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# SECRETIFICATION FESTLISHMENT OR CANCELLATIONOF OFFICIAL COVER BACKSTOP|                                              |               || -------------------------------------------- | ------------- || TO: (Check) x CHIEP, CONTROL DIVISION, OP    | FILE NO. 6415 || CHIEF, CONTRACT PERSONNEL DIVISION, OP       |               || x CHIEP, OPERATING COMPONENT (For action) ZA |               || ATTN: Chief Support Staff                    |               || REF: Form 1322 dated 21 Sep 73               |               || SUBJECT FOX, JEROME                          |               || UNIT Technical Services Group (Prov)         |               ||                                              |               ||                                              | 28 Sep 1973   ||                                              | 102-22-9186   ||                                              | 917914        ||                                              | HC-102 #25389 ||                                              | ESTABLISHED   ||                                              | DISCONTINUED  |KEEP ON TOP OF FILE WHILE COVER IN EFFECT|                                                         |                                                                           || ------------------------------------------------------- | ------------------------------------------------------------------------- || ESTABLISHMENT OF OFFICIAL COVER BLOCK RECORDS           | CANCELLATION OF OFFICIAL COVER UNBLOCK RECORDS                            || x BASIC COVER PROVIDED EFFECTIVE DATE AUGUST 1959       | EFFECTIVE DATE:                                                           || OPERATIONAL COVER PROVIDED FOR TOY OTHER (Specify)      | SUBMIT FORM 3254 TO BE ISSUED (HHP 20-11)                                 || SUBMIT FORM 642 LY IMMEDIATELY TO CHANGE LIMITATION CAT | SUMIT 642 IMMEDIATELY TO CHANGE TELEPHONE LIMITATION CATEGORY TO CATEGORY ||                                                         |                                                                           || x                                                       | CATEGORY 11                                                               || SUBMIT FORM 3952 TO BE ISSUED. (NND 20-11)              | RETURN ALL OFFICIAL DOCUMENTATION TO CCS                                  || SUBMIT FORM 1322 ON ANY CHANGE AF AFFECTING THE COVER   | SUBMIT FORM 7688 FOR AGE HOSPITALIZATION CARD. WRITE TO THIS BLOCK        || x                                                       |                                                                           || SUBMIT FORM 1323 FOR TRANSFERRING COVER RESPONSIBILITY  |                                                                           || CAA. CATEGORY I                                         | CATEGORY 11 XX                                                            || x SUBMIT FORM 7688 FOR AGE HOSPITALIZATION CARD         |                                                                           || REMARKS AND/OR COVER HISTORY:                           |                                                                           || JUB 55-AVG 59-HQS/OVERT                                 |                                                                           || AUG 59-ROV 62-JAPAN/DAC/DAFC                            |                                                                           || NOV 62-DEC 64-HQS/DAC                                   |                                                                           || DEC 64-AUG 66-VIETNAM/DAC                               |                                                                           || AU) 66-110V 67-S/DAFC                                   |                                                                           || 21 NOV 67-APR 69-HQS/STATE INT                          |                                                                           || HAT 69-SEP 73-EZ PHILIPPINES/DAPC                       |                                                                           || 24 SVP 13-HQD/DAFC                                      |                                                                           |![signature]SECRET