[104-10176-10075.pdf — page 98]
☐ UNCLASSIFIED ☐ ERNALUSE ONLY ☐ CONI ENTIAL ☑ SECRETROUTING AND RECORD SHEETSUBJECT: (Optional)FROM: CI/CA| TO: (Officer designation, room number, and building) | DATE RECEIVED | DATE FORWARDED | EXTENSION OFFICER'S INITIALS | NO. DATE | COMMENTS (Number each comment to show from whom to whom. Draw a line across column after each comment:) || ---------------------------------------------------- | ------------- | -------------- | ---------------------------- | -------- | ------------------------------------------------------------------------------------------------------- || 1. Chief, WE/3/Mexico ATTN: B. REICEART              |               |                | R                            |          | Is attached correct? No changes made as agreed, wit/s/mef                                               || 2. CI/OA J.Lally                                     |               |                | K                            |          |                                                                                                         || 3.                                                   |               |                |                              |          |                                                                                                         || 4. Chief, WH 13/Mexico.                              |               |                |                              |          | 2 to 4: This is for your return. K                                                                      || 5.                                                   |               |                |                              |          |                                                                                                         || 6.                                                   |               |                |                              |          |                                                                                                         || 7.                                                   |               |                |                              |          |                                                                                                         || 8.                                                   |               |                |                              |          |                                                                                                         || 9.                                                   |               |                |                              |          |                                                                                                         || 10.                                                  |               |                |                              |          |                                                                                                         || 11.                                                  |               |                |                              |          |                                                                                                         || 12.                                                  |               |                |                              |          |                                                                                                         || 13.                                                  |               |                |                              |          |                                                                                                         || 14.                                                  |               |                |                              |          |                                                                                                         || 15.                                                  |               |                |                              |          |                                                                                                         |DATE27 November 1963FORM3-62610 USE PREVIOUSEDITTONS☑ SECRET ☐ CONFIDENTIAL ☐ INTERNAL USE ONLY ☐ UNCLASSIFIED