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104-10110-10295 JFK Assassination Records Archives 1 (2/25/1977)

handle is hein.jfk/jfkarch38645 and id is 1 raw text is: 104-10110-10295.1,;. .     -


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                                                                 DATE                  FII Seo
     1OTIFICATION OF ESTABLISHMENT OR CANCELLATb0I
                 OF  OFFICIAL  COVER  BACKSTOP                     25      77              3197
                                                                 SS NUMBER
        x   CHIEF,  CONTROL  DIVISION,  OP                         069-24-31

  TO:                                                            EMPLOYEE NUMB
(Check)     CHIEF,  CONTRACT  PERSONNEL   DIVISION,  OP            007667  .
                                                      .--        Io CAno MuMeen
        X   CRIEF           OPERATING   COMPONENT  FOR  ACTION)                                i .



                               datM                       M1CI
                                                .'.                       '' ~ij . CANCELLED,~~:

   STATUS>      X    STAFF             CONTRACT,

SUBJECT







     STABLISHMENT OF OFfICIAL COVER (BLOCK RECORDS                    OFFICIAL COVE (UNBLOCK RECORDS)

                                                      EFFECT I VE DATE:' -
       BASIC COVER PROVIDED.  -
   EIEFFECTIVE   DATE                                  SUBMIT FORM 3254            .lf: 2 TO BE ISSUED
                                                       (HUB 20-7)
       OPERATIONAL COVER PROVIDED
       n..FOR ___.._TOY..._ OTHER (Specify)            SUBMIT FORM 642 IMMEDIATELYTO CJANGE JtLEPHONE
                                                       LIMITATION CATEGORY TO -CATEGORY.
                                                       (HMB 20-7)'.te
    SUBMIT FORM 642 IMMEDIATELY TO CHANGE tELEPHONE
    LIMITATION CATEGORY TO CATEGORY                    EAA: CATEGORY I        CATIGORY' IT
    (HUB 20-7)
                                                      RETURN ALL OFFICIAL DOCUMENTATION TO CCS

  X  SUBMIT FORM 3254          W-2 TO BE ISSUED.       SUBMIT FORM 2688 FOR
     (sH 20-11)      -   7                .            HOSPITALIZATION CARD.

                                                   DO NOT WRITE IN THIS BLOCK             .
 x   SUBMIT FORM 1322 FOR ANY CHANGE AFFECTING THIS
     COVER. (HR 240-2e)


  x  SUBMIT FORM 1323 FOR TRANSFERRING COVER
     RESPONSIBILITY. (HR 240-2c)

     EAA. CATEGORY I    I-   CATEGORY 11I

  X  SUBMIT FORM 2688 FOR A   HOSPITALIZATION CARD
  REMARKS AND/OR COVER HISTORY
  27 Auo  52-Auw  62-Ias-Overt
  Auq 62-Jul  67-Hqs
  Jul 67-10  Aug  7
  1 Sep  72-27  Jun 74-H7s
  26& Jun 74-10  Nov  76
  11 Vov  76-26  Feb 77-11as.
  27 Feb  77--       -Hqs




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  COPY ;f :14<-                             --  Lea    u .     ust    tdpIm., ~aNDe u veLNN 'NAL STAFF

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