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

## Page 1

JFK ASSASSINATION SYSTEM

IDENTIFICATION FORM

AGENCY INFORMATION

AGENCY: FBI

RECORD NUMBER: 124-10241-10201

RECORD_SERIES: NY

AGENCY FILE_ NUMBER: 105-38431-271

Released under the John

7. Rennedy

48sa381nation records

Collection Act of 1992

144 USC 2107 Notel.

Case#:NIT 53025 Date:

05-18-2017

DOCUMENT INFORMATION

ORIGINATOR: FBI

FROM: HAAG. JOHN A.

TO:

TITLE:

DATE:

11/26/1963

PAGES: 2

SUBJECT:

DOCUMENT TYPE:

ORIGINAL

CLASSIFICATION:

REVIEW DATE:

STATUS

CP, HDQT, ACT, OPINION

PAPER. TEXTUAL DOCUMENT

Unclassified

09/03/1996

Redact

NEW

CLASSIFICATION:

UPDATE DATE:

02/14/2001

RESTRICTIONS:

JFK Act 6 (4)

COMMENTS:

HH 53025

DooId: 32184991

Page 1

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## Page 2

Cover Sheet for Informant Report or Material

* FD=306 (3-21-58)

DALCEME

MệN,

29/a4fg

20

•Em:

200 CUAL

CON

SCINTIAL

Date received

Received from (name or symbol number)

Received by

13/20/00

Method of delivery

(90110040-000002k

in person

(check appropriate block s

-by telephone

Jby mail

orally

recording device

written by Informant

If orally furnished and reduced to writing by Agent:,

Date

Date of Report

Dictated

- to

12/50/03

and on 24/88/69

Date(s) of activity

capcorato D, Sovino

Authenticated

by Informant

20/14/03

11/0a/8s

Brief description of activity or material

золо 12/20/63

File where original is located if not attache

34-9431-207065

SIFIED

SHOWN

Remarks:

70 50220001

OTHERE

$. V 7

(JER)

128/93

Classied ny

Declassity on 142s JK

3 0u01(01

22EА(434)

41032/684

Mana ones

10200

8tan3)) (94)

29. Block+5tapBP)(C33

105-38431-

27/

CONDENT

AL

SEARCHED 1000.

.....NDEXED

SERIALIZED

-DES 150E

FBI - NEW YORK

2307

HH 53025 DocId:32184991 Page 2

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