REASSIGNMENT PROCESSING FORM
Originator: CIA
Document date: 09/21/1964
Document type: PAPER - TEXTUAL DOCUMENT

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104-10256-10301

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

CONFIDENTIAL

(When Filled In)

REASSIGNMENT PROCESSING

1. THIS

IS TO RECORD RECEIPT OF.

DOCUMENT WHICH PLACES THIS

EMPLOYEE IN

SUBJECT

FILE NO

stilestt

109301

WHERE

THE

INDICATED,

ACTION

ON A

ASSIGNMENT SPECIFIED

ROUTING

—FORM 1152

CERTIFICATION REQUEST

me Karnar

Поє /оскос

DOCUMENT

5-07

TRAVEL ORDER

RETURNEE LIST

OVERSEAS PANEL LIST

Hill

FILE HAS BEEN REVIEWED FOR INFORMATION. FLAGS.

POSED ACTION.

THE VARIOUS ASPECTS CONSIDERED

INDICATORS HAVING

THEIR SIGNIFICANCE.

A BEARING ON THE PRO-

AS FOLLOWS:

• NONE-

NOT - PERT INENT

OTHER OR

COMMENTS---

SRS FLAG

OTHER FLAG

SUITABILITY INFO

MEDICAL INFO

PRIOR PANEL

ACTION

COVER PROBLEMS

INTEGRATION

PROBLEM

DATE OF LAST POLYGRAPH 2 X MULA 5 .] NEEDS REPOLYGRAPH

3.

ACTION TAKEN

15-3

AREASSIGNMENT ACTION APPROVED

ACTION WILL BE RECORDED IN ANOTHER DOCUMENT

com Vergo)

YES

COMMENTS.

13:

21 SER 1964

USD

4. CASE IS FORWARDED HEREWITH FOR THE FOLLOWING ACTION

DATE

• 1 SEP 1964

FORM

LOUR USE PREVIOUS

in ellen

andriorat.

code.

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