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I .., '" - - i 0 / �l� 2 L N E No. i 2 3 4 5 6 7 8 9 � ·10 11 1 2 1 3 14 15 1 6 17 1 8 1 9 20 21 2 2 2 3 2 4 25 2 6 2 7 2 8 29 30 31 3 2 3 3 3 4 35 3 6 3 7 3 8 39 40 MATS TRANSPORTATION AUTHORIZAtiON NO. 7. FISCAL DATA , g REPORT TO (APOB) 10. 12. ADDITIONAL PASSENGERS (Include Name, Grade, SBnJkB 0" PlUsport Number) EMERGENCY ADDRESS DATA (Include Name and Address 01 Person(.) to contact} , , (FOR MATS USE ONLY) FLIGH-T NUt;1SER MANIFEsr NUMBER SPECIAL HANQLING 0 CASH COLLECTION INTL. TARLFF 0 D MATS TRANSPORTATION AUTHORIZATION NO. 7. FISCAL OATA lZ. ADDITIONAL PASSENGERS (Include Name, Grade, Seruice or Pas.port Number) EMERGENCY ADDRESS DATA (Include Name qnd Address of Person(s) to contact) (FOR MATS USE ONLY) F"LIGHT MANIFEST NUrvfBER SPECIAL HANDLING CASI;i COLLECTioN INTL. TARIFF D tJ D - • Last .-� • JIIl'-' �.�_ .... , .. .... Mi_� � INSTALLATION CL\t�AH.ANCE HECORD (CIVIL �.AN n�HSONNEL ) PHEPARE IN DUPLICATE (OHIGINAL TO 201 FILE DUPLICATE TO INDI1IDUAL) -_-. -. Name, First Name, ��iddle Initial f'assport Number: Grade: 1311ino, 1wao OrganizatiC?n: USCAH, HIGH. :;TATE UNI','. EROUP Authority for Depa rture: 1'.oo-L (10 June �3) D)17506 To Depart ('rime and Date) : GJ-1r! 23:30 26 Julv 1961! New Duty Station or Leave AJdress: 232 Univ. Dr. E. Lansing, Nich. m.Oh. state Univ. Lansing, Hich�i. . E. �,. INT � Check. LIST OF PLACES TO Bl!: CLEAl1ED .( Instructi ons on Heverse Side') Facility INT Facility Fclcility 1. Library I' UIftAIT ettAR' Hospital��O �dl 2. (Medicnl Cl�ara;�e) i"fveasurer) 3. Classified Docu gTpEARED PM\'- rovost Marshal • .... 5. ·Gi->r/Off Club Q.uarters Assignment Issue ... k. Finance 6. and/or Furniture �� FJC- 7. Postal Officer � lfLj �) American Express Bank ( 8. Office Telephone) (Payroll Branch) 9. Individual Supv . � �O. (Sukiran Office) & Accounting .. INT � Ij/ ll. Dependent Schools ( Hain Office Kubasaki High Scb] Inunigrations-USCAR 12. (3rd State Nationals only) Civ Per Office \clC--1-13. (Org Personnel Staffinp: Spee} 01X Civ Per Office(liv- 14. ing qtrs allowance} lTravel} 15. I have turned in or properly tr<1nsferred all CLASSIFI:r;D 1)Ocm�ENTS except those which pertain to my official duties and for which I, as an individual, have been desig- nated the E.uthorized custodian; I have discharged all personal deLts admittedly due and payable at this time in this area or have made satisfactory arrangements with the per� sons or organizations concerned for the payment of samej and I have further notified all other persons who are known to b,� presently asserting claims or demands against me or who hold instruments of indebtedness made or indor s ed by me of my next "tat ion or Post Office address. lunderstand that this clearance does not relieve me of any pecuniary charge for government property which has been or may ".e raised on a report of survey or report of Board of Officers in lieU of report of fjurv'�y, Hernarks: . Date: Sig.natl,lre of Employee: Typed Name, Grade and Title of Personnel .Officer or Designated Representative: Date: I Signature: Hq USAfiYIS 10 t-'!ar 65 12-134 , I'orm ... _...,. ."", .. �� .... .. .... .. � .... f ._ .-... .. ..�.... __ � 1. Upon receipt of your tr;:v(;l oruer-s, rep ort to the transportation office Nalld. Port. Receive shipping instructions nnd tJOoldng. Enko 'llTa!lbL;Ht;lit� 1'01' �JI.l.1J1J.Lilg 0i.' auto, hold hrl�7rtr,"(!, ;lnd housetlold g oods . I 2. Repor t to !:ilikil'll\l library, bldg 448, Sukiran Troop A rea . 3. Report to the U. �). Army I!o�-;r:i,tfBARKATION AUTHORITY FROM: (SPONSOR'S UNIT) DATE: USCAR, MSU Grp. SECTION I - PERSONNEL OFFICER a GRADE b NAME (Last, First, M I) c d AGE MEl> EXAM �UlRED YES NO e NAl�E & GRADE OF PERSONNEL OFFICER OR REPRESENTATIVE CERTIFYING IMMUNICATIONS GS-15 Ishino, Iwao Ishino, Mary K. Ishino, Marilyn J. Ishino, Catherine J. Ishino. Ellen " u. Ishino. Tomi R. 44 42 17 13 11 2 ,} � \ } X Y J UUTF'Al'TENT CLINIC USAH, RYIS ",-J:.:' £/AAr�/rd/ JlH 2 11965 ---- � --- . � --- ----- � The above named individuals have their immunizations up to d ate according to current directi ves and. are certified as being up to d ate by the individual Those individuals requi ring medical whose signature examinations will have Secti on II of this form completed by the servic1ng sick (Screening of records will not be conducted more than 15 days cail f acility. prior to de parture date. ) Medic al examinations are req14red for: appears in co lumn "e". (1) Those who have been treated by a doctor within the past 60 days. Enlisted personnel who have been on sick c all within the past 30 days. (2) (3) A� female with an existing pregn ancy or who has had a delivery or miscarriage within the past 6 months. (4) Children ��er 6 years of age. (5) Adults over 60 years of age. i ' . II NAME OF UNIT PERSONNEL OFFICER: DATE: ,TELEPHONE: Previous edit10ns of this for.m are obsolete .. SECTION II - SURGEON (To be oompleted if Seotion I indic ates) 1. Mrs. over is should be b,y Am is • Her urine examination is NID - - AIR OR SURFACE SURFACE POS - - - • months pregnant. Her blood pressure • Her travel 2. should travel by AIR _ SURFACE _ due to reasons listed lnthe remarks seotion. ) . must have further evaluation and is not cleared tor.travel. The Reglstrar(USAH) will contact the Personnel Officer concerned. tor medical examination: 4. The tollowing, as l�� seotlon e,.have 9<�� � \ � /,"-P .' , also b� . .2�_ - O l'erre .. � \ .... Z - - � . c . II 5. I for 6. days due to has been examined but oannot travel from Okinawa • ) has been examined and can travel, but is to do 110 according to in structions set forth in the remar)(s section. 1. Due to reasons listed in the remarks section, is to report toa medical offic er at a military treatment facility upon arri val at the next 1!ist&1lation for further medical evaluation and follow-up care. (Health record � b e hand oarried it Nedical Officer completes this para.) INAME OF �UJ:JAL OFFIC£ 0.-4'- $4/#e. � �� e- -�� -t. \ (��qr�� C,r SECTION III - REMARKS Jflt 2 11965 'l'l!iLl!;fHUN.l:!; : :2 ;70 s-0 l., 7'6 � .. UA'J.'l!i: . I I H�ADQUARTERS DEPARTMENT OF THE ARMY OFFICE OF THE; ADJUTANT GENERAl.. WASHINGTON 25. D. C. INIIEPLYU .... . ", AGAO-L (9 Jul 63) SUBJECT: Travel Orders TO: Individuals Concerned Michigan State University East Lansing, Michigan WAM/mg 11 July 1963 1. The Secretary of the Army autborizes the following named individuals (dependents of Dr. Iwao Ishino, preaentlyin Okina.w�) to proceed on or about 17 July 1963 from East Lansing, Michigan to Okinawa for a period of approximately 2 years in connection with Contract DA 33�031-QMw22268. upon completion thereof return to point of origin. Mrs. Mary Isbino, wife Marilyn Janice Ish1no, daughter, age 15 years Catherine Jo Ishino, daughter, age 11 years Ellen Susan Ishino, daughter, age 9 years Tomi Ruth Ishino, daughter, age 1 year 2. �avel to be performed is necessary in the public service. Travel by Military Air Transport Service or Category A is authorized from conti­ nental United States to outside continental United States on a reimbursable basis with billing made directly to Michigan State University, East Lansing, Michigan. Determination of the appropriate mode of travel outside continental Uni te.d to provisions of pertinent regulations. All expenses incurred as a result of this mission will be borne by the Michigan State University, East LanSing, Michigan under Contract DA 33g031�QM-22268. Ind�viduals are authorized to report to the De�tment of the Army Air Traffic Coordinating Officer, Travis Air Force Base, Fairfield, Californ:I.a not le.ter than 1030 hours, 17 July 1963", for air transportation under Air Movement Designator SUUwDNA-3DU-3832-AZp07. 3. Logistic support cannot be predetermined and will be as prescribed by the appropriate oversea commander under the provisions of AR 700�32. 4. Baggage allowance of 66 lbs, personal effects I authorized each individual while traveling by acft. Hold baggage, not to exceed 350 lbs each adult dependent and 175 Ibs each dependent under 12 years of age, and household goods within the maximum weight allowance are auth to be shipped through the United States Army Transportation Terminal COtllIl land" Pacific, States will· be made by the responsible Transportation Officer according AGAO-L (9 Jul 63) SUBJECT: Travel Orders 11 July 1963 Fort Masoll,· Cal.ifornia by Military Sea Transporta. tion Service on a reimbursable baeiso FOR THE ADJW'ANT GENERAL: DISTR: 25 - Each Ind1v tbru contact 15 .. Con.tact oroam's USA Will Call1r3763 2 - Michigf1!l S·ta·,. Ut.1i'Veraity Attn: Contract DA 33-031-QM-2a268, East �;Qs1ng, MilCh 6 .. DA � 0, Travis AFB � Ca�if (Au1Il8.11) 2 - Fassport & Visa. Br �<1 Rm lB 874 Pentagon UNITED STATES CIVIL ADMIEISTRATION OF THE RYUKYU ISLANDS APO San Francisco 96248 19 May 1965 ID 5 - 37 SUBJECT: Travel Orders TO: Individuals Concerned TC 370. Fol orders AMENDED. SMO: Pert to: Mrs. Mary Ishino DA Travel Orders AGAO-L (9 Jul 63) Marilyn Janice Ishino Catherine Jo Ishino Ellen Susan Ishino Tomi Ruth Ishino "NAil As reads: IATA: "IndiViduals authorized 3 days delay enroute in Hawaii at no expense to the Government" F OR THE CIVIL ADMINISTRATOR: ��Jt1 Captain, AGC Administrative Officer DISTRIBUTION: 25 - Indivs 15 - Contact ODCSOPS USA Will Call/73763 2 - Michigan State University Attn: Contract DA 33-031-QM-22268, East Lansing, Mich 6 - DA ATCO, Travis AFB, Calif (Airmail) 2 - Passport & Visa Br �1DW Rm IB 874 Pentagon 1 - CMS 1 - Orders Clk • MICHIGAN STATE UNIVERSITY EAST LANSING DEPARTMENT OF MICROBIOLOGY AND PUBLIC HEALTH Dear Iwao: Your letter of May 29 received and we were happy to hear from you with regard to the household items you would like to sell. The floor plan of the house was also most welcome. You have so completely described the setting that we all have a mindls eye view of how our new environment will appear and we are looking forward with eager anticipation to the next two years. Your letter arrived in time to influence our packing somewhat since the list of furnishings provided by the Army gives us some additional ideas as to what we need to send along. Our sea freight left our house last Friday (June 4) and three weeks from today we plan to leave East Lansing and are scheduled to fly out of San Francisco on July 21. Welve had a bit of concern the last two weeks in that our 14 year-old-son broke his left leg on May 26 but things are mending and as things have developed it appears we will still leave here as scheduled. We are interested in a number of items which you listed you will have for sale. They are: 1. Washer and dryer 2. All of the air conditioners. You listed three (3) but four (4) are shown in the floor plan. 3. Kerosene stove 4. Electric fans 5. Sanyo 16-inch television Since I am completely ignorant of market values in Naha and since I know you are an honorable and fair individual, I will trust to your judgment entirely the sale price of these items and I will then decide whether or not we will buy. As I indicated we will leave East Lansing on July 1. Mail expected to arrive here before that date should be sent to my home address, 955 Marigold, East Lansing. From the 10th to the 15th of July, we'll be at the Imperial Hotel, Portland, Oregon. Weill see you in Naha perhaps on or about July 22. Dr. Iwao Ishino - 1 - June 10, 1965 Thanking you again for all your help, I am, tockton, Chal.rman CL- . Very truly. yours, Ct,' • Jack ' Depar ment of Microbiology and Public Health June 10, 1965 Dr. Iwao Ishino Michigan State University Group USCAR APO San Francisco, California, 96248 HEADQUARTERS SIXTH UNITED STATES �� Presidio of San Francisco, California AMTRO-MOV-PG A-263 3 July 1963 SUBJECT: Authorization for Oversea Travel of Dependents at Government Expense TO: Commanders of Installations and activities Indicated in Distribution 1. Upon call of the Army Terminal Commander, the individuals listed below are authorized to proceed to the place designated in port call for movement to final des­ tination in accordance with AR 55-46, JTR, and CPR T3. priority number indicated is authorized, is necessary in the military service, will Travel in accordance with be in accordance with existing law and regulations, and is chargeable to the account­ ing classification indicated below. Name and address of individuals Place from \vhich travel authorized at Government expense, destina­ tion and Priority Number Person upon whom Dependent - Acctg classification Shipment HHG Authorized (yes or no) Lillian 1. Hensley (W) Lillian 1. Hensley D�24 Oct 50 2015 v-Iashing ton .st Seattle .. Wa.shington Seattle, Wash Okinawa 8.34 list 8A 19254291 SFE Geor ge N. Hensley Jr RA 2142010 01-1462-1463 P1.514 Pl.541 P1SS1 S99-999 ICC: 2-4-1-A-04 HOO: Yes. W13000 pounds. Mary K. Ishino (W) Marilyn J. Ishine D�23 Apr 48 Catherine J. Ishino D-16 Apr 52 Ellen S. Ishino D-9 May 54 Toni R� Ishino D-9 Aug 62 1730 Martha Ln Santa Ana, California A. McKibben D-26 Jan 58 Pong N. McKibben (,v) Mary Susie A. McKibben D-28 Mar 60.' John R. McKibben s-28 May 61 Richard 1. McKibben S-17 Oct 62 219 Elwood St Suisun, Ca.lifornia Lansing .. Mich Okinawa 8.3.5 list 8A GS-13 Iwao Ishino DH46332A DA 33-03l-QM 22268 HHG: Yes W1 7000 pounds Suisun, Calif Okinawa 8.37 l ist BA McKibben SGT Watson 1. 14271913 RA 2142010 01-1462-1463 P1.514 Pl.541 PlSSl S99-999 CIC: 2 4 1 HHG: Yes. lnJ1)OOO pounds A G4 If Sponsors have indicated that their dependents will accept air travel. travel by aric:raft is utilized, baggage to accompany· dependents will be limited to a t ota� of 100 pounds for each dependent 12 years of age and older and 66 pounds for eack child under 12 years of age unless otherwise specified in tae port call. The 34 pounds excess over free checkable baggage in CONUS is auth­ orized for adult dependents incident to oversea travel_ (over) 2. Transportation officer designated by this headquarters will arrange for transportation of dependents and authorized baggage �o the appropriate port of embarkation. Chief of Tra�sportation and Theater Commander �d.ll provide tra'ilsJ'ortat.ion from port of embarkation to destination. Subsistence charges l'li1l be borne by the . individual. .� 3. Dependen�s o{ officers and enlisted personnel of grades E-9, E-S, E-7, E-6, E-5 and E-4 with 4 or more years of ser�ce are authorized to ship �ne privately owned vehicle from port of embarkation to a port of debarkation via Mili"tary Sea: Transport, provided no vehicle has previously been shipped on sponsor's per­ m anent change -Or" station order. Delivery of v ehicle to port of embarkation lvi11 be at owner's expenEle. Civilian employees are authorized to move a privately ol�ed vehicle at government expense if determined to be in the best interest of the government under provisions of Section 5 CPR T3.5, dated 28 June 1961. visions or AR 55776 and AFM 75-1 apply. Pro­ 4. Shipmen t of household goods to destination is authorized. Provisions of AR 55-71',dated 2 ,July 1956 (AFR 75-33), Chapter ,8, JTR dated.22 December 1950, as amended, CPR T3.5 dated ,28' June 1961, and/or AFT 11 AFM 40.10 �pply. a. Oepende'nts traveling'to port or staging area ,will have l'lith them not more than 2 pieces of luggage for each person 12 years of age or over and l,�iece of luggage for each person under 12 years of a:ge. b. Pers�na1 baggage �ot in excess of 350 pounds per each adult and 175 pounds per'each child under 12 years of age will be allowed for shipment as "Hold Baggage" aboard the transport and will not be availa­ ble during the voyage. be furnished b� your transportation officer. Instructions concerning the shipment of this baggage to the port of embarkation will ' Transportation officers may express by rail at government expense that portion of personal Qag­ gage intended for' "Hold Baggage", I'lhich cannot be checked free on travelers' ticket if other morE( economical means \'lil1 not allow. delivery prior to port call date. �. 5. Prior to departure from the United States to all overseas areas, dependents are required to complete routine immunizatiOnS listed below (AR 40-562), and necessary dental care; � " a. Smallpox b. Typhoid-paratyphoid c. Tetanus-Diphtheria d. Poliomyelitis '(Personnel under 40 years of age) 6. In addit�on, the following special immuniz$Ltions are required for specific areas (AR 40-562): . ,a.' Yei19w Fever - Dependents destined for Central America (including Canal Zone)" South America, Africa (south half), Pakistan, India and Ceylon. b. Typhus - Dependents destined for continental Europe, Mediterranean Area, Far East. c. Cholera - Dependents destined fo r the Far East. 7. Dependents will have mail addressed to them in care of the member of the Army or civilian employee upon whom they are dependent, at the organization and APO address of such member of the Army or civilian employee. FOR THE COMMANDER: DISTRIBUTI ON: Destn Comdr (4) Post Trans orf (30) File, Trans Sec, 6th USA (1) Individual Concerned (20) )CGUSATTC, Pacific, FtMason Calif. (10) )CG, Brooklyn Army Terminal New Yorl< (1) ( )CG Ft Hamilton, N. Y. (2) SAH FL 462 Rev 18 May 62 ( 71) FORM P-5S2 POST - RITE SYS'I"EMS LITHO III U.S.A. - I" � L I N E No. 2 3 4 5 6 7 8 9 1 0 11 1 2 1 3 14 1 5 16 1 7 1 8 19 20 2 1 2 2 2 3 2 4 2 5 26 2 7 2 8 2 9 3 0 3 1 3 2 3 3 34 3 5 3 6 3 7 3 8 39 40 J V·�) ·t It II ) AI ) /' WI {) ,;J �� Y � I- tJ�tJ J CA '>+ o.f J) W(r ,I I lAt' J , t.J PI' \ , I t) JLJ � �E-T ., • 2 L I N E No. 2 3 4 5 6 7 8 9 1 0 11 1 2 1 3 1 4 1 5 1 6 1 7 18 19 20 2 1 2 2 2 3 2 4 2 5 2 6 2 7 2 8 29 3 0 3 1 3 2 3 3 3 4 3 5 3 6 37 3 8 3 9 40 F O R M P-552 P O S T - R r T E S Y S T E M S L I T H O I N U . S . A . I I ) 1 2 ) KA. I� � � It l t> O 6 {<- � I f I� l\.. f .. - � I ' � � I I � ) I 1(1 ( u fl ( / .1 l-t- It /lA / AI . /:LZ pI. � � / � . J t L I N E N O. 2 3 4 !5 6 7 a 9 I I ' 2 1 3 14 1 5 1 6 17 1 8 1 9 2 1 2 2 2 3 2 4 2 5 2 6 2 7 2 8 2 9 0 3 1 3 2 3 3 3 4 3 5 3 6 3 7 3 8 3 9 0 L I N E N O. 2 3 4 5 6 7 8 9 1 0 ' , 1 2 1 3 1 4 1 5 1 6 1 7 1 8 , 9 2 0 2 1 2 2 2 3 2 4 I 2 5 2 6 2 7 2 8 2 9 3 0 3 1 3 2 3 3 3 4 3 5 3 6 3 7 3 8 3 9 4 0 -4-0 ..6'0 S 0 40 4 p �0 2 - ------- . f O R M P-552 POST - R ITE S Y S T E M S L IT H O IN U . S . A . I I ) ( 2 ) t L I N E N O. 2 3 4 5 6 7 8 9 1 0 1 1 1 2 1 3 1 4 1 5 1 6 1 7 1 8 1 9 � 2 1 2 2 2 3 2 4 2 5 2 6 2 7 2 8 2 9 I ,0 3 1 3 2 3 6 3 7 3 8 3 9 4 0 M l It. t.J )1 , l1 .eA 2- , � fl. It ( C -r y {)(; ( , I,) ( I I.. I '1'v �. . f"'b fvd � i,� '! it 'l -rIl A r i!- I, I I ' I , ' � D S - S V M I· h i e "I'-t1 rJ' A N t ' ,. ltV It L .f., tv � 6' I I 6 , IV I�A �( 3 3 �-� +r(.,�- :J .-L-tu-t. � , I- , L t · 3 4 3 5 12 (i . 8 ) C � L I N E No. 2 3 4 :> 6 7 8 9 1 0 1 1 1 2 1 3 1 4 1 5 1 6 1 7 1 8 1 9 2 0 2 1 2 2 2 3 2 4 2 5 2 6 I 2 7 2 8 2 9 3 0 3 1 3 2 3 3 3 4 3 5 3 6 3 7 3 8 3 9 4 0 0 a .... . si I. e; 7Gl 7 " I I 7a I SOl 2 -- -- -- -- -- -- -- --�-. HEADQUARTERS DEPARTMENT OF THE ARMY QFF ICE OF THE ADJUTANT Gf;:NIitRA'­ WASH I NGTON 25. D. C, WAM/ cmb IN ItU't.-Y ....... . 10 AGAO� L ( 1 0 Jun 6 3 ) SUBJEC T : Tr ave l Ord e r s 12 June 1961 TO : Dr . Iwao ISHINO, GS - 1 3 Equ iva l e nt Mi ch i g an S t at e Unive r s i t y E a s t Lans ing , Michigan 1 . Ve rb a l author i z a t ion o f t h e S e c re t ary o f the Army , 1 0 June 19�3 , is conf irme d as f o l lows : �ro ce ed on O r about 1 0 June 1 9 6 3 f r om E a s t Lans ing , M i ch t o Oki�8wa f o r � per iod o f approxi ma t e l y 2 ye a r s in conne c t ion w i th C o n t r a c t DA 3 � � 03 1 � QM� 2 2 2 68 . Upon comp l e t ion the r e o f r e turn to point of o r i g i n . 'l'he S e c r e t ary ci f the Army 8uthpl;' i z e $ you t o - 2 . Tr ave l t o be p e r f o rmed i s ne ce s s ary in the pub l ;i. c s e rvice . Tr ave l by Mi l it ary Air 'l'r ans port Servi ce or C a t e gory A is author ized f r Qm ' cont ine nt a l US to o u t s ide cont ine nt al US on a r e imbur s ab l e � a � i s w i th b i l l ing t o be made d ire c t l y to Michigan S t at e Unive r s i t y , E a s � Lans ;i.ng � Mi ch , De t e rminat ion of the app r o p r i a t e mode of t r ave l ou t s id e US w i l l b e made b y the re s pons ib l e Tr ans port at ion Of f ic e r accQrd ing t o provis ions o f p e r t inent r e gu l at ions . A l l e xpens e s incurred a s a ):' e s u lt; of th i s mi s s ion w i l l be borne by the Michigan State Unive r s it y , E a s t Lans ing , Mi ch und e r Cont r a c t DA 33 - 03 l - QM- 2 2 2 68 . the De par tme nt o f the Army Air 'l'r a f f i c Co o rd inat ing Of f i c'a r , Tr avis Air Force Bas e , F a i r f ie l d , C a l i f not l at e r than 2 3 0 0 hrs , 16 June 1 9 63 , fo� a i r t r ans po r t at ion und e r Air Moveme nt De s igna t o r SUU DNA 3 �U � 449 AZ� 06� rou are author � ze d t o r e po :r � t o cont inent a l 3 . S e cur i t y C l e arance : A c c e s s t o � l as s if ie d mat e r i a l and informat ion is not r e q u i red . 4 . Lo g i s t i c s uppo r t c annot b e d e t e rmi��d and � i l l ' b e as pre s c r ib e d by the approp r i a t e ove r s e a command e r und e r the provis ions o f AR 7 00- � 2 , 5 . A b agg age a l lowance of 6 6 lbs , pe r s ona l e f f e ct s , is autho � i zed wh i l e t r ave l ing b y a i r c r af t . Ho l d bagg age no t t o e xc e e d 3 5 0 I b s and h�� s e � ho l d goods w i th in the max imum we i ght a l l owance a r e aut ho t h fild to be s hipped through the US Army Tr ans p or t a t i o n Te rminal Command J'ac if i c , F t Ma�c;Ul , ; Ca l i f by Mi l i t a r y S e a Tr ans por t a t ion S e rvice on a re imb u r s a b l e ' ba s is . Ine rit of one ( 1 ) pr ivate l y owne d veh i c 1 e . is autho r i z e d f r om t�e US Al;'my 'l.'r ans �o r t a t ion Command , P a c i f i c , Ft Mas o n , Ca l if to p o r t of d e b,u:-kat ion �p · Sh ip ... AGAO- L ( 10 Jun 63 ) SUBJEC l : Tr ave l Ord ers WAN/ C!1l� 1 2 June 1963 Okinawa by Mi l it ary Se a lr anspor t at ion Se l;'vice on a �pae� avdhbh re �mbur s ab l e b as is . De l ive ry o f pr ivate ly Qwn�d v�hicle t o the Army 'l'e rlIlina l w i l l be at no e xpe nse t o the Gove rnme�t . 6 . You are author i ze.d 3 d ays d e l ay enroute in H,awa i i. a t no e.xp�l)8e to t4e Gove rnment . FOR THE ADJUTANT GENERAL : " DIS l� ; 2 5 �5 • 2 .. 2 - 2 - Ind iv thru cont act Contact , ODC SOPS USA - Wi l l C a l � / 7 � 7 63 Mi ch igan S t ate Univers ity , At tn: Ccmt� a c:t QA 33� 031- Q}f .. �22�8 , E a s t Lans ing , Mich (Airma i l ) DAATCO , MATS Tml , Travis AFB , F a if f ie ld , Cal�f (Aitm� il) Pas s port and Vis a s Br , USA$CAF , RID IB 8 7 4 , p�nt aSQn . . . � • : . Honth and Year From To jtt Jan 1937-Apr M 42 � Apr 42 - Jun 42 street and Number City state or Country 421 12th Stree t 3an Diego Calif. 8artime �1jI1018B� Assembly Center Santa Anita Calif . Jun � jjl;m: 42 - Jun 43 Colorado River War � Relocation Center Poston Ari zona. � fi:l:i::r;a:tia June 43 Jun 44 - 0 Oct 44 - Jan 46 Jan 46 - Jun 46 Jun 46 - May 47 ---- -s . Ellis st . Chicago Ill. 4436 Quarles St. , N . E . , Washington , D. C . DC Camp Lee (U . S . Army ) Military Inte�ligence � Language School Camp Lee Va . l10nterey Calif . � Jun 47 - Nov 47 118 Farnham st . Belmont Nov 47 - Jun 49 42-} Kinnard st. Cambridge Hass . Hass . Jul 49 - Jul 51 Jul 51 - Nov 51 GHQ , SCAP , Allied Occupation of Japan (Washiggton RXe Heights ) Civil Information and Education Section , USCAR Tokyo Japan Naha Okinawa Dec 51 - Jun 51 --- Linden S t . Columbus Ohio '-(2 1 - / 1.- � S' 7. p l orD (.,,' I�. 5 �/ (' a If, I:)Q (/,/1 {)I 7 � ( �r! r � ) tf-{/I-U 1 1-1 7b Ky o, JA 1/,JAi ___ -J.:.ltY DJl:-tJ - SJL �(uM.j3� )() ti/c> _ p?--d. ,_ ( ?§-( _: _� _� Nf' . /!_�l _ Jf_2.:-1?- J 1J Ive- 1 13 1 - t i _ / t'. � � 50 )tst � '1V1V- 'fS-¥ - l o ; rf _ eA-e !(' rf'�(1 JIJ'I" ! I £. Luts / ;;"j l /Lt /C6I­ � ? 3 5' ( ) /J-1- lf 56 - 44, li s-1 / 6 / l.( (' l� s �f {te . S er-f.-I 'h 7 - __ J)e e. _ I, j 7 _ -- - __ To /.( yo rfo:f',fffl/ _LA.-It E , La /\ s J� J. NI(, I i r7 i 1 II), 57ft 11 1c... f2-4 (/ J. I� 0 �C- A 0 1 \ 1 ,11 /1 '" I HI "? C-()/V!y,.bllJ' , (JI H i' i) S A I 6 A.... .( -�" ( - - __ I _ . 1_k.1 __ 2 3 � _ _ _ � // 'f/ ___ t2,f<--/ _ " _ L�N S ,"'/ U S C 4 R- J M 5 1A cr-- r/ J #-10 '-t t= St6- t...I- J,. 1_d-i L C'.t- S�- .. ( //v- rq 7 L/f. __ )v () � 7 (f f3 +- r C/'! e-L-J _ M /k H IN A �4- 1 6 lC � tV � A- _ CJ Kj N " lAJl! _ l��c 1 9 �/1 ----�- f-. --1_. �\ II c.. f' STATEMENT OF PERSONAL HISTORY Budget BureBu No. 22-R057 . 1 . ApprovBI expire. 30 lune 1956. INSTR UCTIONS : Read the certification at the end of this questionnaire before entering the required data. Print or type all answers. All questions and statements must be completed. I f the answer is " None , " so state. Do not misstate or omit material If more space is needed. use the Remarks section. item 20. and fact since the statements made herein are subject to verification. attach additional sheets i( necessary. The information entered hereon is (or official use only and will be maintained in confidence, I. (Print) FIRST NAME--MIDDLE NAME-MAIDEN NAME (If a ny)-LAST NAME i9 M R . o MRS. o M ISS 3. ALIAS(ES). NICKNAME(S). OR CIIANGES I N NAME (Other than by rnarria�) H1AO (NMI ) ISHIN O none 2. STATUS 4. PERNAII£ItT NAILING ADDRESS X I CIVILIAN I MILITARY ON ACTIVE DUTY 2 32 University Drive , E . Lansin g , Nich 5. DAT E O F BIRTII (Day, Dlon th, 'year) PLACE OF BIRTH (City, County. State. and Country) PLACE CERTIFICATE RECCRDED 10 March 1921 RACE IIEIGIIT WEIGIIT San Die go , San Die go , Calif. , USA San Die go , C alif. COLOR OF EYES COLOR OF HAIR SCARS. PHYSICAL DEFECTS. DlST INGUISHING MARKS 5 ' 8 11 Jp se I. DO YOU HAVE A IIISTORY Of MENTAL OR NERVOUS DlSORDERSl 0 YES [S NO ARE YOU MOW OR HAVE YOU EilER 115£" ADDICTEQJO THE USE OF HABIT RlRM_ DRUGS SUCH AS mole on left side of chin Black Brown 155 ARE YOU MOW OR HAVE YOU EVER BEEN A CHROMIC USER TO EXCESS Of ALCOHOLIC BEVERAGES? 0 YES :Kl NO IF Tit[ NARCOTICS OR BARBITURATES) 0 YES � NO ANSWER TO ANY Of THE �VE IS "YES." EXPLAIN IN ITEM 20. NATIVE IF NATURAUZED. CERTIFICATE NO. IF DERIVED. PARENTS' CERTIFICATE 110(5). DATE. PLACE, AND COURT 1. U. S. CITIZEN � ALIEN 0 8. XI YES I NO REGISTRATIQI NO. NATIVE COUNTRY DATE AND PORT Of ENTRY MIlITARY SERYICE ARE YOU PRESENTLY ON ACTIVE OUTY IN THE U. S. ARMED FORCES DRAW1f16 FULL PAY) 0 YESt] NO IF "YEs," COMPLETE THE FOlLOWING: GRADE AND SERVICE NO. ARE YOU PRESENTLY A MEMBER OF A U. S. RESERVE Oli NATIONAL GUARD OIIGAHIZATION! 0 YES 5i NO IF "YES." COMPLETE THE FOUOWING: GRADE AND SERVICE NO. I SERVICE AND COMPONENT I SERVICE AND COMPONENT I ORGANIZATION AND STATION I ORGANIZATION AND STATION OR UNIT AND LOCATION IF "YES." COM PLETE THE FOLLOW ING: HAVE YOU PREVIOUSLY SERVED TOURS OF EXTENDED ACT IVE DUTY. DRAWING FULL PAY. FROM WHICH YOU WERE DISCHARGED OR SEPARATED TO CIVILIAN STATUSl Qg YES 0 NO TO (Date) TYPE DISCHARGES OR SEPARATIONS-G'RADE AND SERVICE. NO. COMPONENT COUNTRY SERVICE f RO M (Dal.) U. S.A. A. U .S. Jan '46 IMav 47 Hono�· S!1't· 4�0?R20h 9. EDUCATION (Accoun t for all civilian schools and lTIilitary a cadelTlies, Do n o t include service schools) MONTH AND YEAR FRO_ ro- Sept 1 39 June ' 47 �1ar ' 42 June 1 l.j-9 NAME AND LOCATION OF SCHOOL GRADUATE YES NO DEGRt.E San Diego State College. San Diego . C alif. Harvard University, Cambridge Mas s . x none X M. A. : Ph . D. 1 0 fAMilY (List i n order ,,,yen, paren ts, spouse, guardians, stepparents. fos ter pa renl." paronllf ... in- lit w . former spouse(s) (il dr'vQlced give d.fe Include any othera you r",;dl!d wi t h Or with whom a close rela t ;on s h ip and place), children, brothers and sisters, even though deceased. existed or exists. Ii the person is not a U. S. citizen by bir t h , I.ive date and port of entry, .Uen retl1istrlltion number, naturali� I .H"on certillcatiJ n umber and place of i •• uance . ) RELATION AND NAME DATE AND 'PLACE OF BIRTH PRESENT ADDRESS. IF LIVING A U. S. CITIZEN! I DO YOU IKlEND TO BECOME I'NO I I YES I SERVICE STARTED I DATE CURRENT ACTIVE FATHER Tomo ta Ishino MOTHER (Maiden name) Tei Yoshi zuka SPOUSE (Maiden name) Hary Tomiko Ko:bayashi 0i&Jl (Sl'"c ifyj �f�igli�i1o I�� bWashi Mlllsao K:t.taya' :[obayash i motfler':::i:�kraw a €I -Ln- a Maa���Ht��nice Ishino Catherine Jo Ishino daughter Elaen S � augh er s an I s hino D O l FORM MAY 55 3 9 8 23 Dec 1889 F\.llmnk!l J::m.qn 10 Harch 190i " Fukuoka.. Jaoan 2�tFe� ' 23 Cal · f v an n , � . ,0' 'J:a,.ut?-:;tI)Y 1 89 0 Ehime�. :Ja.oarr : . ) �� 1 () · �Oc tqoer 1 89 2 Ehime . ·;J�aD�n:. 2 4 April 1 948 Brookline . Hass. 1 6 April 1 952 Columbms . Ohio 9 May 1 9 5'+ : c � l . r.nl"mh,,� OMo PREVIOUS EDITIONS ARE OBSOLETE. U . S. CITIZEN YES NO X I, '. 3112 L Stree t , San D " c��£r. 3112 L Street, San D�e!o a "�r. NSU Group , USCAR , APO L�8 x I t If H " I I 1 7 30 Hartha Lane ,�m¥- Ana 11 1 7 30"Martha tane Santa Ana-,- Cali f-,- II II �1SU Group . YiSCAR.L APO lf8 II If II " I f I I II II II " x x x X X 1 1. OTHER RELATIVES AND ALIEN FRIENDS LIVING IN FOREIGN COUNTRIES (List grandparen ts, first cousins. a u n ts, u n cles, brothers- and sisters-ill--Ia w . and other persons with whom a close rela tionship existed or exists) RELATIONSHIP AND NAME A G E OCCUPATION ADDRESS CITIZENSHIP 1 2. FOREIGN TRAVEl ( O ther than as a direct result of United States miJjtary du ties) DATES COUNTRY VISITED PURPOSE OF TRAVEL FROM-' TO- Oct 149 Jul ' .51 Jul '.51 Nov ' .51 Oct ' tiA All.o' ' �q J apan Okinawa .T!ln�n Employment as DAC , FellOll1 , Paci fic Sci ence Board , Nat. Res . Co une Will hl"; Clh t. Pl"O fp��n"r' TIn;" .... f 'l' .... kvl'\ .. GIiQ , SCAP , Tokyo 1 1 3. EMPLOYMENT (Show every employ me n t you ha ve had and all periods of unemploy men t) MONTH A N D YEAR FROM- TO- N A M E AND A DDRESS OF EMPLOYER NAME OF I M MEDIATE SUPERVISOR REASON FOR LEAVING Apr Jul S6P ,June .Jlll ' 42 ' 42 ' 43 ' 44 Dec Gap Jun e ' 42 ' 43 ' L"L ' L�5 unemployed '1al' Relo cation Authority , Colorado Ri'leI Relocation Center. Alexander H . Lei ghton Merchandise M.art Build..L<. ChiQa ro O ffice o f �!,Tar Inform.ation TtJashinRton..l D . C . Alexand er H . ...Lei.rf Alexander H . III .to Leight.on Alexander H. Leip.:hton I · comple tion of ioh com1)le tio n o f i�b completion o f 'job J an ' 46 Hay ' 47 Army of the U . S . O c t ' 49 Jul '51 ' 51 Jul Nov ' .51 GIfQ , SCAP , Tokyo , Japan Pac ific Sc ience Board , Nati onal Re search C ouncil. Hash • • D . C . Dec ' 51 Aug ' .56 The Ohio S tate Univ . , Columbus , 01 Sep 1 .56 pre sent Michigan s tate Univ . , ,,. .. . l. ' Q_ ... -I- T �u..., v .... . ""' ..... b ' .. _ ........ "' .... John ';T. Bennett comp�g�ion o f Harold C oolid ge comple tio n o f . Raymond Sletto 1. 0 ' John U s e em .iob transfer to Nich. st . u . � DID ANY OF THE ABOVE EMPLOYMENTS REQUIRE A SECURITY CLEARANCE1 KI YES o NO DO YOU HAilE lIMY FOREIGN PROPERTY OR BUSINESS COIINECTIONS. OR HAVE YOU EVER BEEN E MPLOY£D II'Y A FOREIGN GOVEIHIMEIfT. FIRM. OR M>EMCYJ o YES iii NO HAVE YOU EVER BEEN REFUSED IIONDI 0 YES IKl NO EXPLAIN I N ITEM 20. IF TItE ANSWER TO ANY OF THE AIIQI/E IS "YES." SOCIAL SECU RITY lID. 554-01-5779 1 4. ... ;:; '" '" u " '" ... u .. " .. :r u I CREDIT AND CHARACTER REFERENCES (Do not include rela tives, former enaployers, or persons 1ivin� ou tside the United States or its Tt:rritories) " NAME (List 3 credit and J char_fer) YEARS KNOWN STREET AND NUNBER (Buaine83 addre3lJ pref",red) CITY STATE 011 TERRITOAY John Useem .Tohn nOnOD'hU9 l Dvnes Russel Mn-r'p;)n S M;:tY'toJA] 1 nl1 !:)n&\ rn hson Si mnn f}i n; +.'7. A 1 f'y-"," r. Col !:ll'll'", /11 "" .... '1"<> ","o-n,t. ""-' . ,rl , 8 q 12 ? P- 1? 1 ? 12 .t: ..E... . 1.;:msinl1 E LansinO' Michi (tan State T1 ni-'lffil.'Si. Mi chi 17:m St::t tlA Universi tv Ohi 0 Sb t.e tIn; VA1"�i tv Columbus 'M-1 c!-'l'j p'tI.n StAte lTni.ve'Y'si tv _E Lanstng M; ('hi rr.::tn S+�t.A Un; vA'Y',cd t.v li: T • .!'lnsi nO' Ohi 0 Si:::It.A Un; vP.'Y'si.bL Coo lllmhl1!'! rlhi 1'\ �+�t.A TTni,rrl _r.1'\ 1 umbu � l".C:; br MJl�l.gan !)t.at.e um.versl. '(,Y J!, • .lJanSl.n g , Mit'h }IT; Clh Oh'i n Mi ch M; t'h Oh-l l'\ on; 1'\ NJ:Cn. PPRC, JapBn .. fi. I o " , , I I l I .... . 15. MONTH AND YEAR FROM- TO- LIST ALL RESIDENCES FROM 1 JANUARY 1931 0 STREET AND NUMBER CITY STATE OR COUNTRY 1 6. PAST AND/OR PRESENT MEMBERSHIP IN ORGANIZATIONS NAME AND ADDRESS T Y P E (Social, irll terl)4/, pro(es,lonaJ, etc.) OFFICE HiLD MEMBERSHIP FROM- TO- " . j o , 17. YES NO o ' � L . , I , � 0 I , A R E YOU NOW OR H A V E YOU EVER 8EEN A M E M B E R OF THE COMMUNIST PARTY U S A . OR A N Y C O M M U N IST ORGANIZATIONS ANYWHERE' :�-!t B'",·t*· .,'i; ;��.:�- '., � '" 0:::-.�x , .. q ARE YOU NOW OR HAVE YOU EVER BEEN A M E M B E R OF A FASCIST ORGANIZATION' ARE YOU NOW OR HAVE YOU EVER BEEN A M E M BER OF ANY O R G A N I ZATiON. ASSOCIATION. MOVEMENT. GROUP OR COMBINATiON OF PERSONS W H l c t t ADVOCATES T H E OVERTHROW OF O U R CONST I TUTIONAL F O R M OF GOVERNMENT. OR W H ICH HAS ADOPTED THE POLICY OF ADVOCATING DR APPROVING T H E COMMISSION OF ACTS O F FORCE OR VIOLENCE TO DENY OTHER PERSONS T H E I R R I G HTS UNDER T H E CONST iTUT ION OF THE U N I T E D STATES. OR W H I C H SEEKS TO ALT E R THE FORM OF GOVERNMENT OF T H E U N I T E D STATES BY UNCONSTITUTIONAL MEANS? A R E YOU NOW OR HAVE YOU EVER BEEN AFFILIATED OR ASSOCIATED W I T H ANY ORGANIZATION OF T H E TYPE DESC R I B E D ABOVE A S A N AGENT. OFFICiAL. OR EM PLO Y E E ' A R E Y O U N OW ASSOCIATING W I T H . OR HAVE YOU ASSOCIATED W I T H ANY I N D I V I DUAL: . . INCLUDING RELATIVES. W H O Y O U K N OW . OR HAVE R E ASO N T O BELIEVE. A R E O R HAVE BEEN M E M B E R S OF A N Y OF T H E ORGANIZATIONS IDENTIFIED A BOVE? HAVE YOU EVER E N G A G E D IN ANY O F THE FOLLOWING ACTIVITIES OF ANY ORGANIZATION OF THE TYPE DESC R I B E D ABOVE: CONTRIBUTION( S) 1'0. ATTENDANCE A T OR PARTICIPATION IN A N Y ORGANIZATIONAL. SOCIAL. OR OTHER ACTIVITIES OF SAm ORGANIZATIONS OR OF ANY PROJECT S SPONSORED BY TH E M : THE SALE. GIFT. OR DIS· TRIBUTION OF ANY WRITTEN. P R INTED. OR OTHER MATTER. PREPARED. REPRODUCED. OR PUBLISHED. BY T H E M OR A N Y OF THEIR AGENTS OR I N ST R U M ENTALITIES? IF " YES. • DESCRIBE T H E CIRCUMSTANCES ATTACH ADDITIONAL SHEETS FOR A FULL DETAILED STATEMENT A N D EXTENT OF ASSOCIATION WIT H EACH. INCLUDING OFFICE OR POSITION HELD. ALSO INCLUDE £!ATES. PLACES. A N D CREDENTIALS NOW OR BEEN WITH IN DIVIDUALS WHO A R E M E M BERS OF T H E ABOVE ORGAN IZATIONS. THEN LIST THE I N D I V IDUALS AND THE ORGANIZATIONS W I T H WHICH T H� Y WERE O R A R E AFFILIATE D. IF ASSOCIATED WITH ANY OF THE ABOVE ORGANIZATIONS. SPECIFY NATURE ' FORM E R L Y HELD. IF ASSOCIATIONS HAVE I 18 HAVE YOU EVER BEEN DETAINED. HELD. ARRESTED. INDICTED OR S U M M ONED INTO COURT AS A DEFENDANT I N A C R I M INAL PROCEEDING. OR CONVICTED. F I N E D . OR IMPRISONED OR PLACED ON PROBATION. O R H A V E YOU E V E R BEEN ORDERED TO DEPOSIT B A I L OR COLLATERAL FOR THE V IOLATION OF ANY LAW . POLICE R E G U LATION OR ORDINANCE (e.cluding minor tra ffic viola tions for which a line at forfeiture of $15. or less was imposed)? INCLUDE ALL COURT M A RTIALS W H I LE IN M I LITARY SERVICE. 0 YES 0 NO IF "YES." LIST THE DATE. THE N A T U R E OF THE OFFENSE OR VIOLATION. T H E N A M E AND LOCATION OF T H E COURT OR PLACE OF HEARING. AND THE PENALTY I MPOSED OR OTHER DISPOSIT ION OF EACH CASE. I , ,I c--_ 19. ARE T H E R E A N Y INCIDENTS I rt YOUR LIFE rtOT MENTiONED HEREIN W H I C H M AY REFLECT UPON YOUR LOYALTY TO THE U N I T E D STATES OR UPON YOUR S U I TA BILITY TO PERFORM T H E DUTIES WiUCH YOU MAY B E CALLED UPON TO TAKE OR WHICH MIGHT REQUIRE FURTHER EXPLANATION? 0 YES 0 NO IF "YES." GIVE DETAILS 19. ARE T HERE ANY INCI DENTS IN YOUR LIFE NOT MENTIONED HEREIN WHICH MAY REFLECT UPON YOUR L9YALTY TO THE UNITED STATES OR UPON YOUR SUITABILITY TO PERFORM THE DUTIES WH IC H YOU MAY BE CALLED UPON TO TAKE OR WHICH M IGHT REQUIRE FURTHER EXPLANATION? D YES o NO I F "YES." G I V E DETAILS 20. REMARKS r - . . . • • . . • • . . ; ,- 1". • , • . , . . • . , . . . . . I . • • , I , r i I CERTIFY THAT THE ENTRIES MADE BY ME ABOVE ARE TRUE CdM PLETE. AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF AND A R E MADE IN I UNDERSTAND THAT A KNOWING AND WILLFUL FALSE STATE M ENT ON THIS FORM CAN BE PUNISHED BY FINE OR I MPRISONMENT OR BOTH GOOD FAITH. (See U. S. Code, title 18, aection lOOl) DATE SIGNATURE OF PERSON COMPLETING FORM TYPED NAME AND ADDRESS OF WITNESS I I SIGNATURE OF WITNESS 21 . THIS SECTION TO BE COMPLETED BY A UTHORITY REQUESTING INVESTIGATION BRIEF DESCRIPTION Of DUTY ASSIGNMENT AND DEGREE OF CLASSIFIED MATTER (top Hcret, a.cret, etc.) TO WHICH APPLICANT WILL REQUIRE ACCESS . . . i DAT! OF CWRANCE TYPE OF CWRANCE AGENCY THAT COMftETtD INVESTIGATION RECORD OF PRIOR CLEARANCES . . i - , REMARKS - , . PPRC, Japan - �-- � • '\ \ \ F O R OFF I C I A l U S E O NLY DATE SUBMITIED REPORT OF NATIONAL AGENCY CHECK ( A R 381- 130 I 1 . LAST NAME -FIRST NAME -MIDDLE NAME Ishino , Iwao 2. GRADE 3. SERVICE NUMBERS 4. ACTIVE DUTY EGS-1S D YES 0 NO 5. PRESENT HOME ADDRESS I N U. S. 6. DATE OF BIRTH 7. RACE 232 Universi ty Drive , Eas t Lansing , Mi ch. 10 Mar 21 Jpse 8 . DUTY STATION OR BUSINESS ADDRESS 9. PLACE OF BIRTH MSU Group , USC AR , APO 48 , S an Franci sco , Calif. San Diego , C alif. 1 0 . DUTY OR JOB ASSIGNMENT 1 1 . ALIEN REGISTRATION NUMBER 1 2. CERTIFICATE NUMBER THROUGH WHICH CITIZENSHIP ACQUIRED 1 3. CONTROL SYMBOl AND FILE NUMBER 1 4. CONTROL OFFICE 1 5 . INVESTIGATION REQUESTED BY 1 6 . o. DATE b. NUM8ER AND STREET c. CITY d. STATE RESIDENCE FOR LAST TEN ( 1 0) YEARS (Exclude present address above) Fe b ' S2- Sep ' S 6 1719 North starr Road Columbus , Sap ' S6- Dec ' S9 1014 Ches terfield Parkway East Lansing Ohio Mich 1 7. o. DATE b. COMPANY OR FIRM c. ADDRESS PLACE OF LONGEST EMPLOYMENT SINCE AGE 1 B Sep ' S6 prese �t 1 8 . ADDITIONAL PERTlNE�T INFORMATION (Fat use oj Conlrol Office) Michigan State Universi ty East Lansin g , Michigan 1 9. AGENCY ACSI D 20. CODE FBI ( S ) D ONI D 051 D TAG D C S C D INs D STATE D FBI (e) 0 0 0 0 (NR) NO RECORD (ND) NOTHING DEROGATORY (NI) NOT IDENTIFIABLE (SA) SUMMARY ATIACHED (AR) AGENCY REMARKS 2 1 . AGENCY REMARKS Assistant Chief of Staff for Intelligence l Iq, Dl'parl mc n l of the Army Washi ngton 25, D. C. SIGNATURE FORM I DEC 5 8 DA 340 PREVIOUS EDITIONS OF THIS FORM A R E OBSOlETE. FOR OFFICI AL USE ONLY Army-Admin Cen-Japan I Continuation ot "StatllDellt ot Personal. History", Item 10, p. 1: Relation and Name Date & Place of Birth Present Address u . s . Citizen 1!! No Tord Ruth Ishino daughter 9 August 1962 Lansing, Michigan MSU Group, USCAR APO 48 x ( REQu�T FOR PERSONNEL SECUP�TY ACTION (¥JUltary P ersonnel ) TO : ACcfS , G2 Hq USARYIS , APO 331 ATTN : S e c�ty Div THRU : ( If �ppli�ble ) Provo st Marshal APO 331' THRU : Surgeon USA Ho spital APO 331 � - - - SUB JEC T : (L&st , '!'1\ First , Hiddle) G�E!RATE: ptMg�lN sec .• ISHINO , Iwao ( riJ�·IT ) E uS-.... 5 JjDO B : ' far 1 0 ' 2� \11 , I'- POB : ! FROH : l DUTY STATION : DATE : i JOB DESCRIPTION : Chief of Party S -=-CTICH IJ REQUEST IN VES TIGATICN FOR : (C heck Applicable Blocks ) (E."q}l&.in nOthern in Remarks Section) [J Initial Inve stigation [] Verification of Prior Clearance D . Other Is Int erim Clearance Required? 0 YES 0 NO o CRYFTCGRAPHIC Infon:zation o TOP SECRET Information o SECRET Information CJ CONFIDENTIAL Information o Other (Explain ) S1: v --... ."-.J __ c:: c· (' TTOF T T I I o No Rec ord 0 No Derogatory 0 S e e Remarks REPRESENTATIVE : {TYPED QR PRllJ TW) S IGNATURE : HARSHAL Pl{ PROVOST St.CTION IV I MEDICAL SERVICE GROUP REPRESENTATIVE MEn REPRESENTATIVE : t TYFED .OR PRIN TE.e)/ ;::;IGNATURE : o N egative 0 Positive (See ReJll8.rk� ) n�cLS : DD FOFL� 398 (SPH ) ( Trip DJ. FORM 340 (7 or 12) FD FORH 258 (Dup ) ? iQTE : S E3 REVEri.SE SIDE OF THIS FOR.l-1 FOR "REMARKS SEt TION " • .:;#-'� �lS FO?.l1 102 ( 7 Aug 62 ) Repla ces TJSAR� FL 102 (31 Jan 59), which is ·obsolete. , (USARYIS secUrity ¥�'"U21 ) I I , .- .. __ __ __ t SE:TION vt . • I I , I! .