Agency: FBI
Originator: FBI
From: JOHNSON, RAYMOND B.
Document date: 00/00/0000
Document type: PAPER, TEXTUAL DOCUMENT

## Page 1

JFK ASSASSINATION SYSTEM

IDENTIFICATION FORM

AGENCY INFORMATION

AGENCY: FBI

RECORD NUMBER: 124-10173-10476

RECORD_ SERIES: TP

AGENCY FILE NUMBER: 62-455-164

DOCUMENT INFORMATION

ORIGINATOR: FBI

FROM:

TO:

TITLE:

JOHNSON. RAYMOND B.

Released under the John

F. Kennedy

Assassination Records

Collection Act of 1992

144 USC 2107 Note!.

Case#:NW 54463 Date:

10-12-2017

DATE: 00/00/0000

PAGES: 2

SUBJECT: JFK, CONTACT, SUN STATE SLACKS

DOCUMENT TYPE:

ORIGINAL

CLASSIFICATION:

PAPER. TEXTUAL DOCUMENT

Unclassified

REVIEW DATE:

STATUS

12/06/1996

Redact

NEW

CLASSIFICATION:

UPDATE DATE:

02/12/2001

RESTRICTIONS:

JFK Act 6 (4)

COMMENTS:

HH 54463 DocId: 32171657

Page 1

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## Page 2

Sheet for Informant Report or Material

706. 63-21-58)

Date received

Received from (name or symbol number)

11/27/63

ROSA REYES

Method of delivery

(check appropriate blocks)

I lin person

Jby telephone

Jby mail X orally

If orally furnished and reduced to writing by Agent:

Date

Dictated

R/D 12/2/63

-to Doris H. Henderson

Transcribed

•12/10/63

Authenticated

by Informant

Brief description of activity or material

• Infe concerning activities at Sun State

Slacks.

Remarks:

Copies:

134-294

62-455

Received by

SA RAYMOND B. JOHNSON

recording device

written by Informant

Date of Report

Date(s) of activity

File where original is located it not attached

134-294-A-1

Action:

1. Copy submitted for source's

A

file and

no other dissemination

deemed appropriate.

2. Indexi MARTA

TUNDIDOR

and OLGA PINIERRO

to. 62-455.

USE REGISTERED MAIL.

RBJ: dh

(3)

ALL INFORAPATION CONTAINED

Heis.

CLASSIFIED

Dit-

1-27-93-34 9803RDD/SK

(JFK)

Block Stamp

62-455-164

SEARCHED ...

-INDEXED:

SERIALIZER L/

....,FILED ..

DEC 10 1Y00

FBI - TAMPA

danger

HH 54463 DocId:32171657 Page 2

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