[1]14-001
[5]en ae
[7]104-10162-10108 :@ | 2025 RELEASE UNDER THE PRESIDENT JOHN F. KENNEDY ASSASSINATION RECORDS ACT OF 1992 |
[9]yo ee .
[10].
[12]” SECRET
[14]RECEIPT FOR AUTHENTICATION MATERIALS
[16]TO: TSD/IB DATE _9 Tamary 1961
[18]1 HEREBY ACKNOWLEDGE RECEIPT OF THE FOLLOWING AUTHENTICATION MATERIALS
[19]TRANSMITTED WITH MEMO NO. _____. DATED AND PREPARED IN
[20]ACCORDANCE WITH
[22]Javier Alvarez de la Torze
[23]a. Cuban Passport $7130
[25]be Cuben Vigencia (Exit Perit) JL-lIO81-#
[26]e. Geban International Certificate of Vaccination
[28]: The Teadgrent
[29]iseued in Santiago de Cube on 17 May 1960 and is valid uuil 17 May 196%. [ime +?
[30]ba)
[32]RETURNTO CIA
[33]Background Use Only
[35]Do Not Reproduce:
[37]OFFICER'S SIGNATURE _
[39]NOTE: Authentication Materials must be returned to TSD/TR as soon as the intended operational use
[41]has been fulfilled; unused documents, whether filled in or blank, must be retumed to TSD/IB
[43]_ when no longer needed. ‘
[45]TSD/IB should be notified if any of the Authentication Materials are destroyed, lost, or for any
[47]other reason can no longer be returned.
[49]pen - seener
[51]aoe Neer ee re ee
[53]Bn tnt et Sa a cate vain,
[55]te eemeetertirnamneenenenes
[59]-
[62]os
[64]wee aan,