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104-10006-10272 JFK Assassination Records Archives 1 (3/2/1964)

handle is hein.jfk/jfkarch35727 and id is 1 raw text is: 




Y..


   SECRET
(When Filled In)


               NAME  CHECK,  DOCUMENT  SERVICE,  AND  PARTIAL  CONSOLIDATION   REQUEST

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


FROM: (Requestera name)                             BRANCH               ROOM          E TENS ION


        TO          ROOM         DAT        NI  ALS               CHECKING INSTRUCTIONS

RID/INDEX

REQUESTER

R.ID/FILES

REQUESTER

RID/DRS

RID/201

RID/ANALYSIS

RID/MIS

RID/INDEX


                                             JECT TO BE CHECKED
SURNAME              ,A-                           GIVEN NAMES



ELLING  VARIATIONS



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





DATE AND PLACE OF BRTH

CITIZENHIP IRESIDENCE


              RID/INDEX TO REQUESTER                COMMENTS
   NO PERTINENT IDENTIFIABLE INFORMATION

   CARD REFERENCES ATTACHED


                       BE SURE  ALL SUBJECT   INFORMATION  IS  CORRECT
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   o  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? r7  yes  [ ] no.   (If
yes,  complete  the following   - no other  form  required.)

                                     201 PARTIAL  CONSOLIDATION

201  -                             (201 number will be aupplied by RID. If new 201 number has been obtained by
                                   Idesk, note it In this apacp.)
OTHER INTERESTED DESKS OR STATIONS


    CRYPTONYM         FILE TO         ACCESS              RESTRICTION (If any)
    ASSIGNED          BE KEPT                   I
    YES  I  NO      RID  I  IDESK    INO    i  YES      0
    ALWAYS   RETURN  THIS FORM  WITH  COPYFLO  OF CARD  REPRODUCTIONS.    IF YOU  HAVE  REQUESTED
    A  201  PARTIAL  CONSOLIDATION,   ALSO RETURN  PERTIENT DOCUMENTS.


SIGNATURE OF RECORDS OFFICER


$ 1
2


DATE


I


1104-1000'6 '10272

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