Agency: HSCA
Originator: HSCA
To: CIA
Document date: 00/00/0000
Document type: FORM

## Page 1

JFK Assassination System

Identification Form

Agency Information

Date:

3/28/201

AGENCY :

RECORD NUMBER :

HSCA

180-10143-10310

RECORD SERIES: CIA SEGREGATED COLLECTION

AGENCY FILE NUMBER : 29-14-06A

Document Information

ORIGINATOR: HSCA

FROM:

CIA

TO :

TITLE :

DATE:

PAGES:

SUBJECTS :

00/00/0000

1

Released under the John

F. Kennedy

Assassination Recorda

Collection Act of 1992

l44 USC 2107 Notel.

Case#:NW 53090 Date:

06-07-2017

CIA, FILES

DOCUMENT TYPE: FORM

CLASSIFICATION : Unclassified

RESTRICTIONS:

Consulted

CURRENT STATUS : Withhold

DATE OF LAST REVIEW:

08/16/1995

OPENING CRITERIA:

COMMENTS :

Box 20 DOCUMENT WITHHELD BY CIA

v9.1

HH 53090

DocId: 32272114

Page 1

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## Page 2

CIA - JFK COLLECTION

Document Withdrawal Notice

THIRD AGENCY COORDINATION

JFKBox/Beet. #

ASCA

Folder #

29

14

Document #

111108₽1

Date

Agency

FBI

Title/ Description (U) MIKHAIL SOMARIN

Pages

ET AL. HANDWRITTEN NOTES BY

HSC A STAFFER SMITH

Release Delayed Pending Coordination

Page

DocTd: 32272114

53090

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