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104-10110-10307

2025 RELEASE UNDER THE PRESIDENT JOHN F. KÊNNEDY ASSASSINATION RECORDS ACT OF 1992

10 7

NOTIFICATION OF. ESTABLISHMENT OR CANCELiATION

OF OFFICIAL COVER BACKSTOP

CHIEF, CONTROL DIVISION, OP

TO:

(Check).

CHIEF, CONTRACT PERSONNEL DIVISION, OP

OPERATING COMPONENT (For action) VI

10 JULY 1974

$S

NUMBER

059-24-3138

EMPLOYEE NUMBER

007667

ID CARD NUMBER

32,90

RETURN TO

round. Use Ority

Do Not Reproduca

ATTN: "5

X.

OFFICIAL

COVER

REF:

ESTABLISHED

209

DISCONTINUED S

TOEL 2458, DALED 19 JUNE 1974

SUBJECT

CHARLOITE FUSIOS VIDELA

UNIT

99

DEFARIMINI OF STATE

KEEP ON TOP OF FILE WHILE COVER IN EFFECT

CANCELLATION OF OFFICIAL COVER UNBLOCK RECORDS:

ESTABLISHMENT OF OFFICIAL COVER BLOCK RECORDS

EFFECTIVE DATE:

BASIC COVER

PROVIDED DOD

EFFECTIVE DATE

OPERATIONAL COVER PROVIDED

_TOY.

_OTHER (Specify)

SUBMIT FORM 642 INMEDIATELY TO CHANGE TELEPHONE

LIMITATION CATEGORY TO CATEGORY

(HHB 20-7)

SUBMIT FORM 3254_

_W-2::

TO BE ISSUED. (HHB 20-11)

SUBMIT FORM 642 IMMEDIATELY TÓ CHANGE TELEPHONE

LIMITATION CATEGORY TO CATEGORY.

(HHB 20-7)

EAA: CATEGORY !

CATEGORY 11

RETURN ALL OFFICIAL DOCUMENTATION TO CCS

SUBMIT FORM 3254

(HHB 20-11)

SCATEl W-2 TO BE ISSUED.

ca

SUBMIT FORM 2688 FOR

HOSPITALIZATION CARD.

DO

NOT WRITE IN THIS BLOCK •

SUBMIT FORM 1322 FOR ANY CHANGE AFFECTING THIS

COVER. (HR 240-20)

SUBMIT FORM 1323 FOR TRANSFERRING COVER

RESPONSIBILITY. (HR 240-26)

EAA. CATEGORY I

CATEGORY 11

dal HOSPITALIZATION CARD

SUBMIT FORM 2688 FOR

REMARKS AND/OR COVER HISTORY

27 AUE 51AUG EC-EMOVIRI

AUE 630 JULY 67-ENG DAC99

99

JULY 67-10 AUC T2-MINICO SEE IN IND

1 SEPT TR-2I JUNE 7435-D4999

A ME TRIALS 3005651

DISTRIBUT

COPY

COPY

2'

ON:

CD

OR CPD

OPERATING

COMPONENT

COPY, 3

COPY

OC-00/IF B;

СОРУ В АСС

CCSSF

F•74-1551

SECRET

# E2, IMPDET CL BỲ: 0076223*:

GIBR

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