[104-10215-10212.pdf — page 58]
# SECRETROUTING AND RECORD SHEETINSTRUCTIONSPRIOR TO FILING1. Fall in Sect. 2 on back. Detach back flap and forward to RID2. Desiray front cover sheet, unless it records segnificant action taken or comments requiring preservation.FROM:RIDFiTO: ACTION BRANCHIf file no. and title showniare act proper, insert proper file no. below and forward document to RID ANPROPER FILE NOTO: ALL ADDRESSEESFILL IN SECTION I ON BACK, IF APPROPRIATECOMMENTS| TO              | ROOM NO | DATE RECEIVED | FORWARDED | OFFICERS INITIALS |                                                                                                                || --------------- | ------- | ------------- | --------- | ----------------- | -------------------------------------------------------------------------------------------------------------- ||                 |         |               |           |                   | ZZ 17 MAY 1967 argon detaches, Gft                                                                             || STAFF employee  |         |               |           | cril              |                                                                                                                || WH/COG/Reports/ |         |               |           |                   | 3-4 - please review for any exploitation desired. There may be sinul info is medicine hers.                    || STAFF employee  |         |               |           |                   |                                                                                                                ||                 |         |               |           |                   | MICROFILMTO MAY 17 1961 DOC. MICRO. SER. 4-7 Sitter STAFF employee liveranced in me-tainiごらん B DO 051/L, CSAB- ||                 |         |               |           |                   |                                                                                                                ||                 |         |               |           |                   |                                                                                                                ||                 |         |               |           |                   |                                                                                                                ||                 |         |               |           |                   |                                                                                                                ||                 |         |               |           |                   |                                                                                                                ||                 |         |               |           |                   |                                                                                                                ||                 |         |               |           |                   | 16 AY 1967 C                                                                                                   ||                 |         |               |           |                   |                                                                                                                |RID FIFILE TITLEFILE NUMBER IEQIMARY CODEITRACE REQUESTABSTRACT INDEXDOMENT DATEUNT NUMBER