P-2010-00156 INITIAL REQUEST

• Document Type: FOIA
• Collection: FOIA Collection
• Document Number (FOIA) /ESDN (CREST): 05476887
• Release Decision: RIPPUB
• Original Classification: U
• Document Page Count: 3
• Document Creation Date: March 9, 2023
• Document Release Date: December 8, 2021
• Case Number: F-2011-02160
• Publication Date: November 20, 2009

Approved for Release: 2021/11/10 C05476887
November 12, 2009
Information and Privacy Coordinator
Central Intelligence Agency
Washington, DC 20505
To Whom It May Concern:
The following request is for records for myself pursuant to the Federal Freedom of Information
Act 5 U.S.C. S .bsection 552 under the name o with the birth date of
Social Security Number e s ecific information that I am
requesting is
In ddition, I re uest all information and records
I have also enclosed Fo
number is
thing to pay any necessary fees associated with processing.
D0J-361. If there are questions concerning this letter my cell phone
Please send the requested information under secure delivery to:
k you for your attention matter.
Sincerel
Enclosures
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Approved for Release: 2021/11/10 C05476887
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Case Code:
Case #:
TO WHOM IT MAY CONCERN:
am aware that the Privacy Act of 1974 prohibits the release of information in my
file without my approval. I authorize the agency and/or department listed below to provide
information on my claim/case to Senator Rockefeller,
Agency/Department:
Name:
CONSTITUENT INFORMATiON
Signature (Required):
Social Security or Claim
Mailing Address:
Date:
E-Mail Address:
City, State, Zip Code:
Daytime Telephone:
Cellular:
ou wish information to he provided to parent, child, attorney, or other interested party, please complete the
owing information:
Name:
g Address: g
City, State, Zip Code:
Daytime Telephone:
(Post Office Box or Street Address)
iN 1-1
A
I authorize the following individual(s) to receive information from Senator Rockefeller,
o my claim-case.
Signature (Required):
PLEASE RETURN TI/IS FORT/I TO:
The Honorable John ft Rockefeller IV
405 Capitol Street, Suite 508
Charleston, West Virginia 25301
4) 34'7.-5372
z 76.
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Approved for Release: 2021/11/10 C05476887
Approved for Release: 2021/11/10 C05476887
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Approved for Release: 2021/11/10 C05476887