Document Number (FOIA) /ESDN (CREST):
Body:
Approved for Release: 2021/11/10 C05507482
Ms. Delores M. Nelson
Information and Privacy Coordinator
Central Intelligence Agency
Washington, DC 20505
January 28th 2010
REF:
Dear Ms. Nelson:
In response to your letter dated January 19th, 2010; I am sending the requested statement,
along with the agreement to accept the charges for searching and copying.
P1 alty of purgery accert
that
under
name
is
my date of birth is
this is my signature. My full
I am a citizen of the United
States of America. I agree to pay fees associated with this FOIA request, understanding
that the first 2 hours of search time, and first 100 copies are to be provided to
me at no cost. I also understand that I will be notified if charges are to exceed
25.00.
0tA
Thank you for your assistance in this matter.
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Approved for Release: 2021/11/10 C05507482
ORNATION AND PRIVACY COORDINATOR
r
r CE ELLIGENCE AGENCY
REHINETON, EC 20505