YOUR ADDRESSTODAY'S DATE AGENCY ADDRESS [see below for addresses] RE: FOIA Request Dear Sir or Madam:
Pursuant to the provisions of the Freedom of Information Act, I hereby request the following records:
one copy of all records concerning Lafayette Ronald Hubbard, who was born on March 13, 1911, and who died on January 24, 1986.
His social security number was 568-09-9422. [For the Navy Request only: he served in the U.S. Navy from 19XX to 19XX.
Please send me a complete copy of his service records.] Please place this request in the proper fee category. I agree to pay reasonable fees up to $25 without my additional permission.
Sincerely, YOUR NAME United States Navy Attn: Doris M. Lama CNO n09B30 Room 5E521 2000 Navy Pentagon Washington, DC 20350-2000 USA Central Intelligence Agency Attn: Lee Strickland Information & Privacy Office Washington, DC 20505 USA Social Security Administration Attn: Darrell Belvins Freedom of Information officer 3-A-6 Operations Building 6401 Security Boulevard Baltimore, Maryland 21235 USA Defense Intelligence Agency Attn: Robert P. Richardson Chief, FOIA Staff, Code PSP/FOIA Washington, DC 20340-5100 USA Interpol Attn: Yvonne A. Holley Freedom of Information Act Office Suite 600 BICN Washington, DC 20530 USA National Security Agency Attn: Gerald Stoudt Chief, FOIA/PA Branch Office of Information Policy, N5131 Fort George G. Meade, MD 20755-6000 USA United States Secret Service Attn: James P. ONeill FOIA Officer Liaison Division, Room 720 1800 G. Street NW Washington, DC 20223 USA United States Customs Service Attn: Gwen Contee, FOIA Manager Paralegal Specialist, ORR Washington, DC 20229 USA United States Department of State Attn: Frank M. Machak FOIA Coordinator, Room 1239 2201 C Street NW Washington, DC 20520 USA United States Department of Veterans Affairs Attn: Donald L. Neilson Director, Information Mgt. Services 810 Vermont Avenue N.W.
Washington, DC 20420 USA Immigration & Naturalization Service Attn: Magda S. Ortiz FOIA Branch, Room 5240 CAB Washington, DC 20536 USA Drug Enforcement Administration Attn: Thomas H. Wingate Chief, FOI Section, Room W-6268 LP-2 Washington, DC 20537