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![handle is hein.jfk/jfkarch72217 and id is 1 raw text is: 104-10110-10295 2022 RELEASE UNDER THE PRESIDENT JOHN F. KENNEDY ASSASSINATION RECORDS ACT OF 1992
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-DATE . I L MO,
NOTIFICATION OF ESTABLISHMENT OR CANCELLATION
OF OFFICIAL COVER BACKSTOP 25 -2S 13 77
SS NUMBER
X CHIEF, CONTROL DIVISION, OP - - - 1 -
TO: EMPLOYEE NUMB ( A
(check) CHIEF, CONTRACT PERSONNEL DIVISION, OP _007667
- ID CARD NUMBER & - -
CHIEF, . .LOPERATING. COMPONENT FOR ACTION) .
ATTN:4-*
-' 2438dated 41 i.7A o>Fci.' a
-'a. ` CO~it%]. dr CAN CELLE
STATUS X STAFF CONTRACT -
SUBJECT- . -
. tS O - I -, -.n *;- ---
X ESTABLISHMENT OF OFfICIAL COVER (BLOCK RECORDS) CANCELLATION OF OFFICIAL COVE (UNBLOCK RECORDS)'
-: - EFFECTIVE DATE:' - -
-- BASIC COVER PROVIDED . -
EFFECTIVE DATE - - SUBMIT FORM 3254- 2 TO BE ISSUED
(RiB 20-7)
OPERATIONAL COVER PROVIDED
- FOR TOY OTHER (Specify) SUBMIT FORM 642 IMMEDIATELY TO C iAWGE TELEPHONE
- - - LIMITATION CATEGORY TO;CATEGORY_
( HMO 20-7) :' ' :y ., c
SUBMIT FORM 642 IMMEDIATELY TO CHANGE ELEPHONE -
X LIMITATION CATEGORY TO CATEGORY EAA: CATEGORY I CATEGORY 11
(ROD 20-7)
RETURN ALL OFFICIAL DOCUMENTATION TO CCS
X SUBMIT FORM 3254 W-2 TO BE ISSUED. SUBMIT FORM 2688 FOR
(ORB 20-11) HOSPITALIZATION CARD. -- *
DO NOT WRITE IN THIS BLOCK -
X SUBMIT FORM 1322 FOR ANY CHANGE AFFECTING THIS -
COVER. (RR 240-2e)
x SUBMIT FORM 1323 FOR TRANSFERRING COVER
RESPONSIBILITY. (HR 240-2e)
EAA. CATEGORY I CATEGORY II
X SUBMIT FORM 2688 FOR A(T HOSPITALIZATION CARD
REMARKS AND/OR COVER HISTORY
27 Aua 51-Auw 62-F-as-overt
Aun 62-Jul 67-E'qs
Jul 67-10 Aug 72-
1 Sep 72-27 Jun 74-qs
26 Jwn 74-10 Nov 76
11 r ov 76-26 Feb 77- Fs
27 Feb 77- -qs
-- - .- -/
DISTRIBUTION: - - - -
COPY J CD O CPD - - - -
COPY 2 OPERATING COMPONENT -
COPY $ OSISRD f -`CI4$ O- C b
COPY S OC- ODSRO ' f - $ }. f * v a -
COPY ;5- CC- '''} I u E -' T s
. . : -f CH IE OF AL COVERrRM II.4 C VE D ERCSAL STAFF
-
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