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Charles Kettering — Part 1
Page 6
6 / 14
rererencts (Wane three persons,
Julius Stone
FILES DIVISION
Calvin Bentley RECEIVED
NONE.
eee
DATA.
80, TITLE 28, u. Ss. cone.
BRR iar! 3 ER:
AGENCY OR FLRM TO EMPLOY APPLICANT
NEPA DIVISION
Should not reveal classified infornation)
“General Motors Corp., Detroit,
Subject will have acces
-J--and-to "RESTRICTED DATA" -in the
charging official duties.
fer 23. 3 22 PH "Ug
| CERTIFY THAT THE INFORMATION GIVEN ABOVE IS CORR
(| MAKE THE ABOVE STATEMENT TO THE U. S.
STATEMENT WILL BE USED BY THE COMMISSION
UNDERSTAND THAT THE MAKING OF A
Fairchild Engine & Airplane Corparation
BRIEF JOB DESCRIPTION (Job fitle, Duties and Location
RESEARCH CONSULTANT
s to an exclusion area
” NEPA MEMBER ‘COMPANY EMPLOY,
. SIGNATURE OF APPROVING -AUTHORITY (OFFI CIAL OF EMPLOY: MP ANY
GERTIFYING AUTHORIZATION OF EMPLOYMENT)
not relatives or enployers, who are well acquain:
Files:
Henry Are pose SaN
Cour? a ie AN Pup
Owosso, Michigan . . .
“CERTIFICATION nn
ECT ANO COMPLETE "To re BEST 01
ATOMIC ENERGY COMMISSION WITH
KNOWLEDGE AND BELIEF.
G UNDERS TARBING AN: NTENT THAT My
IN CARRYING OUT ITS ouTY To Dprotect THE SECURIWEBOF RESTRICTED
FALSE STATEWENT HEREIN MAY BECBUNI SHED ‘A FELOI me OER SECTION
ADDRESS
P.O. BOX #415
Oak Ridge, Tennessee
WILL APPLICANT OR EMPLOYEE HAVE ACCESS T0
RESTRICTED DATA?
TX. ves
WILL APPLICART OR EMPLO
EXCLUSION AREA? .
4] ves Ono
(Check the one block applicable)
~ Description
YEE HAVE ACCESS TO AN
Michigan
PUM FINGERPRINT CARD ATTACHED
course of dis- Cr - 2 artacheo tresucr
FILE CHECK)
‘SOF FBI FINGERPRINT
Dt - 2 atracneo
f COMPLETE SPACE BRLO!
REFERRED TO F.B. 's
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