104-10273-10325 1 eer ree oe Sa leat Bi Sad aia dial soot : ~ on oreo warren Lenven ew 944387 REPORT &IRGAR apa NEW DOCUMENT RECORD TO/RECIPIENT (30 CHARACTERS) inatructions for Divisions end Staffs: | MONTH | VEAR 5% “Dif, Ir&e I: Fill in and Sign en fine 77. 2. Use back of form for ony edditional comments. SUBJECT (80 CHARACTERS) FROM/ORIGINATOR ( CHARACTERS) YEAR TYPE OF 6 REVIEW . Determinations: Release in full text E. Sustain initial denial in toto Release in sanitized form F. Sustain initial release of Deny in toto of sanitized version Defer decision to (Specify in line 8) G. Release additional information Coordinate with (Specify in line 8) DEFER DEQSION TO 110 CHARACTERS)| COORDINATE WITH (10 CHARACTERS) | class | 8 LYK, , SIGNATURE OF DOsIMS/FPLG REVIEWING OFFICER EXEMPTIONS AND PROVISIONS CLAIMED (40 CHARACTERS) Fora PA E.0. 12356 /B2 (e3/e4 BS 86 B7C B si Jt Ji Ki Exemptions and Provisions claimed to protect the following: © FOIA PA VA l. Classification (b) G) (k) (2) 2. Information from liaison with a Foreign Government (b) (3) (j) (2) 3. Information pertaining to a liaison (b) (3) (3) 1) relationship with a Foreign Government VY 4, Information which would/could identify the (b) (3) (9) (QQ) source . 7 5. Information pertaining to a source (bd) (3) (3) Q)) 6. Information pertaining to intelligence methods (b) (3) (3) (1) VA 7. Location of CIA overseas installation (b) (3) (9) Q) 10 ~~ 8. Location of unacknowledged domestic (>) (3) (3) (2) installation 9. Name of CIA employee (b) (3) (3) (1) 10. File number (b) (3) (3) (1) ‘. 11. Pseudonym (b) (3) (J) )) 12, Cryptonym , (b) (3) (9) (1) 13. Internal organizational data (b) (3) (3) (2) 14. Name of an FBI agent (b) (7) (ec) (9) G2) 15. FBI file number - (b) (2) (3) (2) 16. Privacy of other individual (b) (6) (b) a 17. Does not pertain to request ‘ 19. Other (Specify in line 11) REMARKS UF OTHER WAS CHECKED ABOVE! (46 CHARACTERS) i] ; | — SiGLeTORLICRREICE CF To CO TRE KT REY PRG CREICEr REMARKS 1160 CrAGAC TERS , nd 1971; Filey, Seymour, SEs vel Bx 52, _1 ( Gerald Pareick Hamu, ticesitie ss Gs ctetae at Caen roa a “Indcrme: ron below re cores € co ey CECL OADR mehr Nie
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