Agency: FBI
Originator: FBI
From: HQ
To: RH
Document date: 04/30/1996
Document type: PAPER-TEXTUAL DOCUMENT

## Page 1

JFK Assassination, System

Identification Form

Agency Information

Date:

3/31/201

AGENCY: FBI

RECORD NUMBER :

124-10376-10329

RECORD SERIES :

HQ

AGENCY FILE NUMBER:

62C-HQ-1029205-234

Document Information

ORIGINATOR: FBI

FROM: HQ

TO:

RH

TITLE :

DATE:

04/30/1996

PAGES:

3

SUBJECTS :

JFKARCA OF 1992

DOCUMENT TYPE: PAPER, TEXTUAL DOCUMENT

CLASSIFICATION: Unclassified

RESTRICTIONS: 3;4

CURRENT STATUS:

Redact

DATE OF LAST REVIEW :

04/26/1999

OPENING CRITERIA: INDEFINITE

COMMENTS :

y9.1

DocId: 32321171

Page

27

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## Page 2

MR 18

(ROV. 2016093)

FI:SEEM RICHMOND FBI 5Q5

(tui

FBI FACSIMILE

COVERSHEET

PRECEDENCE

immediate

• Priorisy

_ Routine

CLASSIFICATION

_Top seares

_ Secret

Confidential

*Sensilve

- Unclassifled

159 Fumphon

to

• Barbara Hated

3:15PM

4130166

JRO

0 кулішкон

Time Traumitred:

'Sandor's Initials:

Fire as

Number ox Pages:

(including coversheet)

Date: 1/50/960

TO:

Name of Ofia

Facsimile Number: _

575041944-0613 (504126)

AilD:

Just DALBRIAGE

Name

Room

Telephone

Subject: LUERMANT MADERAR

Special Handiing lastructions:

42-H2-1029205-234

Telephons: 202) 374-9394

Orgiator's Faerial Number: 202) 324-9471(sxaues) 202/304.5a53

Approved:

Brief Description of Coramunication Faxed: _ Z HANACIRITEN PAGES 62-HQ-102230 5-18

Treat as

LELARCHER

SERIALIZSOL

FILENESE

MAY 18 1996

I D'-RICHMONA

DocId: 32321171 Page 2

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## Page 3

P:P. 3

IF THE FOLLOWING HONE BENN DESTROYES:

1T0341/37-1189 (ETNEL S. EStaE) CORS IntU 1O-S7

170-37 madle seel

108837454614368 157-953

137.1303 (TANs B. FosTERs) CURs into 19697 madi

suel of 157-047

137.1305 (HEVen FoRs TORNSaN) ITU-Da

187. 1807 (alishan G. B. BRowN) desteaued a/w/188

no cred

IF FILES SALL GRiST PLEASE REVIENd FOR THE

FOLLOWINGS INFORMATION:

1. DATEI PaneE of bIRTH

2. SoCIAL SEAUTY NUMBER

3. LAST KNowN RESIDENcE

4. DATES OF ACTINATION AND DISCONTINUANCE AS

A Savea

5. TAPE A VALUE OF INFORMATION PROVIDED

CO. FAMILY INFIRMARON - MARIES, QUILILEN? ET.

7 INDICATION OF PARTIQUE DANGER SORGE CR FALLY

SOULA BE IN IF IDENTINY RENEALES TO PUBLIE AS

FRI INFORMANT.

IN FILES ARE DESTRAYED ANA INDICES CARAS /RETERNCES ARE

AVAILABLE, PLEARE QUECK THEN FOR ANY Of ABOUE INFARMATION.

SEE NETT ANGE

DocId: 32321171

Page 3

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## Page 4

-

MAR 18 '99

01:13PM RICHMOND FBI SQ5

APR 30 '96

11:52AM

P.2.4

Pg2

¡FOR THe FOLLOWNNE INDIVIDUAL WA 15 LETERROS TO (IN

A RIOURONS MEMORANDUN DATES "/ES/LS) AS A RACIAL

SouRce : .

170-6a16

PREISE PANNE RESULTS, AS SOON AS POSSUALE, TOi

BARBARA HATCH

2021374-9481 5SRC4R5fLONE/FAX).oR

22/ 324-9584 (NON-SECURE/IP INFO CAN BE

READ SITUANT NAMEES

MENTIONEA)

.""

DocId: 32321171

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