RECEIPT FOR IDENTIFICATION CREDENTIAL.
Originator: CIA
Document date: 2000-01-01 00:00:00
Document type: PAPER - TEXTUAL DOCUMENT

# DOCID-32362550

## Page 1

Date:

11/07/99

Page:

1

JEK ASSASSINATION SYSTEM

IDENTIFICATION

FORM

AGENCY INFORMATION

AGENCY

RECORD NUMBER

RECORD SERIES

AGENCY FILE NUMBER

CIA

104-10121-10205

JFK

80T01357A

DOCUMENT INFORMATION

ORIGINATOR

CIA

FROM

TO :

TITLE

: RECEIPT FOR IDENTIFICATION CREDENTIAL.

DATE

: 00/00/

PAGES

1

SUBJECTS

JEK DOCUMENT

DOCUMENT TYPE :

PAPER, TEXTUAL DOCUMENT

CLASSIFICATION

SECRET

RESTRICTIONS

CURRENT STATUS

1A, 1B

RELEASED WITH DELETIONS

DATE OF LAST REVIEW : 09/22/97

OPENING CRITERIA :

COMMENTS : JFK44:F22 1997.09.22.18:22:32:920102:

Released under the John F. Kennedy

Assassination Records Collection Act ol

1992 (44 USC 2107 Note]. Case#:NW

65924 Date: 10-26-2021

CLASSIFIED

ATTACHMENT

[R]

-ITEM IS

RESTRICTED

NW 65924 Docld:32362550 Page 1

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## Page 2

RECEIPT

MIGUEL P. COSSIO

, have read the above

provisions and completely understand the responsibilities placed

upon me in accepting CIA Contact Identification Credential No.1716 .

NOTE:

This form will be executed immediately and forwarded to the

Central Intelligence Agency, Attention: Director of

Security.

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NW 65924 06c/di2362550, Page 27771

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