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104-10408-10023 JFK Assassination Records Archives 1 (11/8/1978)

handle is hein.jfk/jfkarch48250 and id is 1 raw text is: 410408-10023 , . L.JCONFIDENTIAL L.J a7L.KIC I T-E YEAR NUMBER DOC. NO. NEW DOCUMENT RECORD TP E I~e-~O8 Instructions for Divisions and Staffs: 1. Fill in and Sign on Line II. 2. Use back of form for any additional comments. DOCUMENT DESCR(PTION (Circle if appropriate) (30 CHARACTERS) DAY MONTH YEAR CABLE FORM 2 DISPATCH LETTER REPORT AIRGRAM FROM/ORIGINATOR (30 CHARACTERS) TO/RECIPIENT (30 CHARACTERS) 3 CLASS WHERE LOCATED (10 CHARACTERS) REFERRED BY (10 CHARACTERS) DDO ? DO FILE NUMBER (20 CHARACTERS) 4 SUBJECT (80 CHARACTERS) DAY MONTH YEAR TYPE DATE OF IA L OF 6 REVIEW REVIEW V G Determinations: A. Release in full text E. Sustain initial denial in toto B. Release in sanitized form F. Sustain initial release of sanitized version 7 C. Deny in toto G. Release additional information D. Defer decision to (Specify in line 8) H. Coordinate with (Specify in line 8) DEFER DECISION TO (10 CHARACTERS) COORDINATE WITH (10 CHARACTERS) NEW SIGNATURE OF DO/ MS/FPLG REVIEWING OFFICER EXEMPTIONS AND PROVISIONS CLAIMED (40 CHARACTERS) 9 o-*FOIA PA E.O. 12356 B1 B2 B3 84 85 B6 B7C B JI Al Al KI EXEMPTIONS AND PROVISIONS CLAIMED TO PROTECT THE FOLLOWING: L.QA PA S1. Classification (b) (1) (k) (1) 2. Information from liaison with a Foreign Government (b) (3) (j) (1) 3. Information pertaining to a liaison relationship with a Foreign Government (b) (3) (j) (1) 4. Information which would/could identify the source (b) (3) (j) (1) 5. Information pertaining to a source (b) (3) () (1) 6. Information pertaining to intelligence methods (b) (3) (j) (1) 7. Location of CIA overseas installation (b) (3) (j) (1) 8. Location of unacknowledged domestic installation (b) (3) (j) (1) 9. Name of CIA employee (b) (3) (j) (1) * 10. File number (b) (3) (j) (1) 10 - 11. Pseudonym (b) (3) (j) (1) s'12. Cryptonym (b) (3) (j) (1) ....s.. 13. Internal organizational data (b) (3) () (1) 14. Name of an FBI agent (b) (7) (c) (j) (1) 15. FBI file number (b) (2) (j) (1) 16. Privacy of other individual (b) (6) (b) 17. Does not pertain to request 19. Other (Specify in line 11) REMARKS (IF OTHER WAS CHECKED ABOVE) (40 CHARACTERS) SIGNATURE/OFFICE OF DO COMPONENT REVIEWING OFFICER REMARKS (160 CHARACTERS) 12 20- 2- - W JWV A 1 ts MA%91 1A W&- Oc tA0.4IT 1 te - 32-s %a.L tv riv, FORM 0BSC.t~R~E Pesviovs - L FOMOBCt- E RVIV 10 99 r ~ e. This Form is Unclassified Unless Th and The Information below is com CL BY: DECL OADR DRV FROM: I2 CONnFnr-NTIAI. e Classification is Checked pleted. 7 urCprT aozcwi

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