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104-10006-10257 JFK Assassination Records Archives 1 (01/01/1963)

handle is hein.jfk/jfkarch35714 and id is 1 raw text is: 




i  SECRET
(When Filled In)


               NAME  CHECK,  DOCUMENT  SERVICE,  AND PARTIAL  CONSOLIDATION   REQUEST

RID CONTROL NO. (Filled in by RZD)                 DATE (Submitted by requester)


FROM  (Requesters name)                            BRANCH                ROOM         EXEN$ION
           .4W.               s                         st/c; R z?          

        TO          ROOM        DATE       INITIALS              CHECKING INSTRUCTIONS

RID/INDEX


REQUESTER


RID/FILES


REQUESTER


RID/DRS


RID/201


RID/ANALYSIS


RID/MIS

RID/INDEX



                                         SUBJECT TO BE CHECKED
SURNAME                                           GIVEN NAMES



SPELLING VARIATIONS



AKA. ALIASES                                       OTHER IDENTIFYING DATA (Occupation, sex, CP membership,
                                                   Z. S. affiliations, etc.)






DATE AND PLACE OF BIRTH


CII Z S     RESIDE



              RID/INDEX TO REQUESTER               COMMENTS

   NO PERTINENT IDENTIFIABLE INFORMATION


   CARD REFERENCES ATTACHED


                          BE  SURE ALL  SUBJECT  INFO RMATION IS  CORRECT
1   Type or  print all  entries.
    On receipt  of index  card  reproductions: draw a green diagonal line across items you
    don't want  RID to  obtain  for you.
    Edit  (use green)  the Copyflo  listing  to  reflect:   (a) Cards  to be  destroyed  (green  D).
    Examples:   referenced  document  has  been  destroyed;  less  informative  than  a retained
    card leading  to  the same  information;  referenced   information  not  significant. (b)
    Corrections  and  additions,  including  oo  when  card  reflects  all facts  in document.
    (c) OK  all cards  that are  correct  as typed.


Could  this trace  be consolidated   into  an existing  or new  201 file? [=J yes   =  no.
yes,  complete  the following  - no  other  form required.)


(If


                                    201 PARTIAL  CONSOLIDATION


201  -                             (201 number will be supplied by RZD. If new 201 number has been obtained by
                                    desk, note it In this space.1
OTHER INTERESTED DESKS OR STATIONS


    CRYPTONYM         FILE TO                             RESTRICTION (If any)
    ASSIGNED          BE KEPT        ACCESS RESTRICTED
  YES     INO      IRID  I  DESK     NO        YES   -l.
    ALWAYS  RETURN  THIS  FORM WITH  COPYFLO  OF CARD  REPRODUCTIONS. IF YOU HAVE REQUESTED
    A  201 PARTIAL  CONSOLIDATION,   ALSO  RETURN  PERTINENT  DOCUMENTS.


ISIGNATURE OF RECORDS OFFICER


I


4- mm-
110 4 .10006-102571


A

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