CIA · JFK42 : F4 : 1994.03.16.13:53:41:900028 : · Release: Redact
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"[104-10117-10075, 2025 RELEASE UNDER THE PRESIDENT JOHN F. KENNEDY ASSASSINATION RECORDS ACT OF 1992 * SUPPLEMENTAL PERSONAL HISTORY STATEMENT SECTION I. INSTRUCTIONS Submit in duplicate. Answer all questions completely. If question does not apply, write “NA." Write “UNKNOWN” only if you do not know-the answer and it cannot be obtained from personal records. If additional space is required use extra pages the same size as this page and sign each such page. Reference each continued item by 'section and item number to which it relates. 1. FULL NAME (last-first-middle) 2.DATE OF BIRTH 3.PLACE OF IRTH (City,State,Country) 4. SOC SEC NO. Flores, Daniel 00 4 Aug 1935 San Marcos, Texas 460-48-6230 5. PRESENT STATUS (Single, widowed, divorced, or annulled) SPECIFY: Married 10 30 6. STATE DATE. PLACE. AND REASON FOR ALL DIVORCES OR ANNULMENTS "NA" SECTION II. SPOUSE I. NAME OF SPOUSE (last-first-middle-maiden) 2. DATE OF BIRTH 3. PLACE OF BIRTH (spouse) Flores, (Dorothy Arnett)ob 09131 Jan 1935 Portland, Oregon 4. DATE AND PLACE OF MARRIAGE 5. CITIZENSHIP OF SPOUSE (If naturalised, indicate date & place of naturalisation A certificate no.) 18 November 1960 (Lima, Peru)"
"CIA · JFK42 : F4 : 1994.03.16.13:53:41:900028 : · Release: Redact"