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104-10006-10289 JFK Assassination Records Archives 1 (01/01/1963)

handle is hein.jfk/jfkarch07507 and id is 1 raw text is: 'T041-00OO6-1O289


U


                                               ' ECRET
                                            (When Filled In)

               NAME  CHECK,  DOCUMENT  SERVICE,  AND PARTIAL  CONSOLIDATION   REQUEST

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

FROM: (R4que tern no                               BRANC    /            ROOM         E TENS ION


        TO          ROOM        DATE       INITIALS              CHECKING INSTRUCTIONS

RID/INDEX

REQUESTER

RID/FILES

REQUESTER

RID/DRS

RID/201

RID/ANALYSIS

RID/MIS

RID/INDEX


                                 To_ _ ISUBJECT  TO B1E HECKED
SURNAME                  V f A GI NAMES

      /A          S//ti          e-/7         PVOk'
SPELLING VARIATI N


AKA, ALIASES                                       OTHER IDENTIFYING DATA (Occupation, sex, CP memborehip,*
                                                   Z. S. affiliations, etc.)





DATE AND PLACE OF B;RTH





              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.
2   On receipt  of  index card  reproductions: draw a green diagonal line across items you
    don't  want RID  to obtain  for you.
c   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?   ! yes   =  no.
yes,  complete  the following  - no  other  form required.)


(If


                                    201  PARTIAL  CONSOLIDATION

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

    CRYPTONYM         FILE TO        ACCESS RESTRISTED    RESTRICTION (f any)
    ASSIGNED          BE KEPT
    YES     NO     IRID  I  IDESK    INO     IYES
    ALWAYS   RETURN  THIS FORM  WITH COPYFLO  OF  CARD REPRODUCTIONS. IF YOU HAVE REQUESTED
    A  201  PARTIAL  CONSOLIDATION,  ALSO  RETURN  PERTINENT  DOCUMITS.
DATE                                             7SIGNATURE OF RECORDS OFFICER


I

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