P-2010-00941 INITIAL REQUEST

• Document Type: FOIA
• Collection: FOIA Collection
• Document Number (FOIA) /ESDN (CREST): 05563713
• 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: July 29, 2010

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July 21, 2010
Information and Privacy Coordinator
Central Intelligence Agency
Washington, DC 20505
FREEDOM OF INFORMATION ACT / PRIVACY ACT REQUEST
Dear Sir or Madam:
This is a request for records under the provisions of the Freedom of Information Act and the Privacy Act.
Please process this request under both statutes to release the maximum number of records.
request copies of all files, correspondence, or other records concerning myself To assist you h this
search am providing the following information about myseff:
My full nam
Other names use
My date of birth:
My place of birth:
My Social Security number:
My citizenship:
I am enclosing a copy of my driver's license or other state-issued photo ID.
This is an individual request for research and study purposes, and I agree that I will pay up to $30 for fees,
if necessary. Please notify me in advance if fees are expected to exceed that amount.
If you have any questions, please call me at
Under penalty of perjury, I hereby declare that I am the person named above and I understand that any
falsification of this statement is punishable under the provisions of Title 18, United States Code (U.S.C.),
Section 1001 by a fine of not more than $10,000 or by imprisonment of not more than five years, or both;
and that requesting or obtaining any record(s) under false pretenses is punishable under the provisions of
Title 5, U.S.C., Section 552a(i)(3) as a misdemeanor and by a fine of not more than $5,000.
Sincerely,
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