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124-10185-10218 JFK Assassination Records Archives 1 (01/01/1963)

handle is hein.jfk/jfkarch34584 and id is 1 raw text is: 





           Mark opposite each item  te number of the serial or serils in which the intIhrr..tinn appears. A lth!ugh thexe items
are regarded as nonvarzable, changes may be noted by adding the new serial number -and crostng out the old. When 1oM is
complete as !o all applicable ttems, the Algent and Field Supervisor should init al the f[un at the end.

Symbol  'umbc                                               Office Fil

Type of Informant: (- Prob  t  Regular  [   Ghetto [   CS   Bureau File
                                                                                       Serial Number
 1. Name

 2. Aliases
 3. Symbol Number  assigned and Bureau advised

 4. Cover name  assigned and Bureau advised

 5. Background  developed

 6. Personal history, as required in Sec. 130D. 2c, Vol. IV, M. of 1.

 7. Description

 8. Photograph

 9. Credit check

 10. Local criminal check

 11. Bureau Identification Record (FD-9)

 12. Selective Service check

 13. Armed Service record check

 14. Informants canvassed

 15. Past racial activities                                           t

 16. .Racial associates

 17. Informant advised of:


    (a) Not Bureau employee
    (b) Activities voluntary
    (c) Relationship confidential

    (d) FBI jurisdiction

    (e) Furnish information only to Bureau

    (f) Payments  are income                                         -

    (g) Report to be submitted under code name and in third person
    (h) Not to contact office personally

    (i) Not to retain copies of notes or reports

18. Reliability check

19. Statement of cooperation

20. When removed  arr probation

21. Informant indices card made

22. Agent who handles informant

23, Alternate Agent

24. Flash notice placed         .*                            or removed

25. Coverage

Compicted

Atppoved

                                                    Keep on Top of Other


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Serials'sin File.

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