13-00000 <*~\CONFIDENTIAL[_]SECRET ~~ ~ os IL NEW DOCUMENT RECORD instructions for Divisions and Staffs: 1. Fill in and Sign on line 17, 2. Use back of form for any additional comments. NUMBER caere.- FORM poisp arcu LETTER . _ REPORT Ancram wo, / Aj — 7) R25 GSS bs CAS b 4 F ROM/ORIGINATOR (30 CHARACTERS! \[ tosreciPient (30 CHARACTERSY SUBJECT (80 CHARACTERS) IALK mE To Co Determinations: ; NGEN 4 JON A. Release in full text B. Release in sanitized form AR ee Deny in toto | . _ ‘D. Defer decision to ‘Specify in line 8) , H. Coordinate with (Specify in line 8) E. Sustain initial denial in toto ‘F. Sustain initial release of of sanitized version Release additional information 4 “—F GQAA95 IMS /¥PIG/122 6n7 x Ay Op & Kas SIGNATURE OF DO/IMS/FPLG REVIEWING OFFICER DEFER DECISION TO (10 CHARACTERS)| COORDINATE WITH (10 CHARACTERS) 1 EXEMPTIONS AND PROVISIONS CLAIMED (40 CHARACTERS) FOIA €£.0. 12065 B1 82 83 B4 BS B6 B7C BG) ne sic &) Exemptions and Provisions claimed to protect the following: FOIA PA / 1. Classification (b) (1) (k) (1) 2. Information from liaison with a Foreign Government: (b) (3) (3) (1) (b) (cc) 3. Information pertaining to a liaison (b) (3) (3) (1) (b) (cc) relationship with a Foreign Government 4. Information which would/could identify the (b) (3) (3) (1) (b) source 5. Information pertaining to a source (b) (3) (53) (1) Cb) 6. Information pertaining to intelligence methods (b) (3) (3) (1) (b) A 7. Location of CIA overseas installation (b) (3) (4) (1) (>) 8. Location ef unacknowledged domestic (b) (3) (3) (1) (b) installation ; 9. Name of CIA employee (b) (3) (3) G1) (b) 10. File number (b) (3) (5) (2) (b) v ll. Pseudonym (b) (3) (j) (2) (b) ¥ 12. Cryptonyms (b) (3) (5) (1) (b) Y 13. Internal organizational data — i {(b) (3) > (3) (1) (b) 14. Name of an FBI agent (b) (7) (c) (4) (1) (b) 15. FBI file number (b) (2) (3) (1) (b) 16. Privacy of other individual (b) (6) (b) 17. Does not pertain to request 19. Other (Specify in line 11) LI A TE REMARKS (IF OTHER WAS CHECKED ABOVE) (40 CHARACTERS} SIGNATURE/OF FICE OF DO COMPONENT REVIEWING OFFICER REMARKS (160 CHARACTERS) EK Dec tie ‘ This Form is Unclessified Unless The Classificetion is Checked and The Information below is completed. . OC cect Drew : ORG EXT :
oe CONFIDENTIAL (when Filled In: : “tyre” [  vean | wumser ul NEW DOCUMENT RECORD Instructions for Divisions and Staffs: FPE 75 76 77 Ye. # | r . 1, Fillin shaded areas only. " ' 2. Additione! comments should be written on back of farm. DOCUMENT DESCRIPTION (30 CHARACTERS) | ‘| DAY | MONTH | YEAR en em eta en epee CABLE = - ; ; OISPATOH an 2 . fo, ef , MEMO fokin or a a a JC ol, ies REPORT ~ TOSRECIPIENT (30 CHARACTERS) FROMZORIGINATOR (30 CHARACTERS) CLASS | WHERE LOCATED (10 CHARACTERS) DO FILE NUMBER :20 CHARACTERS! SUBJECT (80 CHARACTERS) Nagel Le Losige Bak Ulrcte, Cig Fa fers . ry . ’ .é ; . / | TYPE DATE \U BML OO ee rt LAL { whe &, Pre re oF OF i . ; REVIEW REVIEW Recommendations: A. Release in full text E. Sustain initial denial in toto B. Release in sanitized form F, Sustain initial release of = Cc. Deny in toto of sanitized version D. Defer decision to coordinate with G. Release additional information , (Specify in Line 8) DEFER CEQSION TO (io CHARACTERS! COORDINATE WITH (10 CHARACTERS) — : "AA AaS . af < a Y, an ” RO EXEMPTIONS CLAIMED (46 CHARACTERS} _ _ 81 82 83 84 85 B86 B7C “41 1B di Jie ne (cs ; §81 582 $63 $B4 OF FOIA OF PA OF &€.0. 11652 Exemptions are being claimed to protect the following: L~ 1. Classification (b) (1) (k) (1) 2. Information from liaison with a Foreign Government  (b) (3) (3) (1) (b) (c) 3. Information pertaining to a liaison (b) (3) (3) (1) (b) (ce) relationship with a Foreign Government L- 4. Information which would/could identify the (b) (3) (3) (1) (b) source a 5. Information pertaining to a source (b) (3) (4) (1) (b) 6. Information pertaining to intelligence methods (b) (3) (5) (1) (b) 7. Location* of CIA overseas installation a (b) (3) (3) (1) (b) 8. Location*® of unacknowledged domestic (b) (3) (3) (1) ()) installation 4 ¥ 9. Name* of CIA employee: . Pore Mee (b) (3) (3) (1) (e) 10. File number @>) (3) (5) (1) (b). ll. Pseudonym (b) (3) (3) (1) (b) —— 12. Cryptonym (b) (3) (j) (1) (bd) _¥_._. 13. Internal organizational data (b) (3) (3) (1) (e) 14. Name* of an FBI agent (b) (7) (c) (3) (1) (5) 15. FBI file number (b) (2) (3) (1) (b) v 16. Privacy of other individual (b) (6} (3) (1) (£) 17. Does not pertain to request 18. Information from another Government agency 19. Other (Specify in Line 11) | REMARKS (LF OTHER WAS CHECKED ABOVE! (40 CHARACTERS) REMARKS 1160 CHARACTERS; lind