Strunk Response 1

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TO BE COMPLETED BY AN APPLICANT WHO BECAME A CITIZEN THROUGH NAftlRALIZATIOM lMMlG RATED T3 f HE r RESIDED CONTINUQCjSLY IN TuE NATclR 1LIZATION CERf 4 FICA7 E NO. J.S. (Monrh, year) U.S. From (Year) To (Year) 0 Subm bed hermlm I2 Ssen and returned Previou~ly subrnltred 'LACE HATURALISEU (Citv, statel U2ilJR'ALlZAT13N COURT I IDATE NATURALIZED TO BE COMPtEf ED BY ALL APPLICANTS 3CCUPATION PROGRAM OFFICER, FORD FOUNDATION VISIBLE DtSTIIVGUISHIb4G MARKS -EN W T a P m E WLLOYVlNG fF CHILDREU OF A PREVIOCR MARRIAGE ARE WLUPED OR 1F PR€VW.SlY WRED BEFORE WW3" 1931 I WAS PREVIOUSI,Y MARRIED ON \TO (Fult legal name) (WHO WAS BORN AT (City, St*, Countrv) none - . ON (Date of bimh) [I FORMER HUSBAND WAS U.S. ClSlZEN [PREVIOUS MARRIAGE TERMINATED BY a DEATH DIVORCE I FORMER HUSBAND WAS NOT U.S. CIRZEN lol~ ID-, ~ ~ N P L ~ I F A F P U C A N F D R A N Y P E ~ ~ ~ ~ ~ N ~ I D N B W P S N O T ~ N I W ~ U €+If EAED THE U.S. {Mon~h) (Year) IF FAT HER NATURALIZED: I IF KNOWN, FATHER'S RSIDENCE PHYSICAL PRESENCE 1N U.S. 0 Applizam Date Certiflcats No. From (Year) fa (Year) W~B 13 Husbsnd Before ( Nm of Court) Place IClty, Stme) Child RESIDP~~~CE/CONTINUOUS PHYSICAL 1F MOTHER NATURALIZED: IF KNOW, WTHEUS RESIDEME PRESENCE IN U.S. Fr~rn(Ysarj To (Yssr) PHYSICAL PFlESENCE IN U.S. Dete Certificate No. Appliant Fmm IYeer) To 1Year) 7 I I I I 1 I INTEND TO CONTINUE TO RESIDE ABROAD FOR THE FOLLOWTNG PERrOD AND PURPOSE Two years contract with Ford Foundation from January 1981 - December 1982. II~TENDTORETURNTDTHEUNITEDSTATESPEAMANENTLV DATEOFDEPARTURE 4 YEARS MONTHS 1 PRlVACY ACT STATEMENT T& Information snlieln?d an this fdm is authorized by but not limited to, tho= statutes codified In Titlm 8, 18, and 2% 4JnimdSt.TosCodq md *I1 pmdecmsor rt;lu.ttes wketker or not codified, and s)t re&lation$ issued pursuant to Ewmcutiue Drhr 11295 of August 5, 1966. The p r l m put'PUM ~ ~ for .ollciting the information Is to esrablish citizenshipr Identiq and entitlmem to Issuance 8+ a Unlwd States Pmpon or raja& ftsllity, and to prupetly admlnisrer and enforce tha Ems psrtaining rherato. The infomatian ismade available as a routine urn on a need-*know ba~k te psrs~nnel of the Chpartment of S m and ethw gwwnmmnt agenele~ hwlng statutory or other lewful authoriw to maintain mch information in the perfmmanfa af their officlal dutias; purarantm ambpoenr 8r court ardor; and, ~s sat forth in Parr 64 Titye 22, Code of Federal Regukitions {Sea Federal Register Volume do, pages 45755, 45156, 47419 and 67420). Failure t8 prwids the lrrfwmffio~ requested ~xr this form may rmlt In the denial of a United Srateo Pwort, rel~t9d docurnant or 5 a ~ k O tO h6 indlvldusl seeking wch psgspoq docwmenr Qr service. NOTE: The dischsurs of your Sacial Security hlurnbw or d the identin, and locattan r~f a p e m tm bs no~ifisd In thm went Of dmath mT rcidmnt JI entirely voluntary. H owwwr, failure to pmvida this in+wmadon may prwent the Depanment of State frm prwiding yw wWh rlmely armlstance or promtion in the went you shwld anceunrer an emergency siruae-1 whFle oumlde The United Stams. ACTS OR CONDITIONS (IF m y of me baluwmentioned acts or conditions have bmn parfwmed by er qply to the applieanf or to any other p-n ta bn lncluded in thm passport, the pOrtIcxl which appli- should be smck out. and a supplemenmry e*otanatnry statement undw oath (or affirmation) by tke par-n to whom the partion is applicable should be attsched and made a part af fhiq application.) 1 have not (end no other wrron included in ?his appllcatlan has}, since acqulrlng Vnimd S- citizenship, m n naturatizedas a citlren M afwoign m; taken an ash Or made an affirmation or oMsr formal declaration 07 allegiance m aforegn stare: enrered or mwud In the armad forcm nf sforeinn smm; acepted or performed the dutiee of any office, post, or employment under the govwnment of 8 forelgn rtam or political subdivl~ion thererrf: made s fo~rnat ranunclatiun of nationality either in the United S tams or bdore a diplomatic or conwlar officer of the United Staas in a toreign State; svsr WQht or claimed the twnefirs of the netionaliry of any foreign %taw: or been convicted by a court or court rnartlal of compefant jurisdiction committing anv a ~ of t meason aga;nst. or atrsmpting by force to overthrow, or beaing arms ageinst, t,a UniTed Stares, or conspiring to ovmrthrm, put down or to desnoy by force, rhe Government of rhe United States Wk RNING: False starementr made knowingrv and willfully in pasport applicwions or in aFTi&vits Or rimer flupporting doturnsnu rubrnltQd Therewith are punishabla by five and/or imprlwnmenr under the provisions uf 18 USC t Wl and/or 18 USC 7542. Alteration or rnurilalon of a paaaort Imnd pursuant to this application is punishable by fine and/or irnprlaonmsnt under the pmvisians of 18 USC 1563. The use of a pawart in wiolstim Of the restriction5 contained therein or Of the pasport regulations is punishable by fine and/or imprisunment under 18 USC 1544. A lr stetemmts end documents submirwd are rubjeet m verificaricn. -- ~PPL~CANT'S IDENTIFYING OOCUMENT~I CeMfieate of Naturallzation or Citizenship No.: U PBSSPOTT 1 ~ Dm: ~ 9 Urivefs Liceme Place of Issue: Tthur lSc;acifyJ: !$mud In Name OE IFOR USE OF OFFICE TAKING APPLlCATlONl I DENT IFYlNG DOCUMENT lS) OF WIFEIHUSBAFTD T 0 BE INCLUDED IN PASSPORT Certificam of Naturalizarion or Cirirenshlp No.: Passpart lreue Oa*: , n Driver's License Plaee of !we: C] 0rhet (SP~CWY): lasued in Name of:
W/CM/T& clty.-wd COLOR OF WAtR ~ F ( O F ~
Page 1 and 2: UNITED STATES DISTRICT COURT FOR TH
Page 3 and 4: oath of office to uphold the U.S. C
Page 5 and 6: egard to his applied experience and
Page 7 and 8: to 1967 (1953 through 1985) and tha
Page 9 and 10: If a member of Congress sought such
Page 11 and 12: cover-up, substituted Defendants’
Page 13 and 14: Navy; 1976-1980 - U.S. Border Patro
Page 15 and 16: admitted to the United States as an
Page 17 and 18: i. October 1967 - Ann Dunham Soetor
Page 19 and 20: . To date, Obama has refuse to rele
Page 21 and 22: in Kenya in 1982 at the age of 46.
Page 23 and 24: Los Angeles, 1979-81], BHO used the
Page 25 and 26: ack to her maiden name was in Lahor
Page 27 and 28: . When Barry Soetoro graduated from
Page 29 and 30: (g) any current administrative reco
Page 31 and 32: UNITED STATES DISTRICT COURT FOR TH
Page 33 and 34: 28, 1985. 11. Attached is a redacte
Page 35 and 36: Privacy Act of 1974, (5 USC 552(a))
Page 37 and 38: Dm-, . It eppegn thw, by law, the U
Page 39: Ill reply rderto: CMFT/ULE - hie Co
Page 42: 1 AMEND TO IHCLUDE (EXCLWOEI tWIFEI
Page 45 and 46: -- DEPARTMEN l OF STATE APPLICATION
Page 47 and 48: ' (PLEASE PRINT OR TYPE - PENCIL NO
Page 53 and 54: Strunk v. U.S. Department of State
Page 55 and 56: Uni~S~passpoft#172196 issuedto 28,1
Page 63 and 64: - - -- . - -- U.S. Department of St
Page 65 and 66: U.S. Department of State Records Sc
Page 67 and 68: .-.. - .-. . - -- . .. -- -- -- - -
Page 69 and 70: 1660 Federal Registe~ ./ VoL 73, No
Page 71 and 72: 1662 Federal Register/ Vol. 73, No.
Page 73 and 74: 1664 Federal Registe~ ./Val. 73, No
Page 77 and 78: Print Story: AP IMPACT: A political
Page 85 and 86: OTHERSON FOIA REQUESTS - Yahoo! Mai
Page 87 and 88: August 3,2009 Office of Information
Page 89 and 90: HP Officejet Pro 8500 A909a All-in-
Page 91 and 92: United States Department of State W
Page 93 and 94: All Other Requesters - Requires us
Page 95: For pre- 1925 passport records, and
Page 98: 5 171.11 Definitions. records that
Page 101 and 102:
United States Department of State W
Page 103 and 104:
' All Other Requesters - Requires u
Page 105 and 106:
a For pre- 1925 passport records, a
Page 107 and 108:
5 171.15 Fees to be chargedcategori
Page 109 and 110:
UNITED STATES DISTRICT COURT FOR TH
Page 111 and 112:
That the Jacobsen Affidavit affirms
Page 113:
U.S. District Court for the Distric
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