NAME CHECK REQUEST - ANNA (BERDJANSKAYA) BOUCHAT
Agency: CIA
Originator: CIA
Document date: 09/21/1964
Document type: PAPER-TEXTUAL DOCUMENT

## Page 1

1104-1006-10242

FROM:

BRANCH

(Tiaquestors name)

AiW, BRASKO

ROOM

BADGE NO.

2A7ANS:OM

TO

TUBE

ROOM

R1D/ INDEX

DT - 5

DATE

Septal, ex

REQUESTER

RID/FILES

DT- 6

REQUESTER

RID / ANALYSIS.

GT - 7

RID /201

DW- 6

RID/MIS

RID/INDEX

SURNAME

BOUCHAT

SPELLING VARIATIONS TO BE CHECKED

AKA, ALIASES

SECRET

DATE

NAME CHECK AND CONSOLIDATION REQUEST

RID CONTROL NO.

21 SEP 64

CHECKING INSTRUCTIONS

SUBJECT TO BE CHECKED

O. "ER IDENTLEYING DATA cupation, sex, CP membership.

SEX DATE OF BIRTH

PLACE OF PURTS S R

TIZENSI

ELE

RESULTS OF RID/INDEX CHECK

COMMENTS

RESIDEGRUSSELS

NO PERTINENT IDENTIFIABLE INFORMATION

CARD REFERENCES ATTACHED

INSTRUCTIONS FOR REQUESTERS

IN ALL CASES

Use gummed label; type or print all

entries.

Upon receipt of index card reproductions

draw a green diagonal line across the

items you do not want.

Edit (use green) the reproduced index

cards to indicate:

(a) cards to be destroyed (mark with

green D and note reason for destruction)

Examples: document destroyed; duplicate

or less Informative than retained in-

formation; information of no CS value.

(b) corrections and additions, inclu-

ding infinity symbol oo when card in-

cludes all facts contained in the

document.

201 CONSOLIDATION

1. Return this form with the card repro-

ductions,

also return pertinent documents,

the tune etes ate the dossler If a 202 on

(a) • Consolidate into

201-

(6) [ Open 201 file on subject.

RESTRICTION (TE anY)

CASSIGNEX™

TYES

OTHER INTERESTED DESKS OR STATIONS

Note 1. Records of COI, SSU, OSS and CIG

are in RID/ARD, and

those that meet

indexing criteria in CSHB 70-1-1 are

carded in the CS Main Index.

If you

believe there could be additional ih-

formation of value in these records,

you must request an Archives Index

search.

R10

DESK

Vote 2. Information concerning foreig

public personalities (except mili.

tary) may be available in BR/OCR

x7997.

DATE

SIGNATURE OF RECORDS OFFICER

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