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• 2025 RELEASE UNDER THE PRESIDENT JOHN F. KENNEDY ASSASSINATION RECORDS ACT OF 1992

A SECRETS

tyU

DEFICIAL COVER ACTION

WHEN REQUESTING

BENITIAL

ON RETURN FROM OVERSEAS COVER OR

WHEN CHANGE OR REMOVAL

IS RE-

ROUTING

QUESTED ROUTING SHOULD BE:

SHOULD BERN COMPLETE SSCTION 1) PAN

(COMPLETE SECTION 2)

OFFICIA

COVER BRANCH

Record She

CCS/OFFICIAL COVER BRANCH

quee Form dio Routine & Record she

FROM:

FROM:

Secu

BURNTO CI

THRUS

OST SSD.

S

E

tosa Videlay Charlotte

COVER

FOR

SUBJECTES

REQUESTE

A CAT

OTHER GOVT:

USE DF

DOMESTIC ALL.

PURPOSE

DOMESTIC OPERATIONAL

JON

1 HAS.:

• HAS NOT BEEN VOLUNTAR

GENCE

SERvICE,. THERE

NIHIS REQUEST,

(16 an

JUSTIFICATION FOR REQUESTED ACTION:

-Videla

is currently. assignecte

merentegrated State

aced under Nominal Statel cover for her fu

quarters

assignment.

COVER STATUS FOR SUBJECT IS REQUESTED

UST FICATION FOR REQUESTED ACTION:

REQUESTING OFFICER

mathiat hanke

Haulie

C/LA/PEMS

FOR OFFICE OF SECURITY

Tads

Do

YOUR

RECORDS REFLECT

ANY

EXPOSURE, COMPROMISE, SECURITY OR

OTHER FACTORS WHICH

SHOULD BE CONSIDERED

IN

MAKING

COVER

DETERI

i ON. IN

RESPONSE TO

THE

ABOVE REQUEST?

rIf

the

answer.

affirmitiv

it tachment.)

-Tha.

OFFICE X

OF

SECURITY®

INF ORN

SEE NE

ATTACHED

SIGNATURE

/ill

APPROVAL

BATE

COVERN

08X 1322

IMPDET CL

0066874

SECRET

OSE COPY

3IBK

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