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104-10250-10019 JFK Assassination Records Archives 1 (7/10/1967)

handle is hein.jfk/jfkarch18248 and id is 1 raw text is: 
                        124OO                               CIA  INTERNAL  USE ONLY
                                                               (qlassity When Filled ra)

                OUTSIDE  ACTIVITY  APPROVAL   REQUEST       -
-SEE  HR 10.7 BEORE SUBMITTING TO EAB AN.ORIGINAL AND 3 COFZES OF TBIS


I


'T0     DIRECTOR  OF SECURITY ATTN      EMPLOYEE  ACTIVITY   BRANCH       D
       (Operating  icl   adminisjtrative and/or security officer)






       NAME AND GRADE OF EMPLOYEE XP.(Iat or tipe COMPONENT   ROM NO AND,L
                         FRW





                  u~~rV@ ~~At~~flM U  1C IVv ~ Ttkirr Iu iar ei-  j e  ..g*e&  .


1. DESCRIPTION OF OUTSIDE ACTIVITY FOR -WHICH APPROVAL-4S REQUESTED                           VV


         TRIP  TO          IN  MN4TEAL    CANAD    ITH    w- IFE AND SIX 011   R








2. FULL NAMES OF ORGANIZATION AND/OR PERSONS INVOLVEDCAVNW

                     CATRINE L.      THERSA       M CHAEL  C.j  MARY C     .ISA A
                     CAIn-C3       N PATRICIA,         aIOS        -:
3. DATE(S) OF PARTICIPATION ANDILOCALE -OF ACTIV.ITY ; ~        '

         SOMETIN  DRING        E     OF 6-12. AUUST   .96   CANA


4. REMARKS  .-~
         In engaging   in-the requested   activity  I will  make no  reference  to,  or discuss
  my  CIA assignments   or duties  nor will  I mhake reference  to  or discuss  mCI              emplo
  ment, except  as authorized  by  Headquarters  Regulation   10-7

                                                           S    U   OREQUESTI   EMPL YE
5. CONCURRENCES AND/OR APPROVAL WITHIN OPERATING OFFICE




                For coMPLETION BY EMPLOYERE ACTIVITY BRANCH AND RETURN OF OR  NAL TO EMPLOYE



                     DtcCorliance witW CIA              e       o

                                      that briear b the Office of Securify is rie  n this cas
                                        pl o y e e n e nio  r e .e r n z e  To , ct  d s u s h  h i s  C IA   c o n n ec
                                                    . 13,
                in'f a__nre~ eor dtg~it-cs durreuesig th cuseof         e toy orae














                                        Datey             hief. sronnd SecurIty refrece-


Fi  87UEPRVIU                                                    CIA  INTERNAL  USE ONLY        0 B
         EDITI OND  A      W      O
                                -.c

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