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14-Q0000 104-10110-10291/ 2025 RELEASE UNDER THE PRESIDENT JOHN F_ KENNEDY ASSASSINATION RECORDS ACT OF 1992
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notificatron 'Of ES:AJLISHMENT Or CANCELLATION Da Fice Ho_
OF OFFIciaL Cover BACKSTOP 28 DECARE 1977 3190
85 X CHIEE , CONTROL DEVISION, OP
883*26-3138
return T0 CiA
To:
(eheet) CHIEF CONTRACT PERSONNEL DIVISION, OP
EMPLOYEE 268786une7,8Toooun Uso Oniy
Do Wlol Reproduce
id card HulBer X CHIEF, (OPERATING COMPONENT_FOR `ACTION)
ATTN: IA
Ref _ 25188 ESTABLISHED
RRTREEL pxe: OFFiCiAL 37.w COVER CAMCOLLED
: STATUS STAFF- CONTRACT;
CON TINUED
7 SUEJECT unit
BUSTOS VIDEE CIRIOTTE Z DEPARTEYEOR6C4TE
KEEP ON TOP OF FILE WHILE COVER IN EFFECT
ESTABLASHMENT 'OF OFFicial CovER (BLOCK RECORDS) CANCELLATION OF_ OFFiciai_COvER (UNBICCK'RECORDS)
Basic Cover Prov ided EffEcTiVE DATE : BOD
Effective DATE FoRM 3254 W-2 To . BE ISSUED
operat iONAL coveR provided HAB 20 - 7 )
For Tdy other (Specify) Subm| T FORM 642 IMMED IATELY to: CHANGE TELEPHONE Limitation CATEGORY To CATEGORY
AHB 20 - 7 ) SUBMIT FORM 642 IMED IATELY To CHANGs TELEPHONE]
Limitation CATEGORY To CATEGORY EAA: CATEGORY CATEGORY X AAB 20-7)
RETURN ALL OFF ICIAL DOCUMENTATION To CCS
FORM 3254 5446+ w-2 To BE I SSUED _ SUBM T HHB 20-.11) FORM 2688 For
HOSPITAL IZATION CARD _
Do not Wr iTE in This BLOck SUBMIT FORM 1322 For ANy CHANGE AFFECT ING ThIS
COVER . ((BR 240 -30)
SUBMI T FORM 1323 For TRANSFERR ING COVER
RESPONS IBILITY _ ((BR 240 -30)
EAA_ CATEGORY CATEGORY
SUBMI T Form 2688 FOR AGZ_HOSP ITAL IZATION CARD
REMARKS And/or COVER history
S 'BJCT KILL 3E CNIED FCR ZTINF PlJIOn OF FTLCYAYT ECFT FOR US GOVTRNEVT
AM LICATIENS.
DistRi ButioN:
copy cditrb or CPd ContrOl
copy OPERAting ComponENT
VSITW
Copy os/SRD
Er
Copy ocidoitfa
Copy ccs-File
chief OffiCiAL CoveR BRANCH:CENTRAE CoVeR STAFEZE
FQRm "8+0 eAf:
+77
155 03{ Previ00$ {diji
SECRET _ WIN-SISM 19-20 43) Ez, IMPDEL; CL_eYt,021964-
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