ML19053A689
| ML19053A689 | |
| Person / Time | |
|---|---|
| Issue date: | 02/15/2019 |
| From: | NRC/OCIO |
| To: | |
| References | |
| FOIA, NRC-2018-000725 | |
| Download: ML19053A689 (12) | |
Text
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- Longview. Washington Menial John Patton I
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Father Charles frank Bazata. v 100 Dead USA USA Mother Alma A1y1ettnger Bazata 92 Pres. Home.Car11s1 *PA.USA USA Wffe 35 Marte p erre sencmuter,__
RT2,Bx97,.01ckerso, MO II E FRENCH Fath.-1 -Lav Noel Senequ1er-zet 65 Papeterie de la Go t
Mo.-in-Law Domenetzere, Fran Dead' e
FRAN E FRENCH Marte-Magde1efne Sap~ s.-c.
. 'Brother Charles Frank Baz~ v*
68. M1aa1, Florida USA USA S1ster Beatrice Brown {)J.~
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67 Dead USA USA Ex Wf.fe Diana _Ch.trl~fson~ata.
5101 Rfver Rd.
Ex Wffe *
(b) (6) rf',
Chevy
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London, England Australt Brftfsh.
(fult~t-knovn)
(Dates and laces for 111rrfages and divorces tsted.on reverse si e) l&. REJ,'E~C~.(Nomt 'thlW./'RfOII.'* Ni>t Ref#~'vtt tJr Employer,, Whl> I.re. Wfll A.c,q~tai Wit,\\ 'ri>tJ),.
Reference list attached.
CB8.'t1flCA2'ION I Aou, ~.OU.o/tM obow qumton., lt1rtrti ~
1M lltf61'111r,t/qt,;fwt,l,Md " 071,!1111r ro* thu1.qli#llons II Nrrecl Md to/rlfl(M.to tA~ &!it of Ill.)' l<MJwlrdg1 (Ill(.( "'~ On4 *l Ptldtntontl lAal i'r fa of gttllf lmpOTVM~I '111 IM. e'>lll'"r(/.twA 6/ 111).'.t/glbl/l.ty to, lfflJriJy ~-ot ~,.
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'l'o ~s ~tLt.EDOU.'r ar*AotNCY 01u*11tM EM)'lOYINCI I I ti (
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But1dtn~1M.aoagement S~1a16st US rluclear Re lator.y C011111fstfo11 It ADDRESS Washington, o. c. 20555 WU,l, PBRSON ffAVJ: ACX:ESS TO:
iiESflUCl'EDDA'l'A
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Marrfed Qfana. C,*Baza~- Newark, HJ 1942 or 1943<, * *. * 'IJ.L.*. *,.. *.. *!
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Divorced 1fashtngton. D.c. 1945. 6t or 7 Married Penelope G.
- Bazata-.London, England 1/5/48.. ~
Divorced Kens1ngton, London,.England (Applted.1/15/52 and
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, ~TOMIC eNERGY COMMISSION WASAINGTON, D,C, J0$4$
L SECURITY' QUESflONN B. U yov, on,wer ro A It "YH'!, 414 yov, dwlt19 the petfo4 of,..,c1' r,,,~1,,h~ or ouoclotlon, h1N* tho 1pecltlc lnl*nt to fyrth,, I, YCJES ~
tt.e 01111 of *~h or9011borlon or q,ovp of p,r,011, to ov,,,htow or onrt11t" "th* GoveJDtMtlf of,,.. U11lt*)f $tot* or fl'IY p01itlcol 11/Wlvl1I011 thett~f l>y fore,, vlol111C*, or V11lowf11t aeon,t 6, If )'9111 <J111wer toOuHt/0111,. o, 5o,.ohv* 1, ':¥**", 11010 l>elow, vMer "'"' No, 11, or OIi o 1oporote th!** ro h ottoc~d *o ond tt1o4o o port of thl,
~ttlonnolr*, the 110111n of oll,111ch oroo11l1otlo11* 4,,.1 dot.. of,.,,1111>,11Mp, Gin cOMpl,M d,tolh of yOVt ~etlvlllu 1h.. 1l11*~"'°"' ""1
- 111plot1otlon you d11lr1 t19<<dl110 >'°"' t111ml>er1lilp or octlvltlu, ME ADDRESS l"ROM TO Of'f'IC "EL.O 7, *ORGANIZATION MeMSERSHIP (lnclll4* oll pre.. 111 -.um~*rshlp oll po1t 111e111 era Ip 111ln9""t
- lost 10 y1or1 In oll oroo11botlont (txcopt o or v11lo,ia olld relloloc,a oroo11l1otlon1) nol cove,1d b Qu.. 110111 5, ond 6, obove,)
$. Hov* yo11 ever be*11 orr**t*d, ct.oro*4, Of lioW l>y Fe<l,rot. Sto1e, ~ 0,1,,, low,11force10er1t O',/lhQrltiH f<< 011y vlolatloa ol otay f*derol low, $tot, faw, c.0111117 or 11>unlclpol low, requlotlon,.Of ordllionce? *oo i1otf11clvtfe Oll)'thl"9 thot hom111d l>1f9t9 yo11r l6tl, bhtt.40)', Oo 1101 lnclll4* traffic vSolotlone lot wlll~I, o fin,.of $30.00 ~ Ins wo*. l111po,..t, All oth*r ~h0<9n 1a11a1.t.*
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.1N$YAl,ICTION$ 'YO APPC,ICANT UPON COMP&,ETiON OF ABOVE a Now rhot rhe for,r, 'JI tlt11td, ploc* It ht th* pro,oddreo*d "IVtlop* fe1rra;,h,<I, ilo" ocrou,r.. envelope flc,p on the lltae provU,d, and offhc rhe.cfot* of 1lono111r1, O*nv,, thl.,*ol*d *11v1tope to yo11r t~lorer 'i1a111t,ll<1ttlr ~ 1t1oll dlr,ct to th, oddren***
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PLEi\\$l.. 'Before Mokl119 011y etltrlH Oft thlt 1lclt1 (I) ~.111ov* ~d rever,, co,bo,1 p~f, (2) Rev.r** l'h* o,der of copl** (l,e, copy Ofl* lro111 side (oritlfiol) ro be copy or,e,enrH *14* olso, etc,)
11, AtlOITIOtjAI. $PACC f"OA f>~IUIISJ.ilNC IN,oAMATION IN ITCMS
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- Douglas Oel.Jitt Bazata.
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j'-1. DavhLfegan(Ernerson (b) (6) )
(b) (6)
J,. Prof. Alan Haemer ((b)(6)
V (b) (6)
REFERENCE LIST
)
. * £. Frederick & Harriet Wildman ((b) (6)
) Occupation* Wine Importer v--<b)(6)
~4. Paul Cyr(Might work for FEA, Wash. D.C.)
- Business phone in ~Wash., D. c. area-961-8637
. Is. Robert VanRoUen ((b) (6)
)
I. (b) (6)
~
- 6. Col. William Pietsch ((b)(6)
)
(b) (6)
. J'. Hon. wn liam E. Colby (b) (6)
("' / s. Col
- Lu~i en E.
- Cone! ein (:(b) (6)
)
V' (b) (6) r1' t-t
. Business phone with DEA, WDC-382-8825
)
- Glen Wolfe ((b) (6)
. (b) (6)
L. Frederick Schwartz (Plaza (b) (6)
~IIJ, (b) (6)
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- Or. Bernard Knox ( (b) (6)
)
Director of.Hellenic Affairs (b) (6)
FbP.s.a*
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-~, Dougla~ DeWitt Bazata REFEIRENCE llST (Continued) *
- 12. Hon *.Phi111p Chadbourn Chief of Propaganda and Protocal (b) (6)
~ 0~1a. Dr. Albert Rohan (Austrian citizen)
'(,P/ c/o Austrian State Department
/'
Vienna, Austria
- 14. Edwinston Robbins and/or his wife (Phone #(b} (6) )
(b}(6)
I (Robbins also has a* residence somewhere in Pe~nsylvania-Phone. #Lawrence (b) (6)
)
- 15. Baron Hans-Georg VonStudnitz
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- Baroness Madelein VonMunm (b) (6)
-or-
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- 17. Jeoffrey Ha11owes (b) (6)
ORGANIZATIONAL MEMBERSHIP (b) (6)
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1926.fflt J;HERGY COMMISSION itlli?i10N,o n>>.'OAAI>,OAu ee WASHINCtON, o.c. 20545 I
'* F'ORM ).ppnove:o
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OR FIRM EMPLOnN~
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- 1NSTRUCTIONS,-:.~OMP1.ST£ THIS FORM IN PRIVATE, ALf. SECTIONS MUST BE COMPLETED. FORJA WILt. NOT Be ACCEPTED*
t/NLESS ~Mfitfi'tEL'f. 'Atll1 i>ROPERf.Y EXECUTED. T~ oniwet$ or stafc1M11,s on this for,,. ore p1lvilc9cd inlortr.otlor, between ro" cw! the Govcrnmenr, Tf Pe OR PRINT ALL ANSWERS.
Write. "'None when cppllco61e, Enter ht lie,..,. J 1 Qfl'/ ot!rJltiol'IOI ln(ormoll,on, which 1110)' liCNe O hor/n9 on Y0!.11 sccu,Ur elecvonc1t, t( more $pOC:C Is teqvJred, c;olfocl. Otldirlonol sneets ond lt1dlcol1t ffiit I rem l)l,ll))Otrs to wPllc1t th. onswe,s or,ply *
., $A. Iv* Jou Mw, ~ wlt~H'JI th* lo,, 10 v*** lttv* yow~,._, o Me,nl,o, of ony o,t90IH101;0,. or 9rout ~* t*1101t1 lr-crv,fft9 lvt "' llmlt~d to tll* eo-u,.,,, Po,1y, U.$.A,, wi.1,t., '""t 1h* p*rlff of YOYI' tlltMhrtl.lp ot ouoclotiOII you lc,-.w wos o4vo,otint ~ ftochlftf t!.ot tltt Cov**flm4nt of *"* U11ittd $toru, o, 011y $tot, o, Oft)" "litleol 111'l>olvhl0ft th.roof tltovld'" ovtrtlirowft o, ovtOllfllod iy lor,*, ¥lol*11~*, or Ol'I'/ y11lowful 1111011s?
- 8. If Y<>w 0111we, to A ** "Y**"* 411 yov, 411rl~ 11'*,eilff of sue~ m*Mberalll~ or ostodoti~, llovo th sp*cWc f1ue11t to f111th*
th* 011111, c-1 uch ~90'tla011011 o0t 9rqvp of p,r10t1* to overtllrow o, ovtllurll th* Govtrftfll*nl of the U\\ltod $101.. or Oft'/ $tot* o, ony oolltlcol 1~<11-.,1,1~ thereof \\,y fore*, vl0Te11ct, c,, ynlowful Mt<Hls?
6, If yow 011,w,r,o Qu.,,rlor,1 4, or $4_. *v* I* "Y**",,101* ~,low, Ylldet II** No. n, °" '°" o np11rote shnt 10'"0 ouo~t,.,d 10 o"i 1110'!* o port of t1ua I
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Hav9,-~,.,.,, '"" orruttd, cho,oe4. ~ *.,U l>y fe<ltrol, $tot,, o* othtr low,11,orcn1el'tt oi,rhorltlt11 tor O"Y v:olotlo11 of 11ny fe4t,o1 low, $tott low, ~O!l"Y or m..,nJ~lpol l~w, ro111lotlo11, Of ordh1~u'l Do°' l11d114, on)'thlno tho, ho1per..d l>tfo*, yovi 16tt, blrrMgy. Do o11ot *,11cfyh trorhc violotlorn lo, wMcfi ~ fiM of $30,00 or ftu v,o* *1111pottl, AU o,.,,, d1q,ou r-w,t i, lncl.id.4,v,11 lf_th*y wtrt dh1111u,4, If yw, -.itawer h "Yea", ~-Ofl'IPl~te a.H Mttlu 111 JtM t, b,tow.
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