NAME CHECK REQUEST - ANTONINA VLADIMIROVNA KOBELNITSKAYA
Agency: CIA
Originator: CIA
Document date: 3/3/64
Document type: PAPER-TEXTUAL DOCUMENT

## Page 1

T104-1006-102641

(FROM: (Requistora namo) O

A.W. BRASKO

BRANCH

ROOM

SECRET

RADGE NO.

EXTENSION

DATE

NAME CHECK AND CONSOLIDATION REQUEST

RID CONTROL NO.

TO

RID/INDEX

TUBE

DT- 5

ROOM

REQUESTER

DATE

INITIALS

3/3/14 wkm

CHECKING INSTRUCTIONS

RID/FILES

DT - 6

REQUESTER

RID / ANALYSIS

GT.7

RID/201

RID/MIS

GT- 6

DT-S

SUBJECT TO BE CHECKED

GIVEN NAMES

MROBEL'NITSKAYA, Antonina

Vladimirorna

•ING VARUATIONS TO BE CHECKED

ALIASES

OTHER DENIEVING A Co cupation, 8ox, CP memborship,

Antonina

V.

GOLIBiNXI

Antouina V.

SEX

DATE OF BIRTH

PLACE OF BIRTH

CITIZENSHIP

USSR

RESULTS OF RID/ INDEX CHECK

COMMENTS

RESIDENCE

Jenngrad, U5 SR

NO PERTINENT IDENTIFIABLE INFORMATION

CARD REFERENCES ATTACHED

an's

INSTRUCTIONS FOR REQUESTERS

IN ALL CASES

Use gummed label; type or print al1

entries.

Upon receipt of index card reproductions

draw a green diagonal line across the

items you do not want.

Edit (use green) the reproduced index

cards to indicate:

(2)

cards to be destroyed (mark with

green D and note reason for destruction)

below:

Examples: document destroyed; duplicate

or less informative than retained in-

formation; information of no CS value.

(b) corrections and additions, inclu-

ding Infinity symbol oo when card in-

cludes all facts contained in the

document.

201 CONSOLIDATION

1. Return this form with the card repro-

ductions, also return pertinent documents,

aperture cards and the dossier if a 201 on

the subject exists.

(a) • Consolidate into

201-

(b)[ Open 201 file on subject.

RESTRICTION (If any)

OTHER INTERESTED DESKS OR STATIONS

ASSIGNEEM

TYES

NO

Note 1. Records of COI, SSU, OSS and CIG

are in RID/ARD, and those that meet

Indexing criteria in CSHB 70-1-1 are

carded in the CS Main Index.

If you

believe there could be additional in-

formation of value in these records,

you must request an Archives Index

search.

TRID

I DESK

x7997•

IDATE

SIGNATURE OF RECORDS OFFICER

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