Agency: FBI
Originator: FBI
From: ALLEN, T. C.
Document date: 00/00/0000
Document type: PAPER, TEXTUAL DOCUMENT

## Page 1

JFK ASSASSINATION SYSTEM

IDENTIFICATION FORM

AGENCY INFORMATION

AGENCY: FBI

RECORD_NUMBER: 124-10184-10014

RECORD_ SERIES: TP

AGENCY FILE_ NUMBER: 62-455-209

DOCUMENT INFORMATION

ORIGINATOR: FBI

FROM:

TO:

TITLE:

ALLEN. T. C.

DATE: 00/00/0000

PAGES: 2

SUBJECT:

JFK, CONTACT, JR, ASSOC

DOCUMENT TYPE:

ORIGINAL

CLASSIFICATION:

REVIEW DATE:

- STATUS

PAPER. TEXTUAL DOCUMENT

Unclassified

11/15/1996

Redact

Released under the John

' Kennedy

assassination Records

Collection Act of 1992

144 USC 2107 Notel.

Case#:NW 54463 Date:

10-12-2017

NEW

CLASSIFICATION:

UPDATE DATE:

02/12/2001

RESTRICTIONS:

JFK Act 6 (4)

COMMENTS:

1H 54463

DocId:32176019

Page 1

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## Page 2

er Sheet for Informant Report or Matetial

D-306 43-21-58)

Date received

Received from (name or symbol number)

12/5/63

Method of delivery

X in person

TP 59-S

(check appropriate blöcks)

_Jby telephone

by mail Morally

If orally furnished and reduced to writing by Agent:;

Date

Dictated

- 12/6/63

-to rough draft

Transcribed

17/6/63

Authenticated

by Informant

-NA

•Brief description of activity or material

Received by

SA T. C. ALLEN

recording device

written by Informant

Date of Report

NA

Date(s) of activity

NA

File where original is located if not attached

131-224-52

Remarks:

62-455

TCA: 1 sw

Lead info; not reduced

to writing.

ALL INFORMATION CONTAINED

HEREIN IS ONCLASSIFIED

DAT L- 2793BY 9883

AND/ISR

excer two

guspere

Block Stamp

6214/55-209

SEARCHED

_INDEXED

SERIALIZED

JAN 23 1964

FBI - TAMPA

| IN 54463 DocId:32176019 Page 2

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