[1]AGENCY
[3]RECORD NUMBER
[4]RECORDS SERIES
[5]AGENCY FILE NUMBER
[7]ORIGINATOR
[8]FROM
[10]TO
[12]TITLE
[14]DATE
[16]PAGES
[17]SUBJECTS
[19]DOCUMENT TYPE
[20]CLASSIFICATION
[21]RESTRICTIONS
[22]CURRENT STATUS
[24]DATE OF LAST REVIEW
[25]OPENING CRITERIA
[26]COMMENTS
[28]JFK ASSASSINATION SYSTEM
[30]IDENTIFICATION FORM
[31]AGENCY INFORMATION
[33]INSCOM/CSF
[34]194-10004-10406
[36]DOD-AFFILIATED PERSONNEL INCIDENT
[38]PAGE 74
[40]DOCUMENT INFORMATION
[41]USA
[42]CG, FT JACKSON sc
[43][ RESTRICTED ]
[44]06/05/68
[45]MARTI, MANUEL
[46]RESIDENCES
[47]EMPLOYMENT
[48]CIVILIAN SCHOOL
[49]FBI INVESTIGATIVE FILES CHECK
[50]RELATIVES
[51]PAPER, TEXTUAL DOCUMENT
[52]UNCLASSIFIED
[53]3
[55]RELEASED WITH DELETIONS
[56]03/07/95
[58]O
[60]Date : 01/14/98
[61]Page : 1
[63]INCLOSURES NOT INCLUDED. PAGE 74 REGRADED UNCLASSIFIED
[64]WHEN SEPARATED FROM CLASSIFIED INCLOSURES.
[66]NW 88613 Docid:345292277 Page 1
[68]|
[70]: ron tA ll
[72]-
[74]: a DEPART MENS or SEF ENSe (art -
[75]c Ac>NATIONAL AGENCY CHECK REQUEST 0-9 - >
[77]1. LAST NAME> FIRST NAME - MIDOLE NAg pie een
[79]BEQUEST DATE
[81]AYO
[82]“JUN 1968 ~
[84]Bs
[86]MARTI, -Manuel «a
[88]3. ALIAS(ES) AND ALL,FORMER NAME(S)
[90]None
[91]6. PLACE OF BIRTH
[93]» San Juan, PLR.
[95]SECURITY NUMBER
[97]693-36-4601
[99]7. SERVICE NUMBER !
[100]{352773870 |
[102]SECURITY PROGRAM } \
[104]Ue
[106]Pi |
[107]in &
[109]Log] mititary
[111][J crvivian
[113]RESULTS ATIN«: AJIGE os (1) tnoustriat
[114]"TO: ft, GACKSON,, B.0. 29207 |
[116]} (Include ZIP
[118]Code) |
[120]| LOCAL FILES CHECKED
[121]WITH FAVORABLE RESULTS
[123]Cc. INITIATOR OF REQUEST
[125]O3/0 |
[126]a. FATHER 10Aug10 1201 University Ave. |
[127]MARTI, Manuel Utaado, P.R. Bronx, NY US |
[128]b. MOTHER (Full Maiden Name) 6Janl5 ~~
[129]BADILLO, REYES San Juan, P.R. Deceased US |
[130]@ SPOUSE (Full Maiden Name) .
[131]| None |
[132]13. RESIDENCES (List all from 18th birthday or during past 15 years, whichever is shorter. If under 18, list present and most recent addresses.)
[133]c NUMBER AND STREET d. city @ STATE
[134]905 B. 167 St. Bronx NY ;
[135]1201 University Ave. !f response to penrorequast NY Os
[137]On post residence there are
[139]c. EMPLOYER
[140]Polly Perry Inc. |
[141]Mutual Ins. Advisery A
[143]US ARMY.
[145]Manhattan, NY
[146]Manhattan, NY
[148]CG NAME
[150]Bronx Comm.Clg.
[153]16. ("Yes” answers must be explained in Item 18, below.) . prints lage necessary ARE mBogiive cneck, .
[154]a, Is the subject an alien or naturalized citizen? b. REASON
[156]6. Has the subject any foreign connections, employment or military service? x [army [| E: BASIC TRAINEE
[157]| | PRE-COMMISSION |
[159]NUCLEAR
[161]4
[163]18, REMARKS (If additional space is needed, continue on plain paper.)
[165]l6e-Ist term inductee
[167]4
[169]DD 2.1584
[171]‘REPLACES DA FORM 3027, 1 AUG 65, WHICH IS OBSOLETE.
[173]. 4
[174]A 2 - a ae eee a eee
[176]NW 88613 Docid:34529277 Page 2