NOTIFICATION OF ESTABLISHMENT OR CANCELLATIO OF COVER FOR DAVID ATLEE PHILLIPS.
Originator: CIA
Document date: 01/01/0000
Document type: PAPER - TEXTUAL DOCUMENT

## Page 1

4-00000

104-10128-10274

TO:

(Check)

2023 RELEASE UNDER THE PRESIDENT JOHN F. KENNEDY ASSASSINATION RECORDS ACT OF 1992

SECBEI

NOTIFICATION OF ESTABLY OHMENT OR CANCELLATION*

FILE NO.

OF OFFICIAL COVER BACKSTOP

2500

CHIEF, CONTROL DIVISION, OP

CHIEF, CONTRACT PERSONNEL DIVISION, OP

CHIEF, OPERATING COMPONENT (For action)

SS NUMBER.

EMPLOYEE NUMBER

ID CARD NUMBER.

ATTN:

REF:

OFFICIAL

COVER

SUBJECT

UNIT

DAVID ALTHE FHINIES

KEEP ON TOP OF FILE WHILE COVER IN EFFECT

ESTABLISHMENT OF OFFICIAL COVER BLOCK RECORDS

CANCELLATION OF OFFICIAL COVER UNBLOCK. RECORDS

EFFECTIVE DATE:..

BASIC

COVER PROVIDED

EFFECTIVE DATE.

SUBMIT FORM 3254

TO BE ISSUED. (HHB: 20-11).

OPERATIONAL COVER PROVIDED

FOR _

_ TDY -

_ OTHER (Specify)

SUBMIT FORM: 642 IMMEDIATELY TO CHANGE TELEPHONE

LIMITATION CATEGORY TO CATEGORY

(HHB 20-7): .

SUNM TAT FORM ATE ORMED ACATE OR CHANGE TELEPHONE

LIMITATION CATEGORY TO CATEGORY

(HHB 20 - 7)

Erig

EAA: CATEGORY C

CATEGORY is

RETURN ALL OFFICIAL DOCUMENTATION TO CCS

SUBMIT FORM 3254_

(HHB 20-11)

_W-2 TO BE ISSUED.

SUBMIT FORM 2688 FOR

HOSPITALIZATION CARD..$

DO NOT WRITE IN THIS BLOCK

SUBMIT FORM

1322 FOR ANY CHANGE AFFECTING THIS

COVER. (HR 240-26)

SUBMIT FORM 1323 FOR TRANSFERRING COVER

RESPONSIBILITY. (HR 240-20)

EAA. CATEGORY "I

CATEGORY 11

RE

SUBMIT FORM 2688 FOR

HOSPITALIZATION CARD

ARKS AND/OR COVER HISTORY( CONTINUE

AUD T2-14 JUNE TS-VENEZUELA CARACASE 2.20

IVEGRALL

10.1

15 JUNE 73-22 JULY T3-HQS-STATE/ INTEGRATE

22 JULY 73-24 MARCH 75-HQS-SIAUE/ NOMINAI

25 MARCH 75-HQS/OVERI

DISTRIBUTION:

COPY

CD

O R

CP.D

COPY 2

OPERATING COMPONENT

COPY

3

OS/ SRACD ir;

COPY

OC- DO/TF.B:

COPY: 5"

FORM

1.74 1551 Us.

CHIEF.

OFEdCIAL COVER

SECRET:

E2, IMPDET CL. BYS 007622

SR.

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