404-10220-40137 SECRET ‘ 27 Septomber 1965 MEMORANDUM BOR: Chief, CI/0A SUBJECT : ANCLEVE/15 201~-300985 Attached for your retention is one copy of Subject's PRQ Part 1%, An Operational Approval is hereby requested. ofenngth Aforeg ts SS 4, Joba U, Hart Deputy Chief, EHD C Distribution: Orig, Blo- Addresses watt. a - “ay x ay vt , os id wBo oe a yew BT GRoe ¢ ERCureie cROY yy AC DOMATIC BCd Vos tC TNG AND GECLAS SIF LCATION
14-00000 2h ae ene paaegnimerte usta Supe eee ‘ st ce eee RES Ete fetter ORLEANS ie ae Section 4 er oe a a . _ SECKET - » te, PERSONAL RECORD QUESTIONNAIRE 7 PART |1 = OPERATIONAL INFORMATION ERSTRUCTIONS TO CASE OFFICER Thie form auat be filled sn by the vase officer at appropriate authority on the bonte of the beat avaifedie soo feewsatean, $0 48 epg te be shown toe the subjece. Yuroesip, headquarters eiff bo unabio te seeue an appraval uniove requester Furnished aranrves to aif gusstiane in PRY parte § and §§. However, im an emergency provisional approval way bo obtained by soupipang eith fhe ape Stixobie peavietans of FR §6¢373. paragraphs g@. @, 898 and 23d. Thereafter the weuel wethed te decumen? of ean plete fhe (aoe suet he fofigved aa set forth im PR Io- 984. , Teree’ (3) souploted copsen of PRY part 2 gincluding copy in subsect>s handecstiag, @f peresble) end tee ¢ 323 Coes pleted copies ef thin fuem muat be gent te headgserfere a8 seen 88 possibis. ete sequised later aust be sent te Atadquartera im PRY format in tee (3) copied. Pett an ati dteme, 47 tnferaation ebtainable. PF item. aot applicable acete "WA.* FF additional space required fee stem, wee reverse side af page Atyed fo appropriate lien number, COyP 1OnvH “2, PREUDONE CONTACT AND DEVELOPMENT SABECATGE OW, abbr, WHERE, BY, AND BY HOM SUBIECT WAY FIRST CONTACTEIO on CL VELOF ES, iy we tote Foire heel, aoe Reed Pepe gee a ae ‘ * ih ma . Zoey ‘ . wat ‘ 1 * . 4 . é ie ? oy i ro May , ’ i . sod es . } soos Ly . ; i - * yi - i . ° ’ ry h f 1 . : , ' ', : so, ny ; . aoe z ao : i 2 Rts? CPuea CASE JEFF IECTAT and BANE MANDAL Se e.0CF Pee Cath mC Pol SuBsel fe COS BE TURYEO OVER QUICKLY AND IM A SECURE MANNER [0 On” RELAGHSIBLE Cali QEPICEa 198 MASE UG. TF GO, PROUT AFE Fy mea, @alcw Yehy waok OR feu Pe KNOBS OR BAD owe, Beek whois BY OE Et ae wry: +8: a0) el ew - 1.99 19604 ROS PRR et eug ser tesas Mas ee mee eee . - 4 SECRET wee se ee Serer ee dts mentee» et wn we
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