SECRET
When Filled In
SECTION B
MARITAL STATUS
(Indicate Single, Married, Widowed, or Divorced. Show present marital status and number of times married. Show maiden name of wife.)
NAME OF SPOUSE WOODS, JUNE ROSE FALLON
9 MAY 1937 BROOKLYN, NEW YORK
(Housewife)
HOMEMAKER
SECTION C
DEPENDENT CHILDREN AND DEPENDENTS OTHER THAN SPOUSE
NAME RELATION DATE AND PLACE OF BIRTH CITIZENSHIP PERSONAL RECORD
CHRISTINE MARIE DAU. 16 JULY 1962 USA DECEASED JULY 83
SECTION D NONE
PROFESSIONAL SOCIETIES AND OTHER ORGANIZATIONS
NAME AND CHAPTER ADDRESS (Include Street, Town or City, Country) OFFICE HELD FROM TO
DATE 9 OCT 68
SIGNATURE OF INDIVIDUAL James E. Woods
SECRET