RECEIPT FOR TRANSMITTED INFO.
Originator: CIA
From: W. HARVEY
To: TSD/IB
Document date: 08/01/1963
Document type: PAPER - TEXTUAL DOCUMENT

## Page 1

14-00000

104-10106-10545

.2022 RELEASE UNDER THE PRESIDENT JOHN F. KENNEDY ASSASSINATION RECORDS ACT OF 1992

SECRET

RECEIPT FOR AUTHENTICATION MATERIALS

IB CASE NO. _ 2786-B

TO: TSD/TB

DATE _ 1 Aug 63

I HEREBY ACKNOWLEDGE RECEIPT OF THE FOLLOWING AUTHENTICATION MATERIALS

TRANSMITTED WITH MEMO NO. 1B 46367 DATED _ 1 Aug 63

- AND PREPARED IN

ACCORDANCE WITH - Bequest of 09, 18 June 1963

(1121an Falker!

Detroit, Michigan Addreas)

10 Michigan) Birth Certificate

10 Michigan) Driver's Incense

31

Social Security Card

Biltannica Patrons Cara

10

Inabanapalls, Indians) Address)

(social security Card) $1

"National Rifle Association Card

care on

Reserve Officers Association Card

Biltannica Patrons Card

RationaL RifleAssoclation Card

Reserve Orficers Association Card

Rotary Club Card

SR

NOTE: Authentication Materials must be returned to TSD/IB as soon as the intended operational use

has been fulfiled; unused documents, whether filled in or blank, must be returned to TSD/IB

when no longer needed.

TSD/IB should be notified if any of the Authentication Materials are destroyed, lost, or for any

other reason can no longer be returned.

D-061

SECRET

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