P-2010-00473 INITIAL REQUEST

• Document Type: FOIA
• Collection: FOIA Collection
• Document Number (FOIA) /ESDN (CREST): 05513234
• Release Decision: RIPPUB
• Original Classification: U
• Document Page Count: 2
• Document Creation Date: March 9, 2023
• Document Release Date: December 8, 2021
• Case Number: F-2011-02160
• Publication Date: March 19, 2010

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information and Privacy Coordinator
Central Intelligence Agency
Washington, D.C. 20505
Dear Coordinator:
March 18. 2010
Under the Freedom of Information Act, 5 U.S.C. subsections 552 and the Privacy Act, 5 U.S C.
section 552a, please furnish me with copies of all records about me indexed to my name. \
To help identify information about me in your record systems, I am providing the following
required information:
Address:
DOB:
Citizenship Status:
If you deny all or any part of this request, please cite each specific exemption that forms the
basis of your refusal to release the information and notify me of appeal procedures available
under the law,
Optional If vnii have any miocf;ons about handling this request, you may telephone me
Sincerely,
Statement Statement swearing under threat of perjury that above information is true or have the lefter
notarized.
(b)(6)
(b)(6)
(b)(6)
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(b)(6)
(b)(6)
FACSIMILE TRANSMITTAL
Date:
To: 6,2,4
Phone:�
Fax: (70,V 613 �300'7
Alency
From:
Phon
(b)(6)
Fax:
Re: uos
1 1"6 I el
0 /1
Pages including cover
Notes:
Approved for Release: 2021/12/07 C05513234