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104-10117-10111 JFK Assassination Records Archives 1 (02/20/1963)

handle is hein.jfk/jfkarch72480 and id is 1 raw text is: 104-10117-10111


2022 RELEASE UNDER THE PRESIDENT JOHN F. KENNEDY ASSASSINATION RECORDS ACT OF 1992


-.      e


CIA INTERNAL  USE ONLY
  (Claaaify When Filled In)


                             OUTSIDE ACTIVITY APPROVAL  REQUEST
                SSE BR 10-7 BEFORE SUPMZTTZNO TO MAB AN ORIGINAL AND J COPIES OF TRZS FORM
                                                                    DATE
10     DIRECTOR  OF SECURITY; ATTN:   EMPLOYEE ACTIVITY BRANCH             h   a   2  3
      (0 orating official, administrative and/or security officer)
   TH   grxeMTolin Ma o. jr,) aI 1 MAR 1963

                         903~t                kEmployee has been briefed       -oncernjn hie
                                             responsibalities  and conduct in this matter.


         E AND GRADE   LOYEE (Print or type) COMPONENT      ROOM NO. AND BLDG.   PHONE

1. DES IPTION OF OUTSIDE  TIVITY FOR WHICH APPROVAL IS- REOUE TED:


        ImSe  1.0ngna w1ue     trnamml      wu    t








2. FULL NAMES OF ORGANIZATION AND/OR PERSONS INVOLVED


        e   Alina M1VeS±#

9. DATE(S) OF PARTICIPATION AND LOCALE OF ACTIVITY
                3gmst    .                        sbvsaa   & bus.  Ais.,
                -       .u`J                       sumintia,   3. o.
 4. REMARKS.
         In engaging in the  requested activity I will  mak          no reference     o  or discuss
  my  CIA assignments or- duties nor will I make referen     o or d  cu      CIA  employ-
  ment  except as authorized  by Headquarters Regulati       '.

                                                       SIGNATURE OF REOUESTING EMPLOYEE
 5. CONCURRENCES AND/OR APPROVAL WITHIN OPERATING OFFICE



                FOR COMPLETION BY EMPLOYEE ACTIVITY BRANCH AND RETURN OF ORIGINAL TO EMPLOYEE



                                                    Date

                                                    Security Approval has been  gr  ted ICk
                                                    the use contemplated by     r    est

                                                    Chief. Personnel Security Di


R70 USE PREVIOUS                                                                 (9- 38)


RM 89UE   PREVIOUS
81 ayEDIET ION.


CIA INTERNAL USE ONLY


(9-88)


__  ......_ : __

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