REQUEST FOR APPROVAL OF LIAISON WITH CHARLES SIRAGUSA
Agency: CIA
Originator: CIA
From: CHIEF EMPLOYEE ACTIVITY BRANCH
To: DDP/TSD/BB
Document date: 4/12/67
Document type: PAPER - TEXTUAL DOCUMENT

## Page 1

JFK ASSASSINATION SYSTEM

IDENTIFICATION FORM

- - - - - ----= -

AGENCY INFORMATION

AGENCY : CIA

RECORD NUMBER

: 104-10161-10457

RECORD

SERIES: JFK

AGENCY FILE

NUMBER

80T01357A

Released under the John

F. Kennedy

Assassination Recorda

Collection Act of 1992

Case#:NW 53295 Date:

DOCUMENT INFORMATION

AGENCY ORIGINATOR : CIA

FROM : DDP/TSD/BB

: CHIEF EMPLOYEE ACTIVITY BRANCH

TITLE

DATE

PAGES

REQUEST FOR APPROVAL OF LIAISON WITH CHARLES SIRAGUSA

: 04/12/1967

SUBJECTS : SIRAGUSA, CHAR

DOCUMENT TYPE

: PAPER

CLASSIFICATION : SECRET

RESTRICTIONS : 1A

CURRENT STATUS : RELEASED IN PART PUBLIC - RELEASED WITH DELETIONS

DATE OF LAST REVIEW : 11/20/97

: JFK45 : F32 : 1997.11.20.16:49:05:966107

[R] - ITEM IS RESTRICTED

104-10161-10457

HT 53295

DocId: 32371649

Page 1

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## Page 2

WHEN

REQUEST FOR APPROVAL OF LIAISON

(Submit

in duplicat

vili be

ned to

TO

SUBJECT:

NAME'

NAME

:

chigenioree detirity Branch,

P.SD/.OS

Request for Security Approval of Liaison

on a continuing basis

one-time basis

CIA EMPLOYEES

OR EXT

Trolchi

2302

EXT..

OFFICE:

*S0/32

OFFICE

NON-CIA EMPLOYEES:

NAME

(Last-First, Middley

Matrus

Chat lean

TITLE OR SERIAL

NO.

NAME

EXT..

OF E

ORGANIZATION

12 Nihiss

NAME

OFFICE

NAME

OFFICE

PTION OF LIAISON

COMMENTS

N BIOGRAPHICAL AND

CLEARANCE INFORMATION

9SX01

1016)

80. 3-7405%

Repewel

TOP. SECRET.

ICE/DIVISION/ST

100/05

ROOM/BLDG./EXT

4237 South

CLEARANCE

DATE GRANTED

CLASSIFICATION OF MATTER: TO BE DISCUSSED

AUTHORIZED SIGNATURe

1100

FOR OFFICE OF SECURITY USE

curity approval is granted tor contact at

the:

„secur

ty classification level

Vindicated, e

inis approval

does.

not waive any other authorization reguirements

contained in Agency Regulations regarding. dissemination

of intelligence and intelligence information.

Authorization for liaison contact expires one year

from date.

Any Change.

in employment status of, indavide

ual named invaltdates this approvals

FOR THE DIRECTOR, OF SECURITY:

ORM.

123

GROUP I

NH 50295 DOcId:02371649

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## Page 3

Date:

11/07/99

Page:

1

JFK ASSASSINATION SYSTEM

IDENTIFICATION FORM

AGENCY INFORMATION

Released under the John

AGENCY :

RECORD NUMBER

RECORD

SERIES

AGENCY FILE NUMBER

CIA

104-10161-10457

JFK

80T01357A

+ -

Assassination Records

Collection Act of 1992

144 USC 2107 Notel.

Cased: NU 53295 Date:

06-15-2017

DOCUMENT INFORMATION

ORIGINATOR : CIA

FROM

: DDP/TSD/BB

TO : CHIEF EMPLOYEE ACTIVITY BRANCH

TITLE

: REQUEST FOR APPROVAL OF LIAISON WITH CHARLES SIRAGUSA

DATE

04/12/67

PAGES

:

SUBJECTS

: SIRAGUSA, CHAR

DOCUMENT TYPE : PAPER, TEXTUAL DOCUMENT

CLASSIFICATION

: SECRET

RESTRICTIONS : 1A

CURRENT STATUS

DATE OF LAST REVIEW

: 11/20/97

PY3095D IT DELETONS

OPENING CRITERIA

COMMENTS

: JFK45:F32 1997.11.20.16:49:05:966107:

CLASSIFIED

ATTACHMENT

,..aaaeteaaaasra

[R]

ITEM IS RESTRICTED

HH

53295

DocId: 32371649

Page 3

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## Page 4

CLASSIFY WHEN FILLED IN

REQUEST FOR APPROVAL OF LIAISON

(Submit

in duplicat

will be

returned to requester)

TO

Chief, Employee Activity Branch, PSD/OS

SUBJECT:

Request for Security Approval of Liaison

on a continuing

basis

one-time basis

CIA EMPLOYEES

NAME

Troicate:

EXT =

280.

NAME

EXT.

NAME

EXT.

EXT.

NAME

EXT

BRIEF DESCRIPTION OF LIAISONE

COMMENTS,.

OFFICE:

XSD/B3

OFFICE

NON-CIA EMPLOYEES

NAME (Last-First-Middle)

Siparuza

Charles

TITLE

OR

SERIAL

NO.

OFFICE.

OFFICE.

OFFICE

ORGANIZATION

Sittinote Grine Tave

BUSINESS ADDRESSA

So: Ingttatal

DATE OF BIRTH

BIOGRAPHICAL

INFORMATION

S0 9-7205/722650

Nenevai

1218

no commissio

419/62

new fol w

2161

OFFICE/DIVISION/STAFF,

ons/renter

ROOM/BLDG/EXT..

1237 South 6ldg

CLEARANCE

DATE GRANTED

BASIS

3S00ms

CLASSIFICATION OF MATTER TO BE DISCUSSED

SECRET

•CONFIDEN

AUTHORIZED SIGNATURE

a tricht

han gretchles

FOR OFFICEROF SECURITY USE IS

A security

approval is granted for contact at the,

of intelligence and intelligence information.

Authorization for liaison contact expires one

year

from date v

Any change In employment status of indivia.

191 namedinvalidates this approval.

FOR THE DIRECTOR OF SECURITY:

DATE CERTIFIED

FORM

65'

3123

HW 50295 DocId:32071649

Place

CLASSIFY WHEN FILLED

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