OSS Fpm 22 i3 ~-~
(Rev. 10/12%uu)
CONFlp1NTUL'
DATE: 26 ~'@bruRr~ ZJ~b
To:? Personil@l ~ff`ioer, SSD
Security ~ffieer.
(}verse~:s :Travel App: oval
In reply to your request of 20- ~''@bi'LtAr~ I~~S ~ the following subject
is hereby approved for overseas travel: _
~1P~I2d, Luaiesr_ Ef, Ist L~?
Two_.photos of subject nO t requested.
A completed fingerprint card isll0~requested.