</s>Released under the John F. Kennedy Assassination Records Collection Act of Date : 01/14/98 992 (44 USC 210/207 Note) Case#NW Page : 1 9813 Date: 03/12/2012 JFK ASSASSINATION SYSTEM IDENTIFICATION FORM AGENCY INFORMATION RECORD NUMBER : INSCOM/CFSF AGENCY INCOM/CSP RECORD Numer: 194-1003-10338 RECORDS SERIES : INCELLENCE/COUNTERINTELLIGENCE SOURCES AGENCY FILE NUMBER: PAGES 8-9 INTELEGENCE/ COUNTERINTFILIGENCE/COMPONENT INFORMATION ORIGINATOR : USA FROM : 59TH ORD GP TO : USA ADVANCED WEAPONS SUPPORT COMD TITLE : USA ADVANCED DATE : RESTRICTED : PAGES : 09/16/1 SUBJECTS : KACZACMACYCYK, GEORGE ~. DOCUMENT TYPE : PAPER, TEXTUAL DOCUMENT CLASSIFICATION : RESTRICATION : UNCLASSIFIED CURRENT STATUS : RELEASED WITH DELETONS DATE OF LAST REVIEW : 03/09/95 OPENING CRITERIA : COMMENTS : NW 8863 Doclid:34529121 Page 1

Summary:  
The document is an INSCOM/CFSF System Identification Form related to the JFK Assassination Records Collection Act. It includes personal information for George Kaczacmacyky (possibly a misspelled name), including social security number [SSN REDACTED], birth date 19 Mar 60, place of birth Bondstite, West Germany, and military service details as an E5 in the U.S. Army from December 1964 to August 1970. It references travel to Poland, England, Canada, and the United States, with specific dates including visits to Honolulu, Hawaii (February 1969), and Tinton, Bedfordshire, England (December 1958–March 1959). The document also notes legal residence in the U.S. granted on 25 November 1950 and mentions a naturalist license number 27271776.  

Key People:  
- George Kaczacmacyky (possibly misspelled; includes [SSN REDACTED])  
- Josef Lacazaryczys (linked to Polish origins, born 19 Mar 96)  
- Patricia Ann Eason (listed with address in Alexandrovský, Ulicerne, Poland)  

Key Locations:  
- Bondstite, West Germany  
- Poland (specific locations: Alexandrovský, Ulicerne, Uricerne)  
- Tinton, Bedfordshire, England  
- Honolulu, Hawaii  
- Canada (dates referenced as 6 August 1965–12 August 1963)  
- United States (legal residence granted in 1950)  

Key Events:  
- Military service in the U.S. Army from December 1964 to August 1970  
- Travel to Poland, England, Canada, and Hawaii in the early-to-mid-1960s  
- Legal residency grant in the United States on 25 November 1950  
- Naturalist license number 27271776 (possibly associated with travel or documentation)  

Key Organizations:  
- U.S. Army Advanced Weapons Support Command  
- INSCOM/CFSF (Intelligence and Counterintelligence)  
- Central Office - INS Route to CORAIB (Room 240)

JFK Declassified Files

194-10003-10338.pdf

Document Summary

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