[RESTRICTED]
Originator: USA
Document date: 12/08/1965
Document type: Paper, Textual Document

## Page 1

Date : 10/05/95

Page:

1

JFK ASSASSINATION SYSTEM

IDENTIFICATION

FORM

AGENCY INFORMATION

AGENCY : INSCOM/CSF

RECORD NUMBER

: 194-10001-10436

RECORDS SERIES : INTELLIGENCE/COUNTERINTELLIGENCE SOURCE

AGENCY FILE NUMBER

: AC555469W - PAGE

14

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DOCUMENT INFORMATION

ORIGINATOR : USA

FROM

TO

TITLE : [ RESTRICTED]

DATE

: 12/08/65

PAGES

1

SUBJECTS : [ RESTRICTED ]

DOCUMENT TYPE : PAPER,

,TEXTUAL, DOCUMENT

CLASSIFICATION : CONFIDENTIAL

RESTRICTIONS : 1B, 2, DONOR RESTRICTION

CURRENT STATUS : POSTPONED IN FULL

DATE OF LAST REVIEW

: 03/07/95

OPENING CRITERIA :

COMMENTS :

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66754 Date: 09-22-2022

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D*

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NW 66754 Docld:34431975 Page 1

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## Page 2

ONFIDENTIAL

ISR REQUEST

DATE SUBMIT ID 8 Dec 1965

SD NUMBER

15832

PRIORITY L

ROUTINE

PART 1

PROJECT

EPIDEMIC (C)

NAME

MEDINA Montes de Oca, Armando

(Family)

(Given)

(Maiden

(Other)

DFOB®

20 January 1932; CRUCES, LAS VILLAS, CUBA

_CITIZENSHIP

NATIONALTTY

Cuban

Cuban

OCCUPATION Steno Radio Technician

EMPLOYER

PERMANENT ADDRESS 4420 Anderson Road, Coral Gables, Florida

BUSINESS ADDRESS

Served in Cuban Army as 2d It from 1952 to 1959.

OTHER IDENTIFYING DATA

Wife - Daisy GARCIA Cabancon; Subject entered US on 22 Mar 1962

on parole status; Alien Registration Number A-12 895 173. MEDINA is a member of

the Movimiento de Recuperacion Revolucionaria (MR, a Cuban exile organization headed by

Manuel ARTIME. Subjectis prospective black/infil/exfil operation.

Lead by SD-15332 to

PART II

ISR SUBMITTED

RIGUAL (P).

Agencies checked:

ISR

( NOI NPII

CIA

C.

FBI(S)

h.

INS

i

ONI

j. Other Agencies

d.

FBI(C)

€.

CRF

NR

1.

State Dept Passport

5. State Dept Security

14

FEMARKS: ISR stated Subject's date of birth is believed to be 20 March 1932.

FINAL ISR DATE

4 Feb 66

IDENTIA

Faglar

LEJAE I.

TAYLOR,

Source Control

10-127-65

NW 66754 Docld:34431975 Page 2

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