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104-10124-10280 JFK Assassination Records Archives 1 (1/19/1967)

handle is hein.jfk/jfkarch84812 and id is 1 raw text is: 104-10124-10O28O-j 2023 RELEASE UNDER THE PRESIDENT JOHN F. KENNEDY ASSASSINATION RECORDS ACT OF 1992 -- .n '°:` ':-.: SECRET I9WHN1NTIALD^ S-s; (when-Filled In) *.1- SIPECIAL CLEARANCE and/or BILLET APPROVAL DAE- - (Submit original and 4I copies to SCC) ' SUBJECT'S NAME p-. ', . * FOR. SCC USE. ONLYo:.: A I1 ..f . COLS. coot DATE OF'BIRTH PLACE Of BIRTH .93 POSITION .. -BILLET NO. 34.38 ILTRRAKMILITARY SERIAL NO... .w ` _39.4i _ ORGANIZATION4T7 COMPONENT * / ..JB. i :1}`APPROVED E / + .Rk- .15* z SUB-DIVISION :.c - .1 ..o ..-' T -. C S01NT ;OF FICE * I. DATE- TO: CHIEF- SCC* *. , DATE 9 a_ °w :$6 APPROVE K * . .f ° IT IS REQUESTED THAT 1jI SPECIAL CLEARANCE APO/SBL DATYI CNU APPROVAL BE GRANTED FOR THE SUBJECT IN THE FOLLOWING SPECIAL APPROVED C $S SA DATE PROJECTS ________________________IN PHASE R COCU (also indicated in Column at right). APPROVED JUSTIFICATION REFERENCE- COCU U DATE APPROVED ari 1.xeC.1amiviez a=r reqeat.± farX CONCUR DATE mlySo~3~ for trLi:Ij 1 A 4~ Mr or vt~l v APPROVED DATE LL ~ti+1 f r t1'.L': ip s, uqCOL PROD. PHASE -~-!~~8axe dI7p VcQd. . lie al a- beI { de- 49 , :-igz f rwA3+3 request iia. not ziasLti'4 . 5 ~ . th t -. -qvl -. bes badle . 63 en v~ .Y. } 5 Si4~.. ~ k OU . 54 SEE REOUESTER'S MAIL ADDRESS (Rm-Bldj) SIGN RE & TITLE 56 ATTACHMENT Kn zey 03t FO: CHIEF, PSD/0/I DA `* 3. 'OR ACTION. INDICATE- -CORAL.... «j YEMANF ____OHER 5$1 - y - - 1 SEE ATTACHMENT.__________________ .L ...L.CNIEP. ,.CC'-TSO/CIA '2 * TO: SCC .I DATE (17* 63 CASE NO.s .! 2/ 2 SUBJECT MEETS ESTABLISHED SECURITY CRITERIA FOR THE SPECIAL CLEARANCES 64- ?EOUESTED. Q NOTE- ATAHD COMMENT...-.. 65 - Ps0/ID4 SIGNATURE & TI TLF.,. ,69 - - CC INDEX SEARCH: SCC INDEXING ACTION . * 70 ___- EJa NEW -ADD CHANGE OLD 71 0: REQUESTER DATE 72 L.JARRANGE WITH C/SCC FOR BRIEFING 73- SUBJECT HAS BEEN -4Y ADVISE C/SCC'OF DATE BRIEFED .S AP D '- A: - P7P R-V D IISEE'ATTACHMENT. BaCIkgrOUnduse88 nly , CIE.C TEDCI 78 CNEP NoC TSO/CIA~o .8 __ - -j - r I FORM 20O° USE PREVIOU 4-65 Luo EDTONS SECRET I I I I I } 1 S _j .10-38)

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