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104-10120-10344 JFK Assassination Records Archives 1 (8/29/1962)

handle is hein.jfk/jfkarch39158 and id is 1 raw text is: 104-1012010344


- ~E~T-


7-8I32206SOLETE PRE~VIOUS EDITIONS


                       REQUEST.FOR  DOMESTIC COVER  LIST  ENTRY OR CHANGE

                       'SUBMIT THTS 7vRaixN TRIPLICATE. ENCLOSED IN SEALED EWVELWPE  -
                                                                 DATE
TO          Cow             1in   2Am
THROUGH:    C/W                                                          9
SUBJECT:    xW,                             *D)                         29g____ __ __02
                      ENTRY                                          CHANGE


        Inclusion  o   subject on the                   Subject  is  currently  included on
     Domestic  Cove  List  is requested             the  Domestic Cover  List.   For the
     for the  reas   noted  below.  When            reason  noted-below,  it  is .requested
     notified  tha  cover  has been  es-            that
     tablished,   ubject will  be specif-
     ically aut  orized  and instructed  to                  this  employee be-removed  from
     conceal    s Agency  affilia i  n.                      the Domestic  Cover  List.








REASON


           For  asignmet to                           (D





     -DR.S-IO~S                 COVER (Complete only for new entries)
     ADDS/IOS
  TY E COVER
    .ASS'/IO0

                TYPE SUGGESTED
     C/OSD     (Specify whether
               official or non- ue
     C/sm1     official)U8             W
     ICJ iiif
               USTIFICATION. IF
               CON-OFFICIAL COVER
               UGGESTED
     C/SA3                      _ _ _ _ _  _ _ _ _ _ _ _ _ _ _ _ _ _  _ _ _ _ _ _ _ _ _ _ _ _ _
     CSAPROV   D BY CENT L COVER DIVISION
            S ?VW                                SIGNATURE


                                                 TITLE


     FILES                             VJ~ ~ ~ /             Chieof    e     i   m


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