Agency: FBI
Originator: FBI
From: AMBLER, JOHN A.
To: SAC
Document date: 11/26/1963
Document type: PAPER, TEXTUAL DOCUMENT

## Page 1

JFK ASSASSINATION SYSTEM

IDENTIFICATION FORM

AGENCY INFORMATION

AGENCY: FBI

RECORD_NUMBER: 124-10173-10430

RECORD SERIES: TP

AGENCY FILE NUMBER: 62-455-113

DOCUMENT INFORMATION

ORIGINATOR: FBI

FROM:

AMBLER. JOHN A.

TO:

SAC

TITLE:

Released under the John

' Rennedy

Assassination Records

Collection Act of 1992

144 USC 2107 Notel.

Case#:NW 54463 Date:

10-12-2017

DATE:

11/26/1963

PAGES: 1

SUBJECT:

JFK, CONTACT, NEG

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:

1N 54463

DocId:32171611

Page 1

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## Page 2

TO

FROM

SUBJECT:

FD-209 (Rev. 2-1-63)

OPTIONAL FORM NO. 10

5010-106

MAY 1962 EDITION

OSA GEN. REG. NO. 17

UNITED STATES GOVERNMENT

Memorandum

540/34-255

SA

Joke

Vodesta Risi

DATE:

11-26-63

ble

_J PCI:

EPSI

Dates of goftact

Memo

ts

11/23-25/63

Titles

and File #$

62-455V

on which contacted

il/ 36/63

Purpose and results of contact

NEGATIVE

POSITIVE

ALL IN GrON CONTAINLE

Kchili in

CLASSIFIED

DATE 1I-27-43BY_9803 MDD/ICSR

(JFK)

CC: 62-48

intormant certified that he has

furnished all information obtained

by him since last contact.

Personal Data

Rating

Jame

Coverag)

Fame

62-455-113

SEARCHED

_INDEXED

SERLALIZED

NOV 2 6 1963

FBI - TAMPA

HH 54463 DocId:32171611 Page 2

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