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104-10006-10273 JFK Assassination Records Archives 1 (3/2/1964)

handle is hein.jfk/jfkarch07495 and id is 1 raw text is: 14. 000m -073I


   SECRET
(When Filled' In)


NAME CHECK,  DOCUMENT   SERVICE,  AND PARTIAL  CONSOLIDATION   REQUEST


RID CONTROL NO. (Filled in by RZD)                 DATE (Submitted by requester)

                                                            2   /674,( 4C
FROM: (Requaters n-                                BRANCH   .ROOM                     EXTNjION



        TO          ROOM        DATE       INITIALS              CHECKING INSTRUCTIONS

RID/INDEX


REQUESTER


RID/FILES

                                           3
REQUESTER


RID/DRS


RID/201


RID/ANALYSIS


RID/MIS

RID/INDEX



                                         SUBJECT TO BE CHECKED
SURNAME                                           GIVEN NAMES



SPELLING VARIATIONS



AKA. ALIASES                                       OTHER IDENTIFYING DATA (Occupation, sex, CP membership,
                                                   Z. S. affiliationa. etc.)






DATE AND PLACE OF BIRTH


CITIZENSHIP RESIDENCE
o5 5.   ft                               .0 eje


              RID/INDEX TO REQUESTER               COMMENTS

   NO PERTINENT IDENTIFIABLE INFORMATION


   CARD REFERENCES ATTACHED


                          BE  SURE ALL  SUBJECT  INFORMATION  IS  CORRECT
 1  Type or  print all  entries.
S2  On receipt  of  index card  reproductions: draw a green diagonal line across items you
    don't want  RID to  obtain  for you.
    Edit (use  green)  the Copyflo  listing  to  reflect:        (a) Cards to be destroyed (green D).
    Examples:   referenced  document  has  been  destroyed;  less  informative  than  a retained
    card leading  to  the same  information;  referenced   information  not  significant. (b)
    Corrections  and  additions,  including  oo  when  card  reflects  all facts  in document.
    (c) OK  all cards  that are  correct  as typed.


Could  this trace  be  consolidated  into  an existing  or  new 201 file?   -1yes  F--  no.            (If
yes,  complete  the following   - no other  form required.)

                                    201  PARTIAL  CONSOLIDATION

 201 -                             (201 number will be supplied by RZD. If new 201 number has been obtained by
                                    desk, note it in this spaces)
 OTHER INTERESTED DESKS OR STATIONS


    CRYPTONYM         FILE TO         ACCESS RESTRICTED   RESTRICTION (f any)
    ASSIGNED          BE KEPT
    YES  I jNO      jRID I  IDESK    INO     I YES     *I
    ALWAYS   RETURN  THIS FORM  WITH  COPYFLO  OF CARD REPRODUCTIONS. IF YOU HAVE REQUESTED
    A  201  PARTIAL  CONSOLIDATION,   ALSO RETURN  PERTINENT  DOCUMENTS.
DATE                                               SIGNATURE OF RECORDS OFFICER


1104-10006-10273                                                         z    Q=


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