CIA · From: [NOT LEGIBLE] · To: RID/201 SECTION · JFK64-9 : F19 : 20040302-1052977 : · Release: Redact
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"104-10173-10008 Released under the John F. Kennedy Assassination Records Collection Act of 1992 (44 USC 2107 Note). Case#:NW 65987 Date: 10-28-2021 PERSONALITY FILE ACTION REQUEST TO: RID/201 Section FROM: CHECK 2-4 FOR 201 RTOUEST, DO NOT CHECK FOR ION. SECRET (Bhen Filled Ing NOTE: Consult dhe 201 Control Sraton Reference Minual belere completing this furm. Farm must be typed or Printed in block letters. DATE ACTION CLOSE LOOM NO. PHONE 2. EXCLUDE TRUE NAME FROM MACHINE LIST RESTRICTED IDN NO. 8. SOURCE DOCULENT DATE PERMANENT CHARGE 30 June 1961 7. NAME (Look) 11 DATE OF BIRTH 12 COUNTRY AFFILIATION CODE 12. PB PATTERN ONLY 18. ORGANIZATIONAL OR C PROTO COPEOSO 15. CITIZENSHIP BIRTH 13. CITY/TOWN OF BIRTH 14. COUNTRY OF LOCATION CODE 4105CO ADDITIONAL CODES PB PATTERN ONLY 70 72 20. OCCUPATION/POSITION Employee, Soviet Labassy, Mexico City РОДА ЈЕдо 1962 AC 29. SIGNATURE FORM ٨٠٤٥ ROUP CODE File is to be poranent charge, please forward as soon as possible. bank you. 30. IDN-"
"… anent charge, please forward as soon as possible. bank you. 30. IDN- 201-25052 (38) 83 TEST SECRET NW 65987 Docld:32408403 Page 1 RETURN TO CIA Background Use Only Do Not Reproduce"