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104-10006-10280 JFK Assassination Records Archives 1 (3/2/1964)

handle is hein.jfk/jfkarch35734 and id is 1 raw text is: 1IUIGliuulln IULO U


                                                 SECRET
                                              (When Filled In)

                  NAME CHECK,  DOCUMENT  SERVICE,  AND  PARTIAL  CONSOLIDATION  REQUEST

   RID CONTROL NO. (Filled in by RID)                 DATE (Submitted by requester)
                 _____ ____ _____ ____2 1-,4,~ e
   FROM: (Re                                           ann/                ROOM          EX E S10N -


          TO          ROOM         DATE      INITIALS              CHECKING INSTRUCTIONS

  RID/INDEX                      /
                                         6
  REQUESTER

  RID/FILES

  REQUESTER

  RID/DRS

  RID/20 .

  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. affiliatione, etc.)





  DATE AND PLACE OF B;RTH

  CITIZENSHIP RESIDEN



                 RID/INDEX TO REQUESTER              COMMENTS
   4A'  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.
  U   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   co  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?     yes  0    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 apace.)
OTHER INTERESTED DESKS OR STATIONS


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


I DATE


SIGNATURE OF RECORDS OFFICER


I

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