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![handle is hein.jfk/jfkarch10359 and id is 1 raw text is: 104T10 10-10291
MOTIFICATI0OP EISlET
OR CANCELLATION
OF OFFICIAL COVER BACKSTOP
TO:
(check)
X CHIEF, CONTROL DIVISION, OP
CHIEF, CONTRACT PERSONNEL DIVISION, OP
CHEF,`` (OPERATING COMPONENT FOR
STATUS , STAFF.,!' CONTRACT '' -
-0
I-
SUBJECT
. -.6 WS
mFILE no.
28 DE v.177 w3190
8s NuT.16338
EMPLOYEE NUM~iR PC Use _u,1
764o Reproduc
1D CARD NUMBER.-
ACTION)
AA I
_OFFICIAL Xl
COVER
X NUED
Ali -
A~fl~5
[.ESTABLiSHMENT OF OFF CIAL COVER (BLOCK RECORDS)
O BASIC COVER PROVIDED
U EFFECTIVE DATE-
0 OPERATIONAL COVER PROVIDED
FOR TDY - OTHER (Specify)
x
SUBMIT FORM 642 IMMED IATELY TO CHANG TELE PHONE
LIMITATION CATEGORY TO CATEGORY_
(HO 20-7)
If
FORM 3254 W-2 TO BE ISSUED.
(BRB 20-.11
SUBMIT FORM 1322 FOR ANY CHANGE AFFECTING THIS
COVER. (OR 240-2a)
-l
x
SUBMIT FORM 1323 FOR TRANSFERRING COVER
RESPONSIBILITY. (OR 240-2e)
x
x
4
CANCELLATION OF OFFICIA COVER (UNBLOCK RECORDS)
EFFECTIVE DATE:
FORM 3254 W-2 TO BE ISSUED
(HBO 20-7)
SUBMIT FORM 642 IMMEDIATELY TO-CHANGE TELEPHONE
LIMITATION CATEGORY TO CATEGORY
(HB 20-7)
EAA: CATEGORY I j CATEGORY II
-'I
RETURN ALL OFFICIAL DOCUMENTATION TO CCS
SUBMIT FORM 2688 FOR
HOSPITALIZATION CARD.
DO NOT WRITE IN THIS BLOCK
EAA. CATEGORY I CATEGORY-11
X SUBMIT FORM 2688 FOR AC7P HOSPITALIZATION CARD
REMARKS AND/OR COVER HISTORY.
n m oor or uso
~: sy.. '-~ *]P~P2JflT F ~'~ Y~7 :::c7 FOR US~
DISTRIBUTION:
COPY I - CO/TRB OR CPD CONTROL
COPY 2. OPERATING COMPONENT -- pe
COPY 3 -OS/SRDC. .
COPY 4 - OC/DO/T F 8>-
COPY 5 -CCS-LE-
CHIEF. OFFICIAL COVER BRANCK CENTRAL COVER STAFFI',
4*70 551 .. SECRET WN-SISM .2O-as
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