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104-10006-10273 JFK Assassination Records Archives 1 (3/2/1964)

handle is hein.jfk/jfkarch35728 and id is 1 raw text is: 14. 000m -073I


   SECRET
(When Filled In)


RID CONTROL NO. (Filled in by RZD)                  DATE (Submitted by requester)
               ____ ___ ___       ___       ___2                 /674,(     4C
FROM: (Requesters name)                             BRANCH                ROOM         EXI N ION



        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. affiliationa. etc.)






DATE AND PLACE OF BIRTH


CITIZENSHIP RESIDENCE



              RID/INDEX TO REQUESTER                COMMENTS

   NO PERTINENT IDENTIFIABLE INFORMATION


   CARD REFERENCES ATTACHED


                           BE SURE  ALL SUBJECT  INFORMATION   IS CORRECT
 1  Type  or print  all entries.
(2  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?   -1yes  F--  no.            (If
yes,  complete  the following   - no  other form  required.)

                                     201  PARTIAL CONSOLIDATION

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


    CRYPTONYM          FILE TO        ACCESS RESTRICTED    RESTRICTION (f any)
    ASSIGNED           BE KEPT
    YES  I  jNO     jRID I  IDESK    INO      I YES    *I
    ALWAYS   RETURN  THIS FORM  WITH  COPYFLO  OF  CARD REPRODUCTIONS. IF YOU HAVE REQUESTED
    A  201  PARTIAL  CONSOLIDATION,   ALSO  RETURN  PERTINENT  DOCUMENTS.
DATE                                                SIGNATURE OF RECORDS OFFICER


NAME  CHECK,  DOCUMENT  SERVICE,  AND  PARTIAL  CONSOLIDATION   REQUEST


1104-10006-10273                                                          z    Q=


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