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Charles Kettering — Part 01
Page 6
6 / 14
18.
REFeRencts (Nane three persons, not relatives or employers, who are well acquainted with you)
NAmE
ADDRESS
YEARS KNOWN
Dr. R. D. McClure
07
Julius Stone
CoWpP27
7T 27 AH 'y!
0t
Calvin Bentley
FILES DIVISION
Owosso,
RECEIVED
Michigan.
FBI
30
U. S. DEpt. OF JUstICe
APR 23 3 22PH'y8
19.
ARREsRE(GEchv[e[pll arrests ana Fines other than minor traffic violations)
CHARGE
F BqT
.Date
PLACE WHERE ARRESTED
U. S. OepT. OF JuSTICF.
DISPOSITION
NONE
CERTI FI CATION
I CERTIFY THAT THE INFORMATION GIVEN ABOVE IS CORRECT AND COMPLETE'TO
8
Khowledge and Belief.
STATEMENT WILL 8E USED OY~THE COMMISSION iN CARRYING OUT ITS QUTY
TOPROTECT THE SECURITSOF RESTRICTED
80, t!tle l8, u. s. CoDe.
USUAL SIGNATURE OR MARK OF
YEE (Sign origjhal only)
IO BE PILLBD OUT BI AGBNCY OR PIRN BNPLOIING
AGENCY OR FLRH TO EMPLOY APPLICANT
ADDRESS
NEPA DIVISION
Fairchild Engine & Airplane Corparation
P.O. BOX #415
Oak Ridge, Tennessee
BRIEF Jos'.oescription (dob Iitle, Duties and Location - Description
should not reveal classified information)
WILL APPLICANT OR EMPLOYEE HAVE ACCESS TO
RESTRICTED DATA?
IXx.yes
NO
WILL APPLICART OR EMPLOYEE HAVE ACCESS TO AN
RESEARCH CONSULTANT
EXCLUSION AREA?
General Motors Corp., Detroit, lichigan
XX YES
NO
(Check the one block applicable)
Subject will have access to an exclusion area.
and-to "RESTRICTED DATA" in the course of dis-
HXA FINGERPRINT CARO ATTACHED
charging official duties.
T-1 ATTACHED (RESULTS OF FBI FINGERPRINT
FILE CHECK)
t - 2 atTaCheD
NEPA MEMBER COMPANY EMPLO
DO NOr COMPLSTE SPACE BELOW
REFERRED TO F.B.1:
Personnel Director.
SIGNATURE'OF APPROV!NG-AUTHORITY LOFFICIAL OF EMPLOYING COWPANYS
RECEIVED FROM
F.B.I.
CERTIFYING AUTHORIZATION OF EMPLOYMENT!
p.
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