[104-10221-10002.pdf — page 28]
SECRET/NO FOREIGN DISSEMINTERNAL USE ONLYSWL PART III: INVESTIGATIVE SUPPLEMENT---SOURCE SHEETSummary Instructions for SWL Form Part III: Investigative Supplement.1. Enter only data in items 11-20 suitable for release to other U. S. or foreign   security and intelligence services, since this form supplements SWL Part-I   (items 1-10) with those items of identification data considered of particular   value to professional security and intelligence agencies in identifying and   locating the SWL individual concerned and in developing reporting sources on   him. See Section III, para 5. of Instructions for detailed guidance on completing   items 11-20.2. A precise record must be maintained and recorded below of source and documentation   data for the information entries. The column Entry Nos, should correspond with the   item numbers. Hence, when source and document are the same for information   entered under two or more items, the pertinent item numbers may appear together   under the Entry Nos, column with source and documentation data recorded only   once.3. When the completed Investigative Supplement is to be passed to another agency, the   white page containing items 11-20 may be xeroxed in the required number of copies.   The sensitive blue Source Sheet must not be reproduced.4. The original of this completed form together with the Source Sheet must be   permanently retained inside the left cover of the 201 dossier.SOURCES OF DATA:| Entry No. (s)                                | Document Symbol and No. | Document Date | Source Identity (Cryptonym) | Date of Information | Comments            || -------------------------------------------- | ----------------------- | ------------- | --------------------------- | ------------------- | ------------------- || 11,13,14                                     | SWJS'S PRESTEE          | SEP 63        | LIFKMPO                     | SEP 63              | Descretion's Family || 18.                                          | HMMA-20313              | 9 JUN 65      | LIENVOY-2                   |                     | "                   ||                                              | HMMA-26000              | 15 AUG 65     | STA FILES                   |                     | "                   || 19.                                          | HMMA-6770               | 5 OCT 62      | LIFE                        | OCT 62              | Havana trip.        ||                                              | HMMA-7466               | 29 JAN 63     | LIENVOY                     | MAY 63              | Havana trip.        ||                                              | PACY-105-8              | 25 OCT 63     |                             | OCT 63              | Caribbean trip.     ||                                              | MAMA-4562               | 31 OCT 63     |                             | OCT 63              | "                   ||                                              | RIOD-2730               | 22 Nov 63     | PLACME/RISTELE              | Nov 63              | Brazil trip.        ||                                              | HMMA-7273               | 1 JAN 64      | LIFIRE                      | JAN 64              | Dominican trip.     ||                                              | HMMA-2366               | 1 JAN 64      | LIFIRE                      | JAN 64              | Havana trip.        || (Space for additional entries on other side) |                         |               |                             |                     |                     |SECRET/NO FOREIGN DISSEMINTERNAL USE ONLY