14-00000
104-10121-10119
2025 RELEASE UNDER THE PRESIDENT JOHN F. KENNEDY ASSASSINATION RECORDS ACT OF 1992
TO:
(Check):
REF.
SECRET
D.
39418
FILE NO.
NOTIFICATION OF ESTABLISHMENT OR CANCELLATION
OF OFFICIAL COVER BACKSTOP-
CHIEF, CONTROL DIVISION, OP
CHIEF, CONTRACT PERSONNEL DIVISION, OP
CHIEF
ATTN:
LA (OPERATING COMPONENT. FOR ACTION)
SUPPORT STAFE
18 Sep 75
SS NUMBER
526-20-4565
EMPLOYEE NUMBER
063385
ID CARD NUMBER:
trament
STATUS
STAFF
SUBJECT
NORALES, DAVID S.
NA
OFFICIAL
COVER
CONTRACT
UNIT
3043
X ESTXRIXXXSO CONTINUED
CANCELLED
U.S. ARMY STAFF GROUP]
KEEP ON TOP OF FILE WHILE COVER IN EFFECT
ESTABLISHMENT OF OFFICIAL COVER (BLOCK RECORDS)
CANCELLATION OF OFFICIAL COVER (UNBLOCK RECORDS)
EFFECTIVE DATE:
BASIC COVER PROVIDED
EFFECTIVE DATE
EOD
OTHER (Specify)
OPERATIONAL COVER PROVIDED
SUBMIT FORM 3254.
(HHB 20-7)
W-2 TO BE ISSUED
FOR
TDY
SUBMIT FORM 642 IMMEDIATELY TO CHANGE TELEPHONE
LIMITATION CATEGORY TO CATEGORY
(HHB 20-7)
SUBMIT FORM 3254 Army
W-2. TO BE ISSUED.
(HHB 20-11)
SUBMIT FORM 1322 FOR ANY CHANGE AFFECTING THIS
COVER. (HR 240-2e)
SUBMIT FORM 1323 FOR TRANSFERRING COVER
RESPONSIBILITY. (HR 240-2e)
SUBMIT FORM 642 IMMEDIATELY TO CHANGE TELEPHONE
LIMITATION CATEGORY TO CATEGORY.
(HHB 20-7)
EAA: CATEGORY I
CATEGORY 11%
RETURN ALL OFFICIAL DOCUMENTATION TO CCS
SUBMIT FORM 2688. FOR
HOSPITALIZATION CARD.
DO NOT WRITE IN THIS BLOCK - 1
EAA. CATEGORY 1
CATEGORY II
AGE
HOSPITALIZATION CARD
SUBMIT FORM 2688 FOR
REMARKS AND/OR COVER HISTORY
OJECT WILL BE DENIED FOR ENTIRE PERIOD
EMPLOYMENT EXCEPT FOR U.S. GOVERNMENT
PLOYMENT APPLICATIONS.
[ISTRIBUTION:
COPY 1
•
CD of CPD
OPERATING COMPONENT
OS SRD
0.0/D/TFB
3 OF 5. CCS-FILE
☐ 1551
FREVIOUS EDITION
...
.
VBR
CHIEF. OFFICIAL COVER BRANCH COVER AND COMMERCIAL STAFF
SECRET
E-2 MPDET CL. BY: 006687
113-20-43)