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_~ te -- —o te ae 8 . . ene oo ee a - os . , . . - i? -_ hd AL IAS) FEAL SN CAdgk nboiard bed ge tw bbew brady) t F PRES Genett fevae ono) . SECUNITY INVESTIGATION DATA { Uh tet ayat Fevehie € enw veethe AS TOR NON‘! NSIIVE FOSTHON £ ‘ oq - e + fplrenyer Vat MY + (LE INSTRUCTIONS ON OINE BIE) i S! 66 O78 14 a “VAIC Ub tits eeguist 7 1. FULL NAME Initials and abridge ments of toll name we not acceptable, H no middle name, thow “[NMN)‘‘; if tnitials only, show "inn qiven or middie name)" . J DA Gi BIRT v ar . . : B. OTHER NAMES USED (Maiden name, names by former marriages, former names ay 1=29-277 chamind traatly or otherwise, elises, nicknomes, ett. Specify which, and show A ¥ = es used). . ’ . PLACE OF WIKI None Indiana, Pa. Some 0 FEMALE FORMER SPOUSE AND DATE AND PLACE OF MARRIAGE. INCLUDE WIFE'S MAIDEN N information regarding all previous marriages) widower Rita Xkbeyy Deanin Abbey, July 20, 1930, Passafc, N.J. {9 Married 11-22-52 in Albuquerque, N.M. 3397L132, 198-20-191;7 8. ORGANIZATIONS WITH WHICH AFFILIATED (Past end present OTRER THAN RELIGIOUS OR POLITICAL ORGANIZATIONS OR THOSE WHICH SHOW RELIGIOUS OR POLITICAL AFFILIATIONS (If None,” a0 state}. * . a ip. Senne .[ SINGLE bey MARRIED BD winowier) None 9 DATES AND PLACES OF RESIOENCE (Regin with present and go back to January 1, 1937, or your Jéth birthday, whichever is later. Continue under necessary), item 19 on other side i From To Nember snd Street City Stote June 65 present Moab Utah April 65 June 65 7hO N. 11th St, Las Vegas, Nevada Oct 63 to April 65 528 Hudson St., Hoboken, NJ April 63 to Oct 63 Sunset Crater N.M., Flagstaff, Ariz. Jan 62 to April 63 528 Hudson St., Hoboken, NJ. July 61 to Jan 62 122) Buena Vista Dr., Albuquerque, N.M. Sept 59 to July 61 ~—- Taos, NM. May 59 to Sept 59 Albq., N.M. Nov 58 to May 59 Casa Grande N.M., Coolidge, Ariz. Sept 57 to Nov 58 Half Moon Bay, Calif. 10. de aia ANO ADDRESSES OF EMPLOYERS (Begin with present and go back to 1, 1937. Continue under tem 19 on other side if From Je - Employer Address (Number, street, city, and state) os June 65 to present Sanyonlands National Park Moab, Utah rae April 65 to June 65 Nevada State Welfare Dept., Las Vegas, Nevada wg Jan 63 to Feb 65 Hudson Co. Welfare Board Jersey City, N.J. April 63 to Oct 63 Sunset Crater N.M., Flagstaff, Arizona July 62 to.April 63 Hudson Co. Welfare Board, Jersey City, N.J. - June 61 to-~Jan 62 © New Mexico Welfare Dept., Albuquerque, N.M. Nov 58 to May 59 = Gasa Grande N.M., Coolidge, Arizona f a April 56 to Oct 57 Arches N.M., Moab, Utah : Mo, June 5 to Feb h7 U.S. Army F j 5 6 self-erployed as student_o Fs CERTIFICATION Hes ra wrt tus, compe, and correc ip the best of ol ; Fors ponahokle by teen TT Date iW. J DATE OF APPOINTMRHT 5 ParK Rance Includes Indefinite tern. Borery. types of competitive esppointment, \4. TYPE OF OEP act A EXCEPTED ( COMPETITIVE t is ke a Nomensitive Posts . ' 5 e and title of wahorined spony oficial) * men 2) wo 8 RESULTS SHOULD BE SENT, et AGENCY OFFICIAL _ Superint endent ; "SEE REVERSE sine Canyon lanis Nations! P . Lee Uranium Bui dding AS. WU. 8. COVERNMENT PRINTING OFFICE: 16027447153