Agency: FBI
Originator: FBI
From: CAPEHART, CHARLES L.
To: SAC, TP
Document date: 11/26/1963
Document type: PAPER, TEXTUAL DOCUMENT

## Page 1

JFK ASSASSINATION SYSTEM

IDENTIFICATION FORM

AGENCY INFORMATION

AGENCY: FBI

RECORD NUMBER: 124-10173-10439

RECORD_ SERIES: TP

AGENCY FILE NUMBER: 62-455-122

DOCUMENT INFORMATION

ORIGINATOR: FBI

FROM:

CAPEHART. CHARLES L.

TO:

SAC. TP

TITLE:

DATE: 11/26/1963

PAGES:

1

SUBJECT:

JFK, CONTACT, NEG

DOCUMENT TYPE:

ORIGINAL

CLASSIFICATION:

PAPER. TEXTUAL DOCUMENT

Unclassified

REVIEW DATE:

STATUS

02/05/1997

Redact

Released under the John

•. Kennedy

Assassination Records

Collection Act of 1992

144 USC 2107 Notel .

Case#:N™ 54463 Date:

10-12-2017

NEW

CLASSIFICATION:

UPDATE DATE:

02/12/2001

RESTRICTIONS:

JFK Act 6 (4)

COMMENTS:

NW 54463 DocId: 32171620 Page 1

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## Page 2

TO

FD-209 (Rev. 2-1-63)

OPTIONAL FORM NO. 10

3010-106

MAY 1962 EDITION

G$A GEN. REG. NO, 27

UNITED STATES GOVERNMENT

Memorandum

Tarpo 34-299 pure

11.-

260-63

FROM

[paI

JASI

SUBJECT:

Dates of Contact

Titles and File #s on which contacted

11-22-63311-25-63

62.455

Purpose and results of contact

NEGATIVE

[POSITIVE

ALL INFORMATION CONTAIN

HERZI:

LASSIFICO

DIN/ 27-93 81 9803 ADD ISA

(JEN)

Informant certified that he has

furnished all information obtained

by him since last contact..

Personal Data

Rating

FILE

54463 DooId: 32171620

Page 2

no. che

62-455

Coverage

sant

62-455-121

SEARCHED

SERIALIZRS

NOV 2 6 1963/

FBI - TAMPA

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