FORM - NOTIFICATION OF ESTABLISHMENT OR CANCELLATION OF OFFICIAL COVER BACKSTOP RE GUY VITALE.
Originator: CIA
From: FRANKLIN, JAMES W.
To: CHIEF, RECORDS & CONTROL
Document date: 02/12/1969
Document type: PAPER - TEXTUAL DOCUMENT

## Page 1

104-10131-100694

=2917.9.e 1-77°

2022 RELEASE UNDER THE PRESIDENT JOHN F. KENNEDY ASSASSINATION RECORDS ACT OF 1992

NOTIFICATION OF ESTABL

IMENT: OR CANCELLATION

'OF OFFICIAL: COVER BACKSTOP!

TO:

(Chock)

ATTN:

REF:

SUBJECT

CHIEF, RECORDS. AND CONTROL

CHIEF, CONTRACT PERSONNEL DIVISION

CHIEF, OPERATING COMPONENT (For action)

DATEL

039049

19' DAnpuany 1969

FILE NUMBER

11326

EMPLOYCE NUMBER

172w00

ID CARD NUMBER

BACKSTOP ESTABLISHEO

OFFICIAL

• COVER

DISCONTINUED

UNIT

VITALS

07 272102079

ESTABLISHMENT OF OFFICIAL COVER BLOCK RECORDS

(OPM 20-800-11)

A.

TEMPORARILY FOR

EFFECTIVE DATE COB

DAYS

B. CONTINUING AS OF COB

SUBMIT FORM 642 TO CHANGE LIMITATION CATEGORY.

(HH8 20-?): "

1173T

ASCERIA.IN.THAT

W-2 BEING ISSUED.

(HHB 20- 11)

7N: 612

SUBMIT FORM La

901950079973 1

1322: FOR ANY CHANGE AFFECTING THIS

COVER:

S(HR-340-20)1:

35. 9.

SUBMIT. FORM 1323 FOR TRANSFERRiNG COVER

RESPONSIBILITY:

(HR-240-20)

SUBMIT It

FORM: 2688-

102441

REMARKS AND/OR COVER HISTORY

SAYER RISWORY:

20=49 - 527

137

5T

in.- presenti

FOR

HOSPITALIZATION CARD

590/240 15-16

024170200 ADORESS: X53

CANCELLATION OF OFFICIAL COVER UNBLOCK RECORDS

(OPM 20-800-11)

DATE (as of COB)

A6÷ 700

RETURN TO CIA

Background Use Only

Do Not Reproduce

SUBMIT FORM 642 TO CHANGE LIMITATION CATEGORY.

CHHB

20-7)

RETURN ALL OFFICIAL DOCUMENTATION

To ccs.

OK

DO-NOT WRITE IN-THIS BLOCK :

FOR

CCS

USE ONLY

SCSTICT IS TO INDICATE GIALAS. PLACE

20011043

FOR DATIRE PERIOU

T3 1102

CO REVRAL SPECIFIO PLAUSS

271190

DISTRIBUTION:

COPY!

ACD

COPY L.

OPERATING

COMPONENT

COPY

-6/0s

COPY

OLITELSVE

COPY

CHROMO

COPY

CCS-FILE

FORM 155/ USE

PREVIOUS

8. 6 B

EDITION

darnes d

Klim

OFFICIAL CÖVER: CENTRAL COVER STAFF

SECRET

(13-20-43)

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