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104-10162-10108 JFK Assassination Records Archives 1 (1/9/1961)

handle is hein.jfk/jfkarch12311 and id is 1 raw text is: 104-i12~OO


A


SECRET


RECEIPT FOR AUTHENTICATION  MATERIALS


TO- TSD/IB


DATE  9 Jaaz7  1961


   I HEREBY ACKNOWLEDGE  RECEIPT OF THE FOLLOWING AUTHENTICATION  MATERIALS

TRANSMITTED  WITH MEMO  NO.            DATED                AND PREPARED  IN
ACCORDANCE  WITH


          Jave   Alvams de la Tor
                 . ubea   Farport  #17130
                 b,  enhan Tuenca  (sait remit) .71.-1041-x1
                 a*  Oba   te~ntanal   Certficat  of Foeitmtion


               -o Can   assport cntains a U.S. Ia-Makernt  visa, 3-,
 sein s           dti o s Cuba an 17 M 1sdo an L alu MAn               dw4  


                      yo. lWll note that 1-94 form show that mtbjeft wo
                *  an 16 ae  1960 and  as a vaMA extenstan of star uat
Mareb 1L5p 1961.




                                                         RE'TURNTO   CIA
                                                       BackgrOund  Use Onl
                                                         Do Not Reproduce


                                                        OFFICER'S SIGNATURE

NOTE:  Authentication Materials must be returned to TSD/IR  a- -n as the intended operational use
       has been fulfilled; unused documents, whether filled in or blank, must be returned to TSD/IB
       wen no longer needed.

       TSD/IB should be notified if any of the Authentication Materials are destroyed, lost, or for any
       other reason can no longer be returned.

0-Wn                               SECRET


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