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~~ FD-36 (Rev. 8-29-85) _ 10 14 12 13 14 15 16 17 18 19 20 21 TRANSMIT VIA: 1 Teletype {1 Facsimile i) PAGE TWO ® FBI PRECEDENCE: CE] immediate O Priority O Routine PG 9A-3778 CLASSIFICATION: _ TOP SECRET SECRET CONFIDENTIAL UNCLAS EF TO UNCLAS Date OOOO UNCLAS [sd «CIS APPLICATION LISTED HIS HEIGHT AS 6'4" INCHES AND bé c WEIGHT AT 270 POUNDS, [ ADDRESS WAS LISTED AS [__—+d) LISTED HE HAD PENNSYLVANIA DRIVER'S LICENSE IN 1979 WITH DRIVER'S LICENSE numpeR[ ts [___]ttstTED HE Is A FORMER VETERAN AND IS CURRENTLY RECETVING, AT LEAST AS OF 1979, EIGHTY EIGHT DOLLARS PER MONTH. ARMY AS HONORABLE AND ADDED THAT HIS REASON FOR DISCHARGE WAS DISABILITY, HE GAVE HIS SERIAL NUMBER AS us[ HE SAID HE SERVED IN THE U. S$. ARMY BETWEEN SEPTEMBER 5, 1966, AND MAY 11, HE LISTED HIS DISCHARGE FROM THE U, S. | b6 1966. ON MARCH 22, 1972,[_] WAS FOUND GUILTY IN WASHINGTON 7c a ee THAT SINCE THE WAR IN VIETNAM HE HAS sorrenep HE ALSO LISTED PERIODS OF HOSPITALIZATION FOR — HIS APPLICATION LISTED A STAY IN THE LEECH FARM VETERANS ADMINISTRATION HOSPITAL ON HIGHLAND ROAD IN PITTSBURGH, PA., AND IN THE JEFFERSON HOSPITAL IN PLEASANT HILLS, pA. |__| GAVE HIS VETERAN PENSION NUMBER AS[ 6 | Approved: < Hy = Transmitted (Number} PAT a] THT Y OUNTY Per (Time)