MEMORANDUM: ( ) DOCUMENTATION FOR AMMUG-1, AB CASE 4983
Originator: CIA
From: CHIEF/TSD/AB
To: CHIEF, WH/SA
Document date: 08/12/1964
Document type: PAPER - TEXTUAL DOCUMENT

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104-10185-10211

2023 RELEASE UNDER THE PRESIDENT JOHN F. KENNEDY ASSASSINATION RECORDS ACT OF 1992

SLURET

AB, MEMO : 7002

12 August 1964

MEMORATiDUM FOR: Chief, WH/SA

ATTENTION

Mr. WaM. Kerbe, & Mr. B. Hidalgo

SUBJECT

Ecuadoread Docunentation for AMuch, A3 Case 4983

REFERENCE

: A. WH/SA Meso 64-620, 3 Aug 64

B. WH/SA Menc, 10 Aug 64

prepared by ISD for use by Actual:

As requested la reference, attached are the following documents

a. Ecuadorean passport No. 19406 in the name of Ernesto Jesus

GARCIA Guzman showing issuance in Cuayaquil, Ecuador 7 February 1963 08

c. I&NS Forn'I-ll showing arrival in the United States3!

28 July 1964.

2. The Ecuadorean) passport is valid to 7 Pebruary 1965.

3. It is understood that subject has actually. received a smallpox

vaccination on a date not earlier than that shown on the above vaccination

certificate.

4. The Office of Security has confirmed that subject has. legal status

for being in the United States.

It is understood, that your office will

Inform the Alien Affairs) Office.of subjects departure date and personalia

for information of Islis. 31

S. On completion of the current operational mission, the above

documents should be returned to ISD for inspection and maintenance.

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REI

AB. MENTO: 7002

12 August 1964

Pagé - 2

6:

Attached are an itinerary and cover notes accounting for the

bearer's acquisition and use of the above documents.

Ti Please sign and return one copy of the authentication receipt

which is also attached.

03

ALBIN R..

CHIEF/TSD/AB

Attachment: 1 envl.

As Stated.

Distribution:

Orig & 1 - Addressee

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SECRET

157

Attachnent To

"AB" MEMO' 7002

12 August 1964

00: C/WH/SA

(Nr. H.M.Kerbe & Mr. B. l1daigo)

- FROM: TSD/4B/4

IDENTITY: COREMENES CHELOSED

DO ITOT STAPLE :

envelobi

eicer' .i!" si.

t. iop

RG

8.6.

SENDER: Sicple 5u 6:

i, sur p

at rop ol erive.ope lor estening to

cortespondence

SECRET

.,лель,о скористне, ха. - іл. са.

lydargedeado mura de des dfe, e gaaisitetiifo

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COVER NOTES

1. ErnestO Jesus GARCIA Guzman,)the bearer of Ecuadorean Passport

address in Guayaquil)is

10103

÷ 2.

for a trip to the United States.

for pleasure and was also collecting matcrial for a series of articles.

He had been issued a vaccination certificate on 29 November 1962

for previous travel on an earlier passport and continued to use the

sane: vaccination certificate since it was valid to November 1965.

He is now traveling as a tourist to the United States and to Spain.

While he is traveling primarily for pleasure, he intends

to collect

sore' material for his writing.

8/pV

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PROVED FOR RELEASENS94

CIR MISTORICAL REVIEW PROGRAM

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SECRET

RECEIPT FOR AUTIENTICATION MATERIALS

CArs 1902

TO LTSD/IB

DATE

28 лирна 190

THEREBY ACKNOWLEDGE RECEIPT OF THE FOLLOWING AUTHENTICATION MATERIALS

TRANGMITED WITH MENO NO POLL DATED 10 ANGEL 2901 AND PREPARED N

HCCORDANCE WITH M/a1 0-619, 3 Aunt 1064

(Rotor tal Me durance to sit care cate

tloa certaricaco

OFFICER'S SIGNATURE

NOTE:

Authentication Materials must be returned in TSD/IB as soon as the intended operational use

has been fulfiled; unused documents, whether filied in or blank, must be returned to TSD/IB

when no longer needed.

TSD/IB should be notified if any of the Authentication Materials are destroyed, lost, or for any

other reason can no longer be returned.

D-081

SECRET

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## Page 7

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## Page 9

INTERMATIANAL CERTIFICATE OF VACCINATION OR REVACCINATIGUNS

¡TIONAL DE VACCIMATION OU DE REVACINATION COMTRE LA VARIOLE

СЕЛ806096 С00.5І6Аіт.

Ha il di dioe

mareto re.

1. i0t5

ila re Ured States, to stamp!s that dt ma loal er Stala recn dapartaient

ce1.41

INTERNATIONAL CERTIFICATE OF VACCINATION OR REVACCINATION AGAINST YELLOW FEVER

CERTIFICAT INTERMATIONAL GE VACCIMATICA QU DE REVICCINATION CONTRE LA FIEVRE SAUNE.

Thr.

orta?''!

saie do birth

nif.lio

d."?

da jos in sa?

to merlate do cadre tere tene

548-108 :

delods: + 3158-8990911811

•1118,31990

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