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104-10130-10468 JFK Assassination Records Archives 1 (02/24/1971)

handle is hein.jfk/jfkarch73198 and id is 1 raw text is: 

104-1010-1046


(When Filled In)


TO        Support   Case  Section,  Clearance   Support  Branch

          Personnel   Security   Division                            L


SUBJECT:  Request   for Contact   Security  Approval


DATE RECEIVED


REOUESTER                                                OFFICE                      EXTENSO




                                  BID DATA FURNISHED BY REQUESTER

SUBJECT'S NAME (Last, First , Middle)                                  DATE OF BIRTH



PLACE OF BIRTH


EMPL10YE R


CLEARANCES/OTHER






LEVEL REQUESTED               CONFIDENTIAL                     SECRET


          SECURITY CHECKS            RECORD TIVE                       RESULTS


OS INDICES


DISCO


OTHER

                                                                       DATE
                             ACTION TAKEN


CONTACT SECURITY APPROVAL/CONFIDENTIAL


CONTACT SECURITY APPROVAL/SECRET


OTHER




















                                                                  roving  Official


                                                                      C/PSD/OS


FORM2804
10-m 7 280'


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

                                 CONFIDENTIAL                       1 &


(5.11)


CONFIDENTIAL


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