ES
[13609]as — Ervin mcnTat FACTORS
[13612]+ CUESITE ~ Ey 18 vee] AROUD MACUNTRY win NQATND Pears
[13614]28 Benet OA ETS 2
[13616]3 CUTDIDE AND INSIDE
[13618]DCVCESsIvE tal == [cB WORKING CN LADDERS BF SCUTOLOING
[13619]a& EXCSSS7 Cro cis WOUND BPLOW GROUE
[13620]TEE UMSUAL FATIg“uS FACTOAS (Spee¥y)
[13622]VF HGMINTY
[13624]ORR WITH MARDS IY MATER
[13626]PLC ES
[13628]oh VIGAATION
[13630]Dh WORRIT CLOSELY OTH OTR
[13632]2B cues rant Nome
[13634]wr rat
[13636]mh ProTUcrdD 0 On TRROgLAAA word OF noe K
[13638]Wn Erica FACTURI {Sper at
[13641]14-0000
[13643]a
[13644]: ae, PN
[13646]Benin. seautte comarssten Ab. awwATION FOR FEDERAL EMPLOYME...
[13648]US CIVIL SOR VICE COMMESS HOM
[13649]INSTEUCTIONS In tader tu trevent deloy in ronsnieretion youre appl. the atmremen card Faas, Aieposition of thie application.
[13650]cath, anewes every Questia tn tee form clearly and compictely, Type fot an UNWEITTER eeaminstion, me thie nvlic ative
[13652]rent in INK Fee orev a ayeriie United States Greil Service inthe annvumsement Re eure to mail tot
[13653]tired by the ennnumement. Notify the office eH onc
[13655]ton, read the esamene' munrement ¢
[13656]eI you are tying Cr rs WRITTEN oper met any change ot yout wAde
[13658]Kab OF TXAM INATNA A RIND OF PUSITION APPLIED
[13659]OO MOT WRITE IM THIS BLOCK
[13661]“pbs tpl LL EGE j Dpiht apege _+ et Uso oh Ch Service Comainsicn Only -
[13663]NAT OF TaN UERT oO TON (City and State! DATE OF Thad APPLICATION
[13664]Ye chipe Le a Fef RTE
[13665]ee. wet hame, Ward > eny,
[13667]mss acfoth a Loe ls é cf, L Ciel al
[13668]it Cher fern cn 5. wumpen ( 4, BY
[13669]APPROVED: . :
[13670]pen Jee “Gite rr aens BS gig ele wai A ortiom onan a mares. | avon,
[13671]‘ Da OH. Ohio ‘ oT -
[13672]—] 5 Rolie BE RAME (State) 0 WA OFFICK PHONE | «Oy MOUL Prom G. th dbd. coasene
[13673]; “
[13674]oo hio secant cneanseee ecko fn ENC) poy nese
[13675]| VATE OF wats  Gaonthe lay, year) o. waapen, 29 2h _ "
[13676]; anata | ssesansereaveacncece| enearesee|eeeerencee OF Posease-
[13677]—_ pri PLACE OF ag fa fahy and’ & honmn feta, outside U 4, name city and country) oO nt
[13678]aL Day. Ob rai Ohio __ : - - : org, .
[13679]wey. GP heat wirwouy SHOES: WRIGHT, ~ peorecsnrenneenscereceevcereree|esrescoreel J INVES. | sonmnnny
[13680]Ar a A nk, Oe en nn nn Se
[13681]16 Gy RAVE YOU EVER OTL EMPLOYED OY THE FELTHAL GOVRANUENTT oO ves no . eter ;
[13682]pate
[13684](If SO, Give LAST GRADE AND DATE OF LAST CHANGE Ih GRADE
[13685]$18 5
[13687](Or CHECK IF YOU WILL ACCEPT AFFRONT MEST, LF OFFERED:
[13688](Hm wastinaron, 0.¢.  C) asrwnice in rHe caren scares
[13690]1S wo war! 19 THE LOWEST EATRAMCE SALARY YOU Witt ACCEPT § n
[13692]PER YI
[13693]tou ‘wali not be considered fos any position with @ lower entrance
[13695]1D) CHECK IF YOU WILL ACCEPT O07 TERM APPOINTMENT IF OFFEAED, FOR QO OUTTIOE THE UNITE STATES
[13696](31103 wonres (5 16 ¢ counts D6 10 12 monies HRD AF YOU WILL, ACCKET APPOMNTMEMT 1M C7THIN LOCATIONS OMLY, GIVE ACCEPTARLL
[13698]NOTE. Acceptince of refusal of a bene orary ahatttse ms apmnatinent
[13699]will not atest puus opputunsty (a oblacn @ probational oppuntiavend
[13701]60) IF You ARE WILLING To TRA SEL, SHEE
[13702]_ he] SE CAD AL
[13706]OC cousr, TABTLY eel
[13707]ere a a th pene
[13709]4 Exrenirnce It ie unpestant toe yoru ts furuuh ell, all information requested fetigous, stvle, waltare, OF ofgaditellceat wnvity whith you hove performed,
[13710]below in auihoent detail to guatde the Cork fells ‘@ Commisiug and the either, fe witliout cunipensation, abewing the umber cf lanes per week
[13711]appointing otters of agence wr ghee you full credit in determining your and ie iy whith vita were engaged Ja auch acttvily, MUjtasy
[13712]Queliications. Use im orporate bine ach beatin. Star ye q your Snyectlenre ayes Letdeeribed 19 the spaces below in ite propes ecquence,+
[13714]ent position ond work bere, a4 chew principal taike white , ed
[13715]Pee performed in euch pontine, acciousitissg fot af! penods of unemployment, ata {ro siren Spiiteved im any pom sal unter ry bre, (itferent tessa
[13716]ogo which 16 Gol pertnent ty the work irk” for exh porition, the nane pend,
[13718]snared in one of mere of the blucks,
[13719]use (oy Af pou have never bern srophived of ose now unemployed, indicate
[13721]CY ae space provided belew for “Prestat Hestian.~
[13723]: h you are appiying mas
[13724]MM your dutica changed muatanaiizy ertnie wasting tor the some employes,
[13725]You may coclile any pertincrt that act
[13727]a wpaaste Dhak to describe ear fi poerven.
[13728]PRESENT POSITION ’
[13729]“DANS OF UML EAT Cicntns ready STILE Uv Your FaesenT ouTON ELAS VeaaGe OF] SHAR C# EARNIAGS,
[13730]| in Federal Sarvice) 2 pa
[13733]FROM tO POESENT The
[13735]~ Ser Sora eartatbor a = a
[13736]PLACE GF EMPLOYYEN! (arty ead Stato}
[13739]Wud ANS Tite GF
[13741]“Raut ang AG BF ERIN (Ame, orkanasetion, Of peeron, if Pedecal, | KiNG OF DAINISS Ol CAGANIEATICN (a @) whalee
[13742]name dopar(mont, Duseau Us assablatoant, and divison) manulacture ut loose, ato)
[13744]aulh, snsarence egencp,
[13746]> “TRAGOA TOM MGSINS 10 Craned CAe Mea
[13748]BWUMEER ARD WIND CF EWALS VES Bn esa BF FOU
[13750]Baer OF pov KSAT
[13752](CONTINUED ON MENT PAN?
[13754]14-0000
[13756]z
[13757]2
[13759]eae te OF HAY
[13765]ie me Faden aestemen oN
[13769]7h CONTINUED
[13770]@ DATES OF UNOI SENT (me enil, pene) “RR ing oF 02 SE a TOW GRADE ROS UA ARG
[13771]yp | | (len Federal pervece)! creations § pen
[13773]reli ten expt ee |
[13776]net ow BMGs en x Nie aN Sea We THN OIATE SCP IECR
[13778]ye s Y
[13779]oh for ue ‘oN é Oe, SS & ) f o
[13780]Met Dey tee EASES Give san ike 9 ere Cocpuinee: “coal fO (ae. adele ies Anis...
[13781]mane, ane irreron) Reanutacture uf Awas, ote.)
[13783]Iva chechnieé
[13785]Ja R .
[13786]_ ans 6a re ASEHen gs- Dayton, “ASN mn EE.
[13787]a
[13789]oe char bo. -
[13791]seb ne een ene eden ce canted anneseenmassannnvecm ens]
[13793]DATES OF LAFLOYREAT Conunth GAACT TITLE OF TO. ARO CLASSIFICATION GRADE SALARY OR EARNINGS: © -
[13794]\ Ulin Fadoraleervice}! syantina gs Ct
[13795]. PN og van
[13797]RAW RNS TITLE OF IMMECIATE SUPERVISOR
[13799]me iene, us Bsr
[13801]Phia._.. Ei qidaire_| mF ATEN To G re NERDS TET Tnsavaoe adem
[13803]“WANE ayer OF TMA OT (nem, ofdan a, OF qiss
[13804]‘nate department, Bureau or estabimamont, and division) aeanutectuce of dicks, are.)
[13806]Frieideire _- Payton -O, | menu factuce of Frigidabras
[13808]NUNURITAND KIND OF EMPLOTIL SEG ber vou REASON FOR LAIN
[13810]16 Ss Betta mto acheal_—__——
[13812]“DESCRIFTION NF PNA WORK
[13814]serleed
[13815]warlee
[13817]te Ry iran ae
[13819]Ke GATES OF LMALOTAINY Granian, year. TXACT TILE Ge TOUA
[13822]veg instation, af person, Wt Festet ah ee aS <5 OR QIGAMGATICN (> gf, Whaleas’s oh, tnburance agency,
[13825]“game “Uopattmont. bureauor establishment, amd Crenand soatatartuse of fowaa, ofc )
[13827]Thay ITA TION GRADE Saad Se EARNL
[13828]Gti Fodoralsorviea)| szasting § ea
[13829]FNL t mA
[13831]Sf NUTRATE surFaVigdA |
[13833]BSXCRF IR OF WOR WORK
[13835]L
[13838]14-0000
[13842]_ - An. VU 233. MAY E58
[13844]2601-10 Mex, HW.
[13846]Vw Corr, ba !
[13848]us PD !
[13849]MAY 10 i959 "- 0 2. :
[13850]ape °
[13852]fa. fo 3 . .
[13854]nm oe _
[13855]on ep: ee “Sedias Cty - “. . ;
[13856]EAA RE OLY, are ae. coat Ca te .
[13859]a saremen rl elaa rte
[13861]. i ate,
[13862]i Hoary Cn ith. hiatdis «0 C30,
[13863]i 2. Mhawt. OR hen Jaen irae tae
[13864]i . Late Oo oe a ae aawrs - ponte. PA mee, ae
[13865]i wy eee c pl ee Sree hia apc aad
[13866]i ALi ata ree CE i 2 ete - Lt at ene Ad or
[13867]} nt EO ada TP iteey on Nseate a abet vent y
[13868]eet! el earths | ae
[13869]. CHE wee. ae wel oes “peti S
[13870]t eT OY ok.
[13871]PO Seer ~ a he, 7.42.
[13872]re Che CU hea Lovse + ot Lot ya.a) ea
[13874]af --.
[13876]f eae .
[13879]a ° but ate Tiitte Akt hualoten? vine!
[13881]“
[13882]Alba ez # PH" 2, a LEP. Aes
[13883]a .
[13884]PS ee ee oe a ey Smee a oe .
[13885]“ we
[13887]film tee Cele oe
[13888]7 ’
[13890]Be
[13894]14-0000
[13896]AE RAR ker sting oa
[13898]preere
[13900]ca heen ne wr ma UNOS ERIE PURO yan wt
[13902]v . . _— . ao .
[13903]: UN..tu STATES CIVIL SERVICE COMMISS:ON
[13904]r RATING SHEET—RATING PROCEDURE NO, III.
[13906](Handbook %-105)
[13908]d
[13910]NAME OF APPLICANT PREFERENCE APPLICATION NO, .
[13911]. (tor.
[13912]. +. .
[13913]id Ke 2. ? ! c
[13914]oS.
[13916]QUALIFYING EXPERIENCE
[13918]BASIC RATING
[13919]c Z| aopirionas points
[13921]a 7 f CARNED RATING
[13923]VETERANS PREFERENCE
[13925]VETERANS’ PREFERENCE
[13926]FINAL RATING : FINAL RATING
[13928]DOMINER DAT ‘Daminer
[13930]: : , of “3 yr
[13931]MB (ue SAB SO Roe |
[13933]J a ote
[13935]REVIEWER DATE REVIEWER DATE
[13936]| COMMENTS: _
[13938]Pou tion Te ~ TOSHIGN TITLE
[13940]ANNOUNCEMENT NO. ~— "QUALIFYING EXPERIENCE | ANNOUNCEMENT NO, ~
[13942]GRADE
[13943]BASIC RATING BASIE RATING” .
[13945]AGDITIONAL POINTS
[13949]ADDITIONAL POINTS:
[13951]FARRED RATING EARNED RATING ’
[13952]VETERANS PROFERENCE . VETERANS’ PREFERENCE
[13955]FIGAL RATING 7 FINAL RATING
[13959]BRET igo cae - SATE —.
[13961]COMMENTS
[13964]Mam treat cst ror 4909
[13965]meAY bE
[13968]14-0000
[13972]ne ERIM ranma @nete SOR Oo:
[13973]a
[13975]-
[13976]“&
[13978]ray 7
[13980]Bg deboot.
[13982]: Sete ehawc, ek Braering
[13987]et
[13989].
[13991]/ “C4
[13993]+. Z a Pagrmrtret,
[13996], A :
[13997]/ oot YF tnt Ha Lowe Portcis Be veks
[13998]72 : Cn =)
[13999]or ae eee OS AY
[14000]a eed kA GC
[14001]Y Co CAedt-12 Prton . hE er
[14002]io
[14004]3. koe f twenties a er
[14006]te ff, é eC
[14007]pe Kote / “nenttt, hoa Lopes eeory
[14009]14-0000
[14011]a
[14013]-_ ON
[14015]Bere cegeereet
[14016]wreau Rusber 6O-RU50)
[14018]Toem 18
[14020]Fetewary 196 ‘ UNIED STATES CIVIL SERVICE COMMISSION Dated
[14021]PROOF OF RESIDENCE |.
[14023]eaters bead on vedines deailanee in the LAote of Tort
[14024]fyprent in the ape aticnd detertnentsl wrvie tie
[14025]tek Father ber eubmit this bem, properly eaccuterd,
[14026]prdiccinte whe now held permanent foations in the opoutioned
[14027]wrete ue HW Am in the ubgeath nad eviee
[14029]Alsticotions for apgeintment be the ap pettionas deqortnental encvine mud be deem
[14030]tery ceria bre of bepet one your neal preceriites tha dite of make Thee of
[14031]Ritwereg quecime seat ta ne
[14033]lot Opieantinent in the aitertinad prrvice +
[14035]esth pout epdesation emp teeait In bees ud cmet!
[14036]deiattnenatal aorvine gra md tequlted ty hyve the Oiler « ('achieite of keeutene wtecutarl 16d eens
[14038]From.# ct 1%. 19. ee we Feb. 19,
[14039]Arnish) hi
[14041]reader Tan aay ie puch
[14042]My 8, of ote living
[14044]wud the oorory, Extent you ha Not revidet cunt 1 - Stu tory in which chris woul
[14045]4a farina pas ne Pieces eo te on Toon ain wich yes berysh on piesg
[14046]a iH
[14048]age, {ul in the ‘bain Honke
[14049], guardian oy Lewgth of euch tesitunce
[14051]CHE OF OWN occ. ceeecserrscrnssvceresscegracoansce
[14053]State he a soiee in thai Sealed Gee “MS From. snee ih eaae 10% ones aggcases <Page
[14055]CONT cernessnenscerces BOW nenencrorernsorsene
[14057]age We emer ngecsoeoe
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[14061]From... ats pereee MY.
[14062]ard)
[14064]County veer enensecscnssmseeanncenancetemaasannss
[14066]Mashar
[14068]are a morriad women, th in the fullswing _
[14071]PoMeecenieneg ieee Wares WO resect renene ~
[14072]diaiaae 3) tit Wena Cri
[14074]* HONG oe eaten n reese geet ger eerngeneeceea es eeerer
[14075]Ia he a voter in thai Shute" ¥en” GAs
[14077]Frit .esen sa seeee 3D.
[14078](Month)
[14082]IURAT (OR OATH)
[14084]Waters “try medi Meth adeniningte ot Aor Aber Qulbortsed ws odin: ie
[14086]This feret for sath) must ba ovacuted bafara anv tary pubs tha ror etery ota Uiiteg 2
[14087]fer outle fer youre ga ye eo before wher the applicant nual upeue $0 pereon.
[14089]ertyce L DO SOLEMNLY Siu Ae Oi AFFIRM) uot the stutemeuts made by ine in anewss 9 9 trojoueg quoctiens are tull ar true to the best do my
[14091]Lata
[14092]Signature of on! Ne teres. Chadabd Lie 6: & ws
[14094]Voth
[14097]“ad if tparried, ure
[14101]ony .
[14103]ope nettttingy ws tee the be mupauenete
[14104]oper d hme LP OBI crermenesen bocce vere Ord
[14106]. MEYCAR aed et Vege 1. .
[14107]- SeclaND, aye
[14108]“wy CORI CLEIRTS Maal Eh,
[14110]OFFICER'S CERTIFICATE OF RESIDENCE
[14111]Saatructlone —-if the applicants clint ts i meee! om legal . we orrdaty publie, counts, turiciial ot police arsant cterk,
[14112]mayor, fuancs of (he peace, oF uthee oMiees in lg county Geary in Mate ee the app eT sad on voting fesstemner alone, thw y
[14113]must be erecutad hy te pe petrar of soters of cher dic tha Deir of Bley tune ® aighaal prdect and othasr in the cr of
[14114]ehainiod G9 the apes hon) the cothhonta must tae bia official seal, stud therent, corthosnen of tte Abel Shot nuter by lho ptoper uiwer utnt otfietal seal.
[14115]The applicant ls not required 19 aoppens in person before the officer who osecutas this certeflecte, bot the othoog should sutiaty tuseait irom crekote and
[14117]competent ovtcnce as ty hicts to which be cartes,
[14119]La....NoLa a
[14120]eet anger
[14122]do hereby rertly that .
[14124]te now ae Legal:
[14127]Dated at anh. Garrollton.
[14129][OFFICIAL SEALE
[14131]_ of the ounty dt . hONLBOMALY......... ard taste 9 Terntcey) of QUA eee -
[14132]seas + Le. Zahrui eeeecee, the Opphoant whe ecamts 10 0070 entation with @ civil cervics examueraton,
[14133]Meee Tee ade: act LT as hve t tot .
[14135]omen rot eral hecnyd . MOM EZOMECY, veeeedeeneeeese - and Slate les Terntory)
[14137]Pex Leto
[14138]) :
[14139]nt hoa bean soc ruttent for Bs months fast preceding tha date here
[14141]. coun ot. Montgomery.
[14142]aaweeserceusenmarewcsscsecers BIS .wSth. day ot.
[14144]My comminaion exires July-Ig=rg5e" 3 sgl i Y for arenes sre
[14146]PS esanuse os conection te mate tn He “Ollicer’s Cart. tents,” casniteation tual be mode on margin bythe alten |
[14148]Tha OF ficial seal misat not be omitted,
[14149]whe ertcutes the certiiivate, showing such casection.
[14151]8. Rospanmant raynriye rece 16-—T8-T
[14153]1400000
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[14214]EARNINGS BEFCRE.A
[14216]WEEKLY
[14218]Z FOR. COST OF
[14222]INDEX OF
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[14417]Freguenty Dstibution of BalTing Records of 157
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[14559]of. Amerivin en, Hen! Leaguts + 157 Negus te CYTE.
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[14638]Ul in Federale vo) | aianting § wn
[14639]toma, an
[14641]hac, THe OF YOUN AUS TO
[14643]ft ni we *
[14644]| RAME AND TLE OF IM UTAATE wPVLON
[14646]cay an ana
[14647]OVER (Beet, re fan
[14648]Pace departnent, busesu of eal sbireher
[14650]penn. if Federal,
[14651]reseron)
[14653]RIND OF BUSINESS U2 CT AISTATION Ce @ “wholocate afta, Invurence a honoy,
[14654]manulavtura of hehe, ote)
[14656]NUMDER ABD KINO ore TMPLOVERS Burt Avisel OF vou
[14658]TASCRIPTION OF YOUR WORK
[14660]50 mane epere ve Hite aed use @ continuation sheet (Btomted Porm No, s) or @ ebeet of peper the some mse as this page, Write on cach shest yous nese, moe .
[14661]eddrese, date nbbirth, and examination title, Attach to insite of this applitation. . .
[14662]i 07, UlestADy THAIMING Im the ejace helew, deartile any training rerewal in of treining toveived, each et houre eek, Detailed informatwan sogesd-
[14663]the Armed ervices (nut already heted under lem 16) that would assist ing any special sevvier wterde you attended ts tmpertasst, o
[14664]ng yo must efter tively, Bovtne : one)
[14665]ULCATION
[14666]pesevanreraseorasvconacs sss] esd eee cuesessneuntanenana nea teeesesesssareneee seen essnaerenasatsuna Sage rarcees saenenmacaesnneronmaane en :
[14667]i . ; WISHIne Settenes seen tacantnennnasasennenenueeinecanaetane siueenscausnaneenee nae
[14668]- careeweenssacse|socnssssmanccees|sacraroscsesercarserccasacascranse a+] aessesaageerncae sens ceeasarracassctsecsasconsarsseneebean bees teat as nitetenetanseeransucareneonnsnsencs cel ,
[14670]2 ‘ EOuCATOn (Cucle highvat grade curmpdaled}: (A) GIVE KAME ANU LOCATION GF LAL I BSGH SCHOOL ATENUED: .
[14671]vi 9 Fb 6 F 8 7 6 8 BH WR
[14672]i MARKO) THE APPOOPRIATE BOX.TO IMLICATE SATISO ACTER COMPLETION OF | (a) SUBIECTS STUDIED IN HIGH ECHL WICH APFLY TO PORTION DLIRED ~
[14673]i (reese ROC [Shanice we Hie! a beciaasedll CY awe Pi OOS .
[14674]i Snemmcmaanstt pens eames ne attra A Se Sen lr SRN NNN ee ttt ent oe &
[14675]> MAK { PATS ATTYNDED {bars Compterip ceanres COMFERRED MEE
[14676]A © fuue AMO LUCATION OF COLLEGE OR Un reRrati r Ann eee | atatespamaer ueperrareahl ng ey, ’
[14677]‘ Posrrnuaury | rv } 10 Peas tf oiene tb cere
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[14689]TRE AG TH ARM YD POSSE eSTOGEL Oates wets aiid beer abil
[14690]of sched OA 1 LIC CR TAINS 58 PUiLc OF PR ATE Cito eMd ne
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[14716]VAC AVES = I~no -tetreatian
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[14722]OF LICENCE ARO STATES .
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[14742]Ae PRreATY Nites aE BORO FIR EO ILES Tenn PP yemetenng
[14744]Loney
[14747]14-0000
[14749]Litt heme teres fiving in the Unitet States on Territories of the Urted Biates who are NOT related tr vou and wha have definite mnerwiedge of
[14750]Di not repeat names of supersisces hited under Hem 16 (EX PR RIENCE).
[14753]Jet Gan SN eCoes aml Ataeee far The position foe whch you are eppinng
[14755]- ~rolamane - | (Gere comple Gj otroet and aymber) | OF 2"T Ss OM OCCUPATION _
[14757]Mc Hacey..Schioacta > Remracy A
[14759]An x sa TheedesiaClonan. | Caxzanovi. en | EL CE © Sid SR
[14761]ine _erbert Hauldeonent. Hh lian bn: ; “be
[14762]38 apr you an W OFFICIAL OR EMFLOXLL OF ANY STATE Teemitowr county. | |
[14764]waMcaTE “VES™ GR “RO ANSALA OF PLACING TE" IN PROPER COLUMN
[14765]Nee eee
[14766]OR MUNICIPALITY? ........ sao grntmmenene cae ”
[14767]ive dotaiia in item 39
[14769]Uf your onewer fo ¥e:
[14771]6 DOS THE UNITED STATES GOVERNMENT EMPLOY IM & CITLIEN CAPACITY
[14772]ANY RULATIVE OF YOURS (AY P1000 OR MARAAGE) WITH WHOM TU LIVE
[14773]OF HAVE LIVED WIT WIN [HE PAST 26 MONTHS? . ae ae
[14774]Hf your anewer ta Yea” adow in Item such
[14776]ve (i) full name; (2) preaent add: Gg tonehip; ”
[14777]rement or Afeoncy dy which omploy Land (5) ken’ -
[14779]ni men
[14781]SPECIAL INSTRUCTIONS FOR CLAIMING VETERAN PREFERENCE
[14783]A. If you are claiming preference os » PEACE TIME VETEMAN who has
[14784]bern awarded @ campaign badge ee, fe service tibhon, of as #@ DISABLED VET.
[14785]ERAN, of as the WI rx OF A DISANLED VETERAN, re 96 te WIDOW OF
[14786]A_WAR OR CAMPAION VETERAN: | piteck Veteran Preference Claim,
[14788]CSC Form 14, together wii Pa Mtead 4 therein.
[14789]8. If you are a WAR. rein RUE: AN mot claiming 4tsatdlity fex ence,
[14790]ww, ‘should NOT eubmit your diecharge with this eprtication, Preference will
[14791]bail
[14793]tative! wel. credited to you and if anponted, you will be fequited ' ‘to subenit
[14795]to the iting officer prior to. '¥ of duty, offic:
[14796]hon from active service in the armed forces of the United Bestes in iene ol om
[14798]TS war y.cey Be wane OF VOUA PALSENT Ruryorme eraanorys vou
[14799]CuAGIOT © SeaUCATIONS FICE we er
[14801]B pan YA & CITIZEN OF O8 DO YOU OWE ALLEGIANCE me TRE UNITE
[14803]UD_AsE ve oe 08 Mave You eve BEN, A Bee ek OF THE COMMUIOST
[14804]PARTY i SR OM ANY COMM UMIDT DRGANIZATIOND ws
[14806]2B ART KK Ee Cat OU EVER DEEN. A MEMBER OF A FASCIST ORGAN.
[14807]lute eee s
[14809]29 ARE YOK Wa OR HAVE VOU EVER BTEN A MEMSER OF ANY ORGANIZATION,
[14810]ASSOOATOR WUE MENT GAGUP ON COMBINATION OF PERWONS WHICH AD-
[14811]VOCATES "SE OCS SU OF CK CONSTITUTIONAL FORM OF GOVIRNMONT,
[14812]OR OF BR OCDANLIATION ASSOCIATION MOVEMENT GROUP OR COMBINATION
[14813]OF PES OstCt HAS ADOPTED A POLICY OF ADYOGATING OR APPROVING
[14814]TNE COW SESS OF ACTS OF FORCE OR VIOLENCE TO ONY OTHER PERSONS
[14815]THEIR RIS* TS. ROLE THE CONSTITUTION OF THE. UNITED STATES OR OF SEEK.
[14816]ING TO ALTTR Pel FORM OF GOVERNMENT OF THE UNITED STATES BY UNCON.
[14817]BTITLTIONG, WEANE?
[14819]Tyo: answer to gu
[14820]in trem SX tse naines of ali auch organisations,
[14824]27 (AD WERE YOU EVER IN THE UNITED STATES
[14825]"DURING TIME OF WART Wc.
[14827]ILITARY OR MAYAL SERVICE [F ”
[14829]membersa Gir
[14830]pati iiedshec thie ve “octlvis AD 1$ THE WORD “HONORABLE” OR THE WORD “SATISFACTCAY” UTED
[14831]- IN YOUR DISCHARGE OR SEPARATION PAPTRS TO SitOW THE T¢Pt GF YOUR |
[14832]WD SHOT WUT RIATHOAY HAVE YOU FVER BLOM ARRESTED INDICTEO DISCHAPSGE OF SEPARATIONE 2... ee cece cece _
[14833]OR Samm ND COURT AS A DEPENDANT IN 4 CRIMINAL PROCEEDING 40) WAS WAVICE PEAFORMED ON AN eres Fuu TiME BAST wre han! }
[14834]OR CORNICE MINED CR UIMPRIVONED OR PLACID OW PROBATION OF HAVE MILITARY PAY 4NO ALLOWANCES? . 1
[14835]YOU ANTR SAN CROERED TO DEPOT BAIL OR COLLATERAL FOR THE VIOLA (Oi | GATE OF ENTAY OF ENTRIES INTO SLAVICE | OATA OF SEPABATIO€ Of Ti PARATICNS
[14837]TION OF AND Law ACLICE RIGULATION OM ORDINANCE (CXCLUCING MINOR
[14838]TRAFFIC URLALIONS FOR WHICH A PINE OR FORFEITURE UF $25 OR LESS WAS
[14839]IMAOSE OT . anseetezense
[14841]it your, snoeer ) 0.’ fiat all auch oases under lism 39
[14842]below Gave in cach caen (1) the date; (2) tho nature of the
[14843]ofenas oe vecietron, (J) the name and location of the court:
[14844](4) (he peas ty umpoacd, if any, of other diapo:
[14845]case if apswnted. your fingerprinte wilt be Faken.
[14847]AY HAVE YON, UL S PREM OSC NARUTO OF FORCED TO RESIGN, FCA ASCON-
[14848]DUCT OR UNSUPSTACTORY SEAVICE FROM ANY POSITION) ..
[14849]If your gnawer is “¥oa,"" give in [tam 39 the name and
[14851]BRANCH OF SERVICE (Army, Navy, | SERIAL NO (Cif none, r
[14852]Marino Corpse, Coast Guard, eto ) rating af tims of separation).
[14854]33 1A) JF YOU SCAVED IN THE UNITED STATES MILITARY Of MASSE OP ICE
[14855]DURING PRACETIME ONLY 9,0 YOu PARTICIPATE (NA CAYPAIGN CA EXELL
[14856]TIUM ANG RECTIVE A CAMPAIGN BADGE CA SEAVICE AIDBONT os
[14858]ans of explorer, date, ond reasun in each cane i
[14859]odareat ~ iB: ARE YOU A CISARLED VETERAND... crcoveee | ell
[14860]32 ALS WAS NER RELY BARRED BY THT U 3 CIVIL SERVICE COMMISSION if 00, and yau hava not hated y disability in answer ta || -—|
[14861]Pros Tass Fe JONG OR ACCEPTING CIVIL SERVICE APPOINTMENTS! . ftem 33, explain in teas 3? Lelow ty
[14863]1 your anoces ty Ul Yee.’ aive dares of and reasons for {> ARE YOU A VETERAN $ WIDOW WHO HAS NOT APMARRESD, rene cous Hl
[14865]se ftom 3?
[14868]VRAD AS ase MeeTIC HL MaNCA Ht Gt on OTHER oisaRtuire |
[14869]Bley Sas. aa PLY Mace tites BU EO mR
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