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UNITED STAIES ATOMIC ENERGY COMMISSION IFORM PPRO! P. 0. 80x-1928 WASHINGTON, D C. PERSONNEL SECUR! TY: QUESTIONNAIRI adeqbate tor complete answers, attach a supplemental sheet to this form.. If space not Strepk city and State. All addresses must show Street yuaber,. INAme (Last, Pirst, Nidile) 5. DESCRIPT'ON (Check uhich) IXKuALE KETTERING, Charles Franklin FEMALE No. 1 RACE HEIGHT WEIGHT* COLOR E SCOLOR HAIR 2. oTHER NAMES (Include maiden name, if married woman) White 6'0" 170 Grey Grey "Boss Kett" 6. (Check which) 7 BIRTH DATE SIngLE -3. PRESENT ADDRESS DIVORCED DAY MONTH YEAR DATE 938-Date mArrIeD XX WIDOW(ER) 29 8 1876 Book Cadillac Hotel, Detroit, Mich.. 8. 81RTHPLACE (City, County, State and Country) 4. ALL OTHER ADDRESSES FOR PAST 10 YEARS Loudenville, Ohio DATE 9. CITIZENSHIP: U. s.X C N31T None Other IF'U. S. CITIZEN. INDICATE WHETHER: KXI C. BY NATURALIZATION b. derivative Petition No. Date: Date Certificate No. Certificate no. Place Place IP ALIEN, INDICATE ALIEN REGISTRATION NUMOER DATE PORT OF ENTRY 10. ORAFT BOARO NO. AND ADDRESS WITH WHICH REGISTERED- None 1l SOcIal, SecurIty No. 364-07-8466 JICANT 12. PERMANENT STATION AND ADDRESS IF NOW IN MILITARY SERV. None A PReVsoUs MIlITaRy SeRVICe: SERIal NUMBeR BRANCH FROM TO (year). 13. EDucATion (All schools above'etementary) NAME OF SCHOOL ADDRESS FROM TO (Ir.) DEGREES County Dist. School. I.. Loudonville, Ohio 80$35 Loudonville High SchooL. B Wooster Qhio Normal .FeWooster, Ohio Ohio State University Columbus, Ohio CED from various schools 138 52. JIUN1 1948 p..1