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Tho Drited Stztes Coverameat, as representod by tho Contral Ieteiligane Agency, hereby contrccte.withyou for the submiscioa of a mcdical report, the subject matter of which has or will be mede known to you, under tho following terms and conditioas:

1. Compensatioa, In full consideraton for the submission of said report, you vili be paid a \$500 foe. Two hundred dollars (Éz00) of szis fec wili be paid yeu upon tho execution of this contract by the Contracting Oicer. Upon the vatisizctory completion and submission of said zeport you will receive a 50ò payment. kio Feceral izcome tax will ba warhciu rora tis fee, but it will be your responsibility to report such income under eristiag Federal incomo tax laws snd regulations. The Central Intelligence Agency atands rendy to assist you as to the method to be foilowed in reporting this fee on your Federal income tax retura in order to preserve security.

2. Execution of Documents. If, in the perlarmance of services uncer ths contrect, you assume the custody of Goverument funds or take title of racord to proparty ef aay zataro whatsoever ond wherever situsts, which 114 property has in fact been purchased with monies of the U.S. Governmcnt, you hereby recognize anù ecknowledge the existence of a truot reletionship, either express or construcdive, and you agree to execute whatever docurnent may be required by CIA to evidence this relationship.

3. Status. You are not an employee of the United States Government under this agreement aad are not entitlod to any benefits normnally incicent to an employee status.

4. Secrecy. You will be required to keep forever secret this coztract and all information which you may obtain by reason hereof (unless released in writing by CLA from such obligation), vit full kaoviedge that violatina of such cecrecy may subjset you to criminal prosecution usder the Espicnage Lawa, dated 25 June 1949, as amendod, and cther applicable laws and rcgulations.

5. Instrvetens. Iastrcctions received by you frem CLA in brieüng. training or oüerwise are a part of this coztract and are incorpozatod hozcin. pruviüsd that puch iastructiona aro not inconsistent vrith he ternis aereoí.

6. ·Unauthorired Commitments. No promises or ccmmitnante pertairinn to mt, pavauoo cr esneta cner  w those eynren: runui. Governmeat.

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7. Ter. This contract is effeedive 2a of 2:1 ohell conianvo thereaitor throurh 31 March 1957 unicss aoonsz te npon ectul notiea io yen froa C, or aul the report is pubaiuted, wca over oceurs earlios. Teminaticn of Lis agvemçzt vili not voleasć yoa from the ohligztione of any security oath you maey be required to take.

CETRL INTELLICENCE AGENCY

DY

Special Contrasting Officer

ACCEPTED:

WIINESS:

APPROVED: