Agency: FBI
Originator: FBI
From: HQ
To: NO
Document date: 2/3/65
Document type: PAPER, TEXTUAL DOCUMENT

## Page 1

JFK Assassination System

Identification Form

Agency Information

Date:

6/4/2015

RECORD NOMBER: FRA

124-90116-10025

RECORD SERIES: NO

AGENCY FILE NUMBER: 62-3395-130

Released under the John

F. Kennedy

Assassination Recorde

Collection Act of 1992

144 USC 2107 Note).

Case#: NW 53074 Date:

Document Information

ORIGINATOR: FBI

FROM:

NO

TO: HQ

TITLE:

DATE: 02/03/1965

• PAGES:

5

SUBJECTS:

MINUTEMEN

DOCUMENT TYPE :

PAPER, TEXTUAL DOCUMENT

CLASSIFICATION :

Unclassified

RESTRICTIONS: 4

CURRENT STATUS :

Redact

DATE OF LAST REVIEW:

08/10/1998

OPENING CRITERIA:

INDEFINITE

COMMENTS :

FD-306

v9.1

HH 53074

DocId: 32334319

Page 1

11

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## Page 2

Cover Sheet for Informant Report or Material

F 0-305 (3-21-58)

Date received

Received from (name or symbol number)

Method of delivery

(check appropriate blocks)

In person

by telephone

by mail

I orally furnished and reduced to writing by Agent:

Date

Dictated

14/65

Transcribed

9/20/65

Authenticated

by Informant

CaLLY 2021990

sign

Brief description of activity or material

Received by

orally

CALLENUE

written by Informant

recording device

Date of Report

5/10/68

Date(s) of activity

1/30/65

KLAI MA

Remarks:

File where original is located it not attached

170-20A

10. 88

In ovent any of infortion

10 GAS

tors outside Durest,

it should be properly pa

order te procees

thie intormant.

1- 170-20A

1- 205-1057

SAPONS AND EXPLOSIVES)

S1-351 CAUL COOALO

157-2028

CARTIS VAR

157-LENOX NG. CATI

26-DAYNS PATTERSON

62-5305 MINUT

ALL INFORMATION CONTAINED

HEREIN IS UNCLASSIFIED

DATE 12/21/8= BY SP 8BTA/OL

217,326

Block Stamp

62-3295-130

SEARCHED..

SERIALIZED.

RAILED SA

FEB 1 0 1963

FBLE NEW ORLEANS S

HH 53074

DocId: 32334319

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