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104-10110-10026 JFK Assassination Records Archives 1 (12/30/1977)

handle is hein.jfk/jfkarch38617 and id is 1 raw text is: 104-101 1010026



                                 TERMINATION  SECRECY  AGREEMENT
                      CLASSIFIED  SENSITIVE  COMPARTMENTED   INFORMATION



                    aclalowledge that, by vi  of   duties, I have received or been exposed
                       1  Iaclxolede hat b v    mt      the unuhrized'disclosure  or
         to classified sensitive compartmente  o        the inauthofe      i   tedoStates
         negligent handling of which could avys   a  et the interests of the United States
         Government. I-am aware that the unauthqred disclosure of classified information is
             prohibtedEb ionage Laws (Title , ZU. S.   Code, Sectins  792-798) and the In-
         ternal Security Lt  . 1950, Section 19, P. L. 831, (81st Co~   es) andthtavo-
         tion of thes  aws At  s ject me to prosecution by the U             7ve.
               2oI of hes e pledge that I will nob1 r r al b any means
            clas e               a               sr         tIt Sdo             sot now
         classified senstive cop' f  niied inform~ation.     e>i,rhr       Idontow
         nor will I ever, :pO55ess n g~t,  interest, tie .or- claim whatsoever to such infor-
            ma in.Irecogize thep frl  right 6f the United States in such
         matters.
                .I   certif that I ha 1ve S   erd     n     ger have in-my possession or

          custody any classified compariented   'imiod or material acquxred as a result of
          this association.
                4a  Ii  &er  0clCow  e  -and agree that I coave a continuing individual respon-

            oit                       ofor the           rotection o   assifid sensitive

            5.ilt   Iollt sthatets <eren c J S oenmn o
          compartae-nted i.;.nforma~ion and tha~t--the. -terminat.pf from thi relatiooy~kwith myWm
              ploeran/o ~heUnited States Governmentl des i&t relieve me of mn~ o'bligations under

           itsfure   vie/ in anmanrhit
           this agree;me 1 O   other previousleecut      any dement sa ti und rstand that
                          or  A,   than 'oigations  except: when specifically' advised in writing
          I will notl-be reie6 o~    s fb
          by the sp6nsorin activity of tlhe. U. S.. Governet

                 5. I understand that this document maybe retainedb -   9U    S. Government for
           its future us ,e i any-mranner -within the scope of this aree nt

                 6.  I take this obligation freely, without 'any meta  reservation or purpose of
           evasion and in the absence of duress.


                                                    SIGNATURE


          DATE                                                          4tq -    L  4
          WITNESS' SIGNATURE                        PRINTED NAME & SSN (See Reverse)
                                                     Charlotte  Bustos-Videla

           WITNESS, PRINTED NAME                    ORGANIZATION
                     Ia                       <      CIA/DDO/LA

            COMPARTMENTED SYSTEM/PROJECT ACCESS TERMINATED:   U   s Only
                               si                 Background Use Only
                        SI                         Do Not Reproduce

            FORM 3968
            3.77

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