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HomeMy WebLinkAboutPersonnel Registration Forms 1967-79 / a/ 20 I. D. Number BRAZOS COUNTY CIVIL DEFENSE REGISTRATION FORM April 24, 19 67 Civil Defense Appointment §i , a / /// / //e /// Chairman, Health Division Name 1 . . dalt on, Jr. Home Address 1005 Uominik GO Phone 846 _ l�_fZ�l� Business Address 90' H F, E College Sta. ,Tex Phone 846-4613 City College Station Yr1„` s Color Wh Sex M Race Wh Age 50 Weight 220 Height 6T 2 R Hair Gray Eyes Rlue Blood Type Occupation Physician and Surgeon Education Baylor -B.S. & M.D. Special Skills or Training related to Civil Defense Work - (first aid, rescue, etc.) M.D. In case of emergency notify Mrs. T.O.Walton,Jr.,M.D., 1005 Dominik Dr., College Station, Texas 846Q4034 OATH "I, i)r. `1'.v. dalton, Jr. , do solemnly swear (or affirm) that I will support and defend the Constitution of the United States and the Constitution of the State of Texas, against all enemies; foreign and domestic; that I will bear true faith and allegiance to the same; that I take this obligation freely, without any mental reservation or purpose of evasion; and that I will well and faithfully discharge the duties upon which I am about to enter. And I do further swear (or affirm) that I do not advocate, nor am I a member or an affiliate of any political party or organization, group or combination of persons that advocates the overthrow of the Government of the United States or of this State by force or violence; and that during such time as I am a member of the County Civil Defense and Diaster Relief Committee of the County of Brazos I will not advocate nor become a member or an affiliate of any organization, group, or combination of persons or of any political party that advocates the overthrow of the Government of the United States or of this State by force or violence." Approved by: ! Signature \,10. I e .s .. County Director A licant Brazos County Civil De'ense pp T.O.Walto Jr.,M.D BRAZOS COUNTY CIVIL DEFENSE OFFICE APPLICATION FOR CIVIL DEFENSE APPOINTMENT (Please print or type all answers) I•D• RA - Civil Defense Appointment Races Unit Operator Date June 3, 1968 Name Scamardo Anthony, H, (Last) (First) (Middle) Address 1202 Timm. Telephone 846 - 3215 Occupation ILTt.A3 f ■4 T Working Hours 1 - 5 Employer -- Address Telephone No. g4(. ~,;Z i Marital Status m Age ;2 4- Birthdate ‘\O lc133 Height ( X., Weight 1oS Education i K�,S C-COIni'?YIA:f„,S. Do you have any physical defects: serious overweight, amputations, epilepsy, Etc.? Explain VC) Sex t■ Race �.�t.l. Blood type A - `HESS Color of hair t_ Eyes I-S f7_tJ Military Service: Yes I/ No Branch \)► � 1 . ` Discharge Date - _ ( Present Military Reserve affiliation, if any ` _ __ IAS Have you ever been convicted of a felony? ►f) In case of emergency notify ft), ( ;? /\c)Drf• SF1me OATH "I, Anthony H. Scamardo , do solemnly swear (or affirm) that I will support and defend the Constitution of the United States and the Constitution of the State of Texas, against all enemies; foreign and domestic; that I will bear true faith and allegiance to the same; that I take this obligation freely, without any mental reservation or purpose of evasion; and that I will well and faithfully discharge the duties upon which I am about to enter. And I do further swear (or affirm) that I do not advocate, nor am I a member or an affiliate of any political party or organization, group or combination of persons that advocates the overthrow of the Government of the United States or of this State by force or violence; and that during such time as I am a member of the County Civil Defense and Disaster Relief Committee of the County of Brazos I will not advocate nor become a member or an affiliate of any organization, group, or combination of persons or of any political party that advocates the overthrow of the Government of t rCZ i +F '.t M of this State by force or violence." Approved by • County Director Signature .- {.t \. Sa).4 )\ -41 -r $t$zas County Civil Defense (Note: on reverse side, list skills and training). BRAZOS COUNTY CIVIL DEFENSE OFFICE APPLICATION FOR CIVIL DEFENSE APPOINTMENT (Please print or type all answers) SHELTER MANAGER I.D. - ";/ Civil Defense Appointment Astin Building DateApril 18, 1972 Name Ruffino Luke No &A (Last) (First) (Middle) Address 601 Gordon Telephone 823 -0597 Occupation > e.,/ i M p o 7 ) Working Hours -/tfri J/_ J Employer _ Address 6e go ( 0 Q s / ot.2-6 4I/ Telephone No .X a--3- OS 7 Marital Status , D Ar-R R! Q- Age ' hdate 1/ r � Birt � � �� Hei . �`� j�-; Weight /71... Education A6. i k Do you have any physical defects: serious overweight, amputations, eplilepsy, Etc? Explain l ain ��l�0 .- Sex i 2 Race 2 Blood type 0 Color of hairy /c42. l Eyes /74 Military Service: YesNo BranchTAV4 /347r4 /04/ Discharge Date 7 „5 74 i Present Military Reserve affiliation, if any In case of emergency not 277 4 ote 4p,&4:: d S ,,,.5Z 4/ Have you ever been convicted of a felony? `0 "1, �► / , do solemly swear (or affirm) that I will support and de'- •,, the Con — stitution of the United States and the Constitution of the State of Texas, against all enemies; foreign and domestic; that I will bear true faith and allegiance to the same; that I take this obligation freely, without any mental reservation or purpose of evasion; and that I will well and faithfully discharge the duties upon which I am about to enter. And I do further swear(or affirm) that I do not advocate, nor am I a member or an affiliate of any political party or organization, group or combination of persons that advocates the overthrow of the Govern- ment of the United States or of this State by force or violence; and that during such time as I am a member of the County Civil Defense and Disaster Relief Committee of the County of Brazos I will not advocate nor become a member or an affiliate of any organization, group, or combination of persons or of any political party that advocates the overthrow of the Government of the United Sues or of this State by force or violenc,e." P v'1(1(CA -% 1 Approved: County Director S ignature- , f ., 4� Brazos County Civil Deism -f----- (Note: on reverse side, list skills and training). t S -3/ I. D. Number BRAZOS COUNTY CIVIL DEFENSE Category 2 &4 REGISTRATION FORM Capacityv1 466 Civil Defense Appointment Bolton Hall. ARRi atAnt Shai tg„r Wnnager Name w, f wd RG L E ke /Do/ AA Home Address ' ' = Idly Phone V /6 " 6 5 7o Business Address k. E, OLQ° )0v45 M5 4.0 L.(. Phone / 75 "/ City Co LL S A 1 & Color it"141 F E Sex MALE Race CALK-A5/AA) Age 1 7 1 2- Weight i ? Height C 3 Hair 1yLc »D E y e s »4 Blood Type �- Z Occupation Jti s T k J<TOR. OF EL - re I c A L LC r,t,6, e /m Education 13,5, �•�. Special Skills or Training related to Civil Defense Work - (first aid, rescue, etc.) M .iJ In case of emergency notify / k/ i P. N/0 R LEY cwl RE) OATH "I, (k. P, W 4 L `'" , do solemnly swear (or affirm) that I will support and defend the Constitution of the United States and the Constitution of the State of Texas, against all enemies; foreign and domestic; that I will bear true faith and allegiance to the same; that I take this obligation freely, without any mental reservation or purpose of evasion; and that I will well and faithfully discharge the duties upon which I am about to enter. And I do further swear (or affirm) that I do not advocate, nor am I a member or an affiliate of any political party or organization, group or combination of persons that advocates the overthrow of the Government of the United States or of this State by force or violence; and that during such time as I am a member of the County Civil Defense and Diaster Relief Committee of the County of Brazos I will not advocate nor become a member or an affiliate of any organization, group, or combination of persons or of any political party that advocates the overthrow of the Government of the United States or of this State by force r violence." (9 Approved by: 7Di Signature Applicant ._ ... s''y `� ` ` . r _ , !I , . ,, rt OATH OF OFFICE li i 1 i } y P. Worley Isl 0 i I ' 1 do solemnly swear (or affirm), that 1 will faithfully execute the duties of the office of _ a i I -__ aai,_Staiat __S_ 1 Pr� - .Lana.er-,- - -.13. altar .__Ball - __Cal-l.e- e-- t t- i-o-n, Texas I ' 1 1;, of the State of Texas, and will to the best ls s of my ability preserve, protect, and defend the Constitution and laws of the United States and of this I State; and I furthermore solemnly swear (or affirm), that I have not directly nor indirectly paid, ! I J 1 offered, o promised to pay, contributed, nor promised to contribute any money, or valuable thing, or . ^I promised any public office or employment, as a reward for the giving or withholding a vote at the .1 election at which I was elected.* So help me a God. i Signed_ , Sworn to and subscribed before me, this-----_----__-_ ____- ___- __________- ____- _ -_ - -Y r__ 1 :l ' - day of _ ---- i 1 , i I ∎I II •NOTE: It is understood that in taking the Official Oath by officers in appointive positions, this phrase implies "appoint- 1 i ment" rather than "election." j ** BAAZOS COUNTY CIVIL DEFENSE APPOINTMENTS I — i . —A __ BRAZOS COUNTY CIVIL DEFENSE OFFICE ac4 `L � 2 d` .� APPLICATION FOR CIVIL DEFENSE APPOINTMENT 7 (Please print or type all answers) I.D• 6 -1 Civil Defense Appointment Date Name 4- r NS e . .. ii - „i (Last) (First) (Middle) Address c ( ) sc.: U 1. h - T i o }hi, 0 } ii -e..._ , Telephone ., 6 c') Occupation Fr e B IL, S r�� ?!/0(2) ?!/0(2) _ G Working Hours � ,E'jr) Employer 3.. t e I F vr�6) Intl c rc Address ( i 0 Scz I -1) I 4-13c r Telephone No. s:#2 Marital Status Age - Birthdate (:, 7 , .1 /1 Weight . Height J , . i Education a_ Al& _ r _ r 1 Do you have any physical defects: serious overweight, amputations, epilepsy, Etc.? Explain Sex p , : Race tkikl./tS?, Blood type (s Color of hair 13 � - Eyes 13nc.�c3ry., Military Service: Yes VNo Branch ji 0 vvv..,\ , Discharge Date Present Military Reserve affiliation, if any Have you ever been convicted of a felony? /mad I r , case of emergency notify ( 1 ( I 9 A y - v , i ( - ' 0 c 4 4 4 ) /p V1 A OATH nI9 j,.ect.:±cavoit, , do solemnly swear (or affirm) that I will support and defeat the. Constitution of the United States and the Constitution of the State of Texas, against all enemies; foreign and domestic; that I will bear true faith and allegiance to the same; that I take this obligation freely, without any mental reservation or purpose of evasion; and that I will well and faithfully discharge the duties upon which I am about to enter. And I do further swear (or affirm) that I do not advocate, nor am I a member or an affiliate of any political party or organization, group or combination of persons that advocates the overthrow of the Government of the United States or of this State by force or violence; and that during such time as I am a member of the County Civil Defense and Disaster Relief Committee of the County of Brazos I will not advocate nor become a member or an affiliate of any organization, group, or combination of persons or of any political party that advocates the overthrow of the Government of the United States or of this State by force;or violence." j , Approved by: •944f" Si gnature „ lt�_ � I (Note: on p�•�er and training) . ( . 4 ' XDU set S "CAS o3o - J" 4 I .,Z BRAZOS COUNTY CIVIL DEFENSE OFFICE t_. (- APPLICATION FOR CIVIL DEFENSE APPOINTMENT (Please print or type all answers) � I.D. C S - ? v Civil Defense Appointment E. Date Co —' Z 2 - 7 1 Name k-Ervt e (- - k( C (eS L (Last) (First) (Middle) Address 9° N P 14 i k 1 Telephone cF y- ( - e 1 4 o Occu at ion /� `? 1 Q P / ' C/ Working Hours k Employer e �! 57 - � .(--4.4 .(--4.4 G��, Address � c vi c S C V( C C . � Telephone No. 8`t-s" 6s I Marital Status h1 4-K Y ( C' JI Age 4 f Birthdate /0 - Z 1 1 - 1 `1 Z Height r 2 if W e ight C) Education /) 1 12 Do you have any physical defects: serious overweight, amputations, epilepsy, Etc.? n D Explain Sex "t Race C& b( C .S ' FZ't Blood type Color of hair 8 le, v\ A Eyes H Z e - J Military Service: Yes I/ No Branch t4 S /Tr '"Y1 y A + `( Ex Q Discharge Date l - / 0 - I 1 Li Present Military Reserve affiliation, if any L h t Have you ever been convicted of a felony? In case of emergency notify nfir C' w C , , h <� / vt t,(Je J 2� `{ 6 4 OATH "I, , do solemnly swear (or affirm) that I will support and defend the Constitution of the United States and the Constitution of the State of Texas, against all enemies; foreign and domestic; that I will bear true faith and allegiance to the same; that I take this obligation freely, without any mental reservation or purpose of evasion; and that I will well and faithfully discharge the duties upon which I am about to enter. And I do further swear (or affirm) that I do not advocate, nor am I a member or an affiliate of any political party or organization, group or combination of persons that advocates the overthrow of the Government of the United States or of this State by force or violence; and that during such time as I am a member of the County Civil Defense and Disaster Relief Committee of the County of Brazos I will not advocate nor become a member or an affiliate of any organization, group, or combination of persons or of any political party that advocates the overthrow of the Government of the United States of of this State by force ,violen -.' Approved by: AZ& eg Signature ✓ OP ,k, P4CA,„, County irect (Note: on ret g slide,._ ,liat and training) . UR C©PY BRAZOS COUNTY CIVIL DEFENSE OFFICE APPLICATION FOR APPOINTMENT AS VOLUNTEER TORNADO SPOTTER (Please print or type all information) Date Bee7-4982. August 1979 I.D. No. T -17 Name Scarmardo Pete J. (last) (first) (middle) Mailing Address Rt. 2 Box 204 Caldwell, Texas 77836 Geographic Location Parker (Hwy 50) Telephone No. 272 -8353 (Snook- Tunis) Steel Store Community Brazos Bottom North Employer Employer's Address Employer's Telephone No. Remarks "This application for appointment as a tornado spotter is made voluntarily, as a community service, and without expectation of compensation or favor. By volunteering, I agree to provide information on local weather conditions to the Brazos County Civil Defense organization in such manner as may be prescribed. This will include initiating reports of damaging or potentially damaging weather conditions and responding to queries about such conditions. This appointment may be terminated at any time by either party upon notice to the other." Signature of Applicant date Approved date