P-2010-01046 INITIAL REQUEST

• Document Type: FOIA
• Collection: FOIA Collection
• Document Number (FOIA) /ESDN (CREST): 05576020
• 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: August 26, 2010

To:Information and Privacy Coordinator (17036133007)
Approved for Release: 2021/12/07 C05576020
16 08/25/10GMT-04 Pg 02-02
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August 25, 2010
Information and Privacy Coordinator
Central Intelligence Agency
Washington, D.C. 20505
Dear Coordinator,
fr a
Under the Freedom of Information Act, U.S.C. subsection 552 and h Pr c 5
U.S.C. section 557a nitre 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:
Full name:/
Current Address:\
Date and Place of Birth:
Citizenship statusil
If you deny all or any part of this request, please cite each specific exemption that forms
the basic of your refusal to release the information and notify me of appeal procedures
available under the law.
If you have any flu-stions regarding this request, please contact me by telephone at
Thank you for your consideration of this request.
Sincerely,
I certify under penalty of perjury that
Executed on Auciust 29 70 o
Signature
he foregoing is true and correct.
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Approved for Release: 2021/12/07 C05576020
To:Infor a Ion and Privacy Coordinator (17036133007) 16:11 08125/10GMT-04 Pg 01-02
Approved for Release: 2021/12/07 C05576020
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faxing pianywhere.
www.myfax.comifree
Recipient Information:
To: Information and Privacy Coordinator
Fax#: [phone]
Subject:
Sender Information:
From:
Pages:
Date:
Common
2
Aug 25, 2010
FREEDOM OF INFORMATION ACT/ PRIVACY ACT REQUEST
This fax was sent using the MyFax free fax service. MyFax does not tolerate fraud and abuse. If this fax is spam,
promotes illegal activity or is abusive, please email supportamyfax.com. To have your fax number placed in a Do
Not Fax list, please call 1-866-208-5903.
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Approved for Release: 2021/12/07 C05576020