Agency: FBI
Originator: FBI
From: BLOOM, EDWARD F.
To: SAC, CG
Document date: 11/26/1963
Document type: PAPER-TEXTUAL DOCUMENT

## Page 1

JFK ASSASSINATION SYSTEM

IDENTIFICATION FORM

AGENCY INFORMATION

AGENCY: FBI

RECORD NUMBER: 124-10142-10030

RECORD_SERIES: CG

AGENCY FILE NUMBER: 44-645 SUB C-17

DOCUMENT INFORMATION

ORIGINATOR: FBI

FROM:

BLOOM. EDWARD F.

TO:

SAC. CG

TITLE:

DATE: 11/26/1963

PAGES: 1

SUBJECT:

JR, BKG, ASSOC

DOCUMENT TYPE:

ORIGINAL

CLASSIFICATION:

PAPER. TEXTUAL DOCUMENT

Unclassified

REVIEW DATE:

STATUS

09/24/1996

Redact

NEW

CLASSIFICATION:

UPDATE DATE:

02/09/2001

RESTRICTIONS:

JFK Act 6 (4)

COMMENTS:

DocId: 32160718

Page 1

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## Page 2

FD-209 (Rev. 3-9-62)

OPTONAL FORM NO. 10

UNITED STATES GOVERNMENT

Memorandum

TO

sAC Chicago (137-4705)

FROM

SA EDWARD F. BLOOM

SUBJECT:

Shirley 5. mc Giec

Dates of.Contact

11/24/63

Titles and Flle #s on which contacted

Purpose and results of contact

X NEGATIVE

[ POSITIVE

informant certified that he has

furnished all information obtained

by him since last contact.

Personal Data

Rating

VG

1-137-4705

8-44-645

DATE: : 11-26-63

CI

LuSI

44-645

Coverage

C) 137-4545-17

SEARE ED

SERTALIZED...

NOV 2. 7.1963

*BI= CHICAGU

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