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104-10273-10316 JFK Assassination Records Archives 1 (6/11/1976)

handle is hein.jfk/jfkarch18491 and id is 1 raw text is: 104-10273.1U31 E. YEAR NUMBER DOC. NO. NEW DOCUMENT RECORD *Js 842 . Instruct.ons for D istons and Staffs: a aL/ a 0 43.J 2 2 . Fill in and Sign an line I m. 0 :1 -1 1;- - 2. U.se beelk of form for any additional cornments. 1. Classification 2. Information from liaison with a Foreign Government 3. Information pertaining to a liaison relationship with a Foreign Government 4. Information which would/could identify the source 5. Information pertaining to a source 6. Information pertaining to intelligence methods 7. Location of CIA overseas installation 8. Location of unacknowledged domestic installation 9. Nam t' ofA employeeS L4. File number5 1. Pseudonym 2. Cryptonym 3. Internal organizational data 4. Name of an FBI agent 5. FBI file number 6. Privacy of other individual 7. Does not pertain to request 9. Other (Specify in line 11) FOIA (b) (1) (b) (3) (b) (3) PA (k)(1) (j) (1) (j). (1) (b) (3) (j) (1) (b) (3) (b) (3) (b) (3) (bH3-) (b) (3) (b) (3) (b) (3). (b) (3) .(3) (b) 7) (b) 2) )(6)- (j) (1) (j) (1) (j) (1) --(j) (14- (j) (1) (j) (1) (j) (1) (j) (1) (j) (1) (C) (1) (j) (1) (b) - REMARKS (IF OTHER WAS CHECKED ABOVE) (40 CHARACTERS) SIGNATUREOFPICE OF 00 COMPONENT REVIEWING OFFICER REMARKS (160 CHARACTERS) t+ S A-4Q eM~ ~rNr4 ± -4- 1 1 1 1 1 1 1 1 1 -4 Ths Fom as U-c lossel-ed Unless no Clossriscat-on in Ck#c ho.4 and The Infor-prop n below #a complated. CL BV VfCL 0AVF DOCUMENT DESCRIPTION (Circle appropriefe) 130 CHARACTERS) DAY MONTH YEAR CABLE FORM PATCH LETE It JIA N R T AIRCRAM FROM/ORIGINATOR 130 CHARACTERS) TO/RECIPIENT 430 CHARACTERS) CLASS WHERELCATED(10CHRftERS) REFERRED BY 40 CHARACTERS) 000 DO FILE NUMBER (20 CHARACTERS) 5 SUBJECT (80 CHARACTERS) DAY MONTH YEAR TYPE DATE OF I ADOF -4l REVIEW REVIEW I3 c Determinations: A. Release in full text E. Sustain initial denial in toto B. Release in sanitized form F. Sustain initial release of C. Deny in toto of sanitized version D. Defer decision to (Specify in line 8) G. Release additional information H. Coordinate with (Specify in line 8) DEFE DECISCN T110 CHARACTER COORDINATE WITH (10 CHRACTERS) N EW SIGNATURE OF DO/ISs/FPLG REV1EWING OFF1CER EXEMPTIONS AND PROVISIONS CLAIMED (40 CHARACTERS) FOI PA -E.O. 12356 e eB 4 BS 86 e7C B JS Jt J1 K1 Exemptions and Provisions claimed to protect the following:

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