Agency: HSCA
Originator: HSCA
From: CIA
Document date: 8/5/78
Document type: FORM

## Page 1

JFK Assassination System

Identification Form

Agency Information

Date:

4/19/201

AGENCY: HSCA

RECORD NUMBER: 180-10145-10326

RECORD SERIES: CIA SEGREGATED COLLECTION

AGENCY FILE NUMBER : 55-01-30

Document Information'

ORIGINATOR: HSCA

FROM: CIA

TO :

TITLE:

DATE:

PAGES:

SUBJECTS :

08/05/1978

37

Released under the John

F. Kennedy

Assassination Records

Collection Act of 1992

i44 USC 2107 Notel.

Case#:NH 53080 Date:

06-05-2017

CIA, FILES

DOCUMENT TYPE:

FORM

CLASSIFICATION:

Unclassified

RESTRICTIONS :

1A; 1B

CURRENT STATUS:

Redact

DATE OF LAST REVIEW:

01/01/2003

OPENING CRITERIA:

COMMENTS :

Box 30 Document Withdrawal Notice Pending Third Agency Coordination

HHV933080

DocId: 32273113

Page 1

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## Page 2

53080

DocId: 32273113

Page

CIA -- JFK COLLECTION

Document Withdrawal Notice

THIRD AGENCY COORDINATION

Box/Reel #

Folder #

55

Agency

FBI

Docunent #: 11110962-11118998

Date

8/5/78

Title/ Description (U) ISC A STAFFER

Pages

37

FILE REVIEW. ROLANDO MASFERRER

REJAS:

Release Delayed Pending Coordination

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