“FiELp ComHTS Process ohoot typed in OSG/OSB per MIAMI TVX 13718 ( 1 AJAJA USE ON MED IPDET OL BY 011668— N07 PO. ■ 15 I Coyxrsy useeobjda pojeolqt 62f0s18acsfno. 67eej-szts 72 257 1/0 197788 P.O; CHIEF DESK c _____ .___ Mainwaring Almy 628/088 FORM 25 OBSOLETE PREVIO”
“REQUESTED ar (NAN ------ ‘ **- » 2 a MQQur APP Signature: Edward C McNamara € fO% ADDITIONAL iwcwinaa CA1 (Name and telephone eatenaion) Sierlin: 11 VEILIAN IRLTERENCE Tistet dos Filto 00 18 PO’ATION CLASSIS ICATION ACTION mot wan ores’ srt. [ntw vior LA aci. DiSABotn”
“STATEMENT WILL BE CONCLUDED ON THE REVERSE SIDE OF ANOTHER COPY OF THIS FORM. FORM 9009 SUPERSEDES DA FORM 2028, I JAN 00, WHICH WILL BE USED. DA JUL 72 60SJ NW 88613 Docld:34531352 Page 2”
“14-00000 atwo sattdr SECRET Retted, 40J 0 MEDICAL ACTION REQUEST AND REPORT CQUEST FOR,PIYSICAL I tLect. reti (middle) Randall TO.Po-trfom OFFICE, 0IVI1 Indonesia OPPOSITION 2 7.EVALUATE FOR 8 srtmantst OD- .4. Eleld tersest *CPORT 0F:MEDICAL,(VALUATION Jo”
“-olye unh SUBMIT FORM 1323 FOR TRANSFERRTNO I7 covet .RESPONSIBILITY. (HR 200-20) des EAV. CATEGORY 1 CATEGORY 11 SUBf FORM 2688 FOR _______ HOSPITALIZATION caun 4%5/0k € C.la wiS CO: .-10J0-JAMAS-I0 ;33-call ANZ-DAC -At i. v-JUN : .c -I JUDY 7-PA00X-22 7-03-10, -”
“SEPARATE PAGE REM ARKS CONTINUED ON SEPARATE PAGE DATE OF COMPONENT RESPONSE DATE APPEALED (if applicable) DO NOT REMOVE THIS FORM FROM THIS FILE FORM 9-77 4016”
“STUB." THEN RETURN (atl cint recening date stamp) Tennant E Bayley - THE ENTIRE FORM TO’YOUR EMPLOYING OFFICE. 3 i SIGNATURE (do not print) 911 -39 73*8 00’190 89. HA02 91 51 23 20 February 1968 See Table of Effective Dates on back of Onginat ORIGINAL COPY—Retain in.O”
“as FROM: ROOM NO. FORM NO FEB 55 241 BUILDING Злорит REPLACES FORM 36-8 WHICH MAY BE USED. EXTENSION (47)”
“REPLACES FORM 59-92 688 WHICH Mat BE USED SOURCE RECORD (24) 3 * e9”
“CHANGE ArrETiNG nos X Cover. (HR 200- 2*3- ‘*‘ •e-f-ty---- 49 L.- 5.1 su u SUmvir Form Jaza ron TRANSFERRING COVER X RESPONSIBILITY., (wn 240-20) . .2 CATEGORY 11 X EA4, CAT GOR’S ta v*------------------------------- rr— •4 X A SUBMIT FORM 2688 FORHOSPITALIZATION CARD”
“: FORM NO. 1 JUN 55 REPLACES FORM 59-92 688 WHICH MAY ez USED SOURCE RECORD (24) ! 3”
“14-00000 • 34 T. SMITTAL SLIP DATE 25 Mai TO: Chris ROOM NO. 3.057 REMARKS: Hopki n s BU -4amber FROM: ROOM NO. IE41 Mailly LY/INFO1479 EXTENSION FORM NO .941 REPLACES FORM 36-B (47) tFEB 55 241 WHICH MAY BE USED.”
“30000 DATE TRANSMITTAL SLIP TO: ROOM NO. BUILDING REMARKS: 990 FROM: ROOM NO. BUILDING EXTENSION 1FEB 55 241 REPLACES FORM 36-8 WHICH MAY BE USED.”
“13-00000 DATE TRANSMITTAL SLIP TO: ROOM NO. BUILDING REMARKS: FROM: ROOM NO. BUILDING EXTENSION FORM NO REPLACES FORM 86-8 1FEB 55 WHICH MAY BE USED.”
“00000 DATE TRANSMITTAL SLIP TO: ROOM NO. ING REMARKS FROM: ROOM NO. BUILDING EXTENSION 1VtB 3 241 REPLACES FORM 36-8 UNICH MAY BE USED”
“14-00000 we De. 3 5 - JUNY ... 1 rmlftochais 0 11 C. 1/: AS 1 Qui nes 7 Jann 11 B 2-1-259910 399900 B 201-776952 5 - 201-823964 3 - 281-169473 acLoRD COPY FILES IN. 200-11-11/8 .: OT ein: ic • ; DiPAT(n Stlece tohozote cavianien DUPLICATE COPY FOR CR”
“•00000 Hedrezon DO" RECORD MATERIAL DUE DATE 1. THIS DOCUMENT IS CHARGED TO YOU. 2. RETURN THIS DOCUMENT TO IP/ARCIIIVES, RM GA-50, ON OR BEFORE- DATE INDICATED. 3. IF YOU FORWARD THIS DOCUMENT TO ANOTHER INDIVIDUAL PLEASE CALE EXTENSION 4598 «« 00 NOT REMOVE THIS FOR”
“reference numbers. 5. Upon completing the Worksheet, enter the date of completion in the upper right corner uf the form. The Worksheet tnuet be fastened and retained inside the left cover of the 201 dossier. SECRET/NO FOREIGN DISSEM INTERNAL USE ONLY,”
“14-00000 Mt e 2 March DA’ Ti SMITTAL SLIP TO: Chris Hopkins ROOM NO. BUILDING i 3D57 REMARKS: BU- 4 Amber 00 241 1 30 FROM: ROOM NO. Mailly LY/INFO BUILDING EXTENSION IE 41 1479 FORM NO. REPLACES FORM 36-8 (47) IFEB 55 WHICH MAY BE USED.”
“FnCa 7HA7 HE NA9 Wtth 0f61Gs4Ti> * *2.9 iuGt+C* atdottete* ‘II ynsver i" e.pleen »Ny in (to 6.) . The persons named a Item 2 or 3 above any also d po::f:eg ta caso of scergency. IF SUCH aoTifiCAfioH 13 NOT D- SIRABLE BECAUSE of HEALTH OR OTHER REASONS. PLTISE s State is IT 6 ”
“Iyous S-GNATUK - DO NOT Pm) (DATt) • (18 U.S c. 1001.3 1. HAart NOApDE is LMPLOTwG orC ? Dale fecerto M 3. @P >1 SARLOf % UmROvwo OINCE LECTION PART F ‘*” y-o-b-m i 109 HEAn.. ,s OFFICER F1101 2-12-17 COmPitttD 4. PATBOL CVPKO NO. $ %/ 2019 BROH NO. 91 Actac. (ALTERNATE)”
“14-00000 % DATE, TAL SLIP I 609 1 ROOM NO. BUILDING Jos % -REMARKS: 119 D St NE 1 Rm 547 Ash for EdiByard Byath FROM: ROOM NO. BUILDING EXTENSION / FORM NO. 1FEB 55 241 REPLACES FORM 5-0 WHICH MAY 80 USED. *GP0:15)—0-439445 (0)”
“w/attachments as stated above v I 201-119 523 wale CLASSIRCATION PACE N(1 FOIt USE DEVIOUS FDITION REPLACES FORMS 1-9 53 51-29. 51-29A AND $1 29 SECRET conreci (40) winCH ARE OISOuli”
“THAT IS SCT REQUIRED. th. : 90 paresises FI/D DATE 4: NAME -OFFICE DESIGNATOR ROOM, BUILDING EXTElStON — CANCEL THE STOP CARD FOR THIS REQUEST SECRET tx 2 An Pa 1 .7 9cts -* 59 I. X 1”
“POSITION CONTROL CHETHCATION 1-80 0 0 1-00. ATE APPROVED- 46 OP APPROVAL " APR ,* “, 4-26-65 HT FORM 6-63 1152- use revious tommon 14. SECRET , - GROUP I 3* (2C1026D Fees sr’omati 200e6ASIES /_____ Am MHCASWIILANCB-”
“REPLACES wo AGO FORM 341. I JUN 47, WHICH MAY BE USE NW 88613 Docld:34530084 Page 2”
“title) € fon ApbisiGnAl intoRATiON CALL (ifeme and telephone extension) 0. HG^U APPROVED BY Signotuiet — Arc Mueristi ROBERT W. MUENSTER Personnel Officer, TSC Title: 13. VEILRAN PI. ERINCE 14 PITION CLAS-AICAMIQN ACTION KK nont wwn OtFER OPT. 15 vote? 1.1: kXt I. ”
“Vedd C.X-IMC Nass 24 Gieejh 20. Coaor 07. Totct miscollanoous Coductionc—Add Inoo 34, 35 N horo c.J.ca FcZin (99, 830 2) .. 21 341.00 and 36. (Entor horo ond on Form 540, pOgO DD 37 (ov. 0972) Saeodullo D C. edvorso NW-88326- Docld:32245535-Page-89-”
“anothe Gove 19. Other (Specify in Line 11) REMARKS’ F OTHER WAS CHECKED ABOVE)N(40 CHARACTERS kkes*re-7eca-ee71-***rg* gretAA-X *114’4*9*”
“(HHB 20-7) FOR TDY_OTHER (Specify) SUBMIT FORM 642 IMMEDIATELY, TO CHANGE TELEPHONE LIMITATION CATEGORY TO-CATEGORY-T's (HHB 20-7) * % o." SUBMIT FORM 642 IMMEDIATELY TO CHANGE TELEPHONE X LIMITATION CATEGORY TO CATEGORY ________ EAA: CATEGORY 1 CATEGORY 11 Garant 99 (HHB”
“CANCELLED. •ATLURE TO SUBMIT PRC ?E AS REQUrorO UNDER CSI NO. 10-5 OR TO INDICATE ANY FURTHER INTEREST IN OBTAINING APPROVAL FOR THE OPERATIONAL USE OF SUBJECT. REMARKS To: WH/1 0 4 Care closed for jailuise to comply 18/ 18/ Eo. 0 O DEC soee Cord Iw Szuc.ull rdP. ”
“IHAVE REVIEWED THIS REPORT (Cumaents by attached neeorandum) THIS GAYE 07t*t*e/r/1cisL (Officist nest higher in line of authority) -23 March 1956 FORM No. UE REPLACES PREVIOUS EDITIONS or (4) * I JAN 55 43 TH IS FORM swich MAY BE USED. 4”
“GROUP I BMM Face ec THIS FORM FOR USE BY AUTHORIZED RESTRICTED HANDLING MESSAGE USERS ONLY .’ •OWDddAmzer FORM 39A6”
“FICER USA-133 PACY4714, L, IN 17526. : NOFORM CONTINUED CONTROL WK/R AUTHENTICATING OFFICER 1389 a i REPRODUCTION BY OTHER.THAN. THE ISSUING OFFICE IS PROHIBITED. Copy No. (25) THLGY 01-351145. NW 65987 Docld:32411807 Page 2”
“STUB." THEN RETURN ‘ (official receiving date stamp) THE ENTIRE FORM TO YOUR EMPLOYING OFFICE.| Lee H. Wyren pren ISIGNATURE (do not print) 13NN0983d JC 301430 89. HSLl 11 0Z 03. DATE 19 February 1968 ORIGINAL COPY—Retain in Official Personnel Fold EUhLT See Table ”
“APPROVAL Mo 1-YES 2— HO DATE APPROVED 08/09-661 0 FORM Don 29 0-h I July 66 (4) 3 1152 USE PREVIOUS EDITION 1 SECRET ,.EXCLUDED ANMSbEL---- -- II”
“**END.OFMPRM9R: onone prefers defer decision on antl. to get better ding AlAIr/1 possibility Cm P Phil C//1 00llg-nt t NE/S in(meet* SAS TOB. Me hrepaxes*fee 110/20/ a-s-d-a-s- Rricoi G4161-45 IC ID corse 2/136 3”
“The copy should bo forwarded to CPB lor retention in CPB fileo. fcau NO. t MAR 54 37-190 (4) E”
“IEAA. CATEGORY 1 CATEGORY II SUBMIT FORM 2688 O%_ HOSPITALIZATION CAL*. a mass AND/OR Covre nistogv SUBJECT WILL BE ACKNOWLEDGED AS CIA FOR EZITIRE PERIOD OF EMPLOYMET BUT WILL NOT REVEAL SPECIFIC PLACES OR LOCATIONS OF COVER ABSIGEITS. Jilmir . 1551 SECRET”
“applicant’s name appears (to be given in case of original appointment).... • % bevzanntuf painvine office 16—699-1”
“O VI wa 14 Apr 1968 09834 See Tabla ct Erlectiva Dates of back of Original ORIGINAL COPY-—Retain in Official Personnel Folder STANDARD FORM No. 176 MARCH 1973 FPM Supplement 670-1 170-103 t”
“2U"C3-T2kA5 G9192 etles. NOTE: andis must atuonThis sensitive inform be cleared with ng to prior forwardiE/AS/S HSCA. to (Gibson) OLC-78-1790 h?: NOT REVIEWED BY HSCA Vo”
“til "Fool e TRANSMI. JAL SLIP SAn JO:' 14/2/ 12/GS - Patti ROOM NO. BUILDING REMARKS: Reply fim State OPS/LSN FROM: ROOM NO. BUILDING EXTENSION FORM NO o1 1FE8 59 441 REPLACES FORM 36-4 WHICH MAY 6E USED (47)”
“APPROVAL 1 2-80 a 6 19 DATE APPROVED OLM -63 1152 USE PREVIOUS FOmON PihestEE. Mitchel Robert SECRET RD . _ GROUP 1 14 **. wile automatic powntaaird”
“FORM TO YOUR EMPLOYING OFFICE. 9Ni1: SIGNATURE (do. not print) William M. Kent 73NNG 38 213J0 89. HW II 0 bUJy 21 March 1968 See Table of Effective Dates on back of Original SECRET ORIGINAL COPY—Retain in Official Personnel Folder STANDARD FORM No. 176-T JANUARY 1968 (”
“Attachment: Shieland C.Cortis As stated above. Distribution: 23 - C/WHD w/att 2 - Files 50-6-75/3 033 but. rnDV rOIM use PREVIOUS COITION cosTice PAGE NO REPLACES FORMS 09/ 53a $1 » 51 28A AND 43 a__ CONTINUED ,07) ANIL- AVE OSSOIE SEGRET/AEF TWO”
“priate response to Items 1-8. Senaturly-75 ALL FUI INFORMATION CONTAINED 16/00 SPZALMICP DATTH ST. 1 15 REC-14 62-111375-1262 5 JA”
“S S S R 9 9 9 R * 9 * T M * lib . PSIGN AND DATE. IF YOU MARKED BOX "A" OR "C"; FOR EMPLOYING OFFICE USE ONLY Los COMPLETE THE "STATISTICAL STUB." THEN RETURN (official receiving data stamp) THE ENTIRE FORM TO YOUR EMPLOYING OFFICE. T3NN05832 40 301340 vol HY 09, :1s £”
“Consulate would have been covered during business hours, at least.. Recommended Follow-up (if any): Signature:. dan hardyyan away Form NW 66000 Docld:32277211 Page 2”
“14-00000 •3 227-35-15 field ee Chief, WED Jecos, Rto OAT297sf.e FROM on, Soo Peuto 12 October 1959 :: WERICT •ifig ncitckxn)' MACKTO FOR WOCNG 2 NO NOEUNG SQUIRED “totsuctions, see below ONDlino carja eosto a . • 8* QUAunE HO DESK ONLY ■ utousteuceis). , bmn-4733, 6 ”