Agency: FBI
Originator: FBI
From: HAY, WILLIAM C.
To: SAC, TP
Document date: 11/25/1963
Document type: PAPER, TEXTUAL DOCUMENT

## Page 1

JFK ASSASSINATION SYSTEM

IDENTIFICATION FORM

AGENCY INFORMATION

AGENCY:

FBI

RECORD NUMBER:

124-10173-10411

RECORD_SERIES: TP

AGENCY FILE NUMBER: 62-455-94

DOCUMENT INFORMATION

ORIGINATOR: FBI

FROM:

TO:

TITLE:

HAY. WILLIAM C.

SAC. TP

Released under the John

Assassination Records

Collection Act of 1992

144 USC 2107 Notel.

Case#:NW 54463 Date:

DATE: 11/25/1963

PAGES: 1

SUBJECT: JFK, CONTACT, NEG

DOCUMENT TYPE:

ORIGINAL

CLASSIFICATION:

PAPER. TEXTUAL DOCUMENT

Unclassified

REVIEW DATE:

STATUS

12/06/1996

Redact

NEW

CLASSIFICATION:

UPDATE DATE:

02/12/2001

RESTRICTIONS:

JFK Act 6(4)

COMMENTS:

NH 54463 DocId: 32171592 Page 1

---

## Page 2

FD-209 (Rev. 2-1-63)

OPTIONAL FORM NO, 10

3010-106

MAY 1962 EDITION

OSA GEN.

REG. NO. 27

UNITED STATES GOVERNMENT

Memorandum

TO

SAC TAMPA (134-273)

FROM

SA WilliAm C. HAY

SUBJECT:

GLORIA BURRUELO

DATE:

Dates of Contact

11-23-63

6:11-25-63

Titles and File #s on which contacted

62.455

11-26-63

•1 PCI

Purpose and results of contact

['NEGATIVE

_ POSITIVE

ALL INT

* CONTAINED

DATE: 11-27-935Y 4803 A00 |ise

(JFK)

Informant certified that he has

furnished all information obtained

by him since last contact.

Personal Data

No change

ec: 62-4558

Rating

V.G.

Coverage

liban

SEARCHED

_INDEXED

SERIALIZED C FILES

NOV 2 6 1933

FBI - TAMPA

HH 54463 DocId:32171592 Page 2

62-455-94

---