</s>Released under the John F. Kennedy) Assassination Records Collection Act of Assassociation C210 Model CasetNV 0531 D.A.D.C. 01/14/98 Date : 01/1/98 Page : 1 JFK ASSASSINATION SYSTEM IDENTIFICATION FORM AGENCY INFORMATION AGENCY NUMBER : INSCOM/CSP AGENCY INSCON/CGP RECORD NUMBER: RECORDS SERIES: 194-1004-10370 DOD-AFFILIATED PERSONNEL INCIDENT INVESTIGATIONS AGENCY FILE NUMBER PAGE 22 DOCUMENT INFORMATION ORIGINATOR : USA FROM : RESTRICTED : TO: [ RESTRICED ] TO : RESISTED ] DATE : 09/25/68 TITLE : PAGES : 1 SUBJECTS : MARTH, MANUEL : MARTH_MANUEL BIRTH RECORDS [ RESRICTED ] MARTI, MANUAL SR DOCUMent TYPE : PAPER, TEXTUAL DOCUMENT CLASSIFICATION : : UNCLASSIFIED RESTRICTIONS : 3 : 3 CURRENT STATUS : RELEASED WITH DELETONS DATE OF LAST : RELEASED WITH DETLETONES OF LAST : 03/07/95 OF LASERIA : OPENING CRITERIA: COMMENTS : EXHIBITS INDEXED SEPARATELY NW 88613 Docci:34529186 Page 1

Summary  
This document is a system identification form related to the JFK assassination records collection, referencing an agency file number and a personnel investigation. It includes a report (AR 361-1-PM-30-17) detailing a birth record check for Manuel Marti, born on 11 August 1910 in Utuado, Puerto Rico. The father’s name is not recorded, while the mother, Juana Martír-Apto Rico, is listed with her date of birth as 11 August 2010 (likely an error). A court order dated 12 February 1963 legally changed the subject’s surname from Adrian Martin to Manuel Marti, noted as a discrepancy between the spelling on the court order and the birth certificate. The document references Certificate Number 636, Page 257, Book 4h, and mentions administrative details such as restricted access, unclassified classification, and redactions.  

Key People  
- Manuel Marti (subject of the report)  
- Adrian Martin (original surname per court order)  
- Juana Martír-Apto Rico (mother)  
- Candida Fernandez de Buxo (Records Supervisor at Bureau of Demographic Registry)  

Key Locations  
- Santurace, Puerto Rico (birth registration office)  
- Utuado, Puerto Rico (mother’s place of birth)  
- San Juan, Puerto Rico (origin of records)  

Key Events  
- Court order dated 12 February 1963 changing Manuel Marti’s surname from Adrian Martin to Manuel Marti.  
- Birth record check conducted on 23 September 1968 at the Bureau of Demographic Registry.  
- Discrepancy noted between the spelling of the father’s surname on the court order and the birth certificate.  

Key Organizations  
- Bureau of Demographic Registry, Department of Health, Commonwealth of Puerto Rico  
- InscOM/CGP (agency involved in personnel investigations)

JFK Declassified Files

194-10004-10370.pdf

Document Summary

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