[1]14-00000
[3]104- 10110- 10298.
[5]:"| 2025 RELEASE UNDER THE PRESIDENT JOHN F. KENNEDY ASSASSINATION RECORDS ACT OF wit Y
[6]. ne “Ss. + VR VAGR: 7 Mee 7 _* : ING:
[7]DATE
[9]NOTIFICATION OF ESTABLISHMENT Oe CANCELLATI ( T aa
[10]OF OFFICIAL COVER BACKSTOP |” si 25 mB 77
[12]$s KUMBE
[14]06°24-313fyeTyRAUTO Cl. o
[16]Jeasic ‘cover’ PROVIDED ; -
[18]EFFECTIVE DATE “SUBMIT FORM 3254."
[19]wm , (HHB 20-7)
[21]OPERATIONAL COVER “PROVIDED . .
[23]FoR —____ TDy____ OTHER (Specify)
[25]SUBMIT FORM 642 IMMEDIATELY TO CHANGE JELEPHONE
[27]LIMITATION CATEGORY TO CATEGORY__ EAA: CATEGORY 1 TI CATEGOR
[29]caap 20°79 : RETURN ALL OFFICIAL DOCUMENTATION TO-CCS~
[31]SUBMIT FORM 3254f cer W-2 TO BE ISSUED. SUBMIT FORM 2688 FOR
[32](8HB 20-11) — at - HOSPITALIZATION CARD.
[34]SUBMIT FORM 1322 FOR ANY CHANGE AFFECTING THIS
[35]COVER. (HR 240-2e)
[37]SUBMIT "FORM 1323 FOR TRANSFERRING COVER
[38]RESPONSIBILITY. CHR 240-2¢)
[40]|, lean. CATEGORY | a | CATEGORY I1
[42]SUBMIT FORM 2688 FOR_AGP HOSPITALIZATION CARD
[43]REMARKS AND/OR COVER HISTORY
[44]27 Auo Sl-Aug 62-Fas-Overt
[45]Aug 62-Jul 67-Eqs-{2ac) Vi
[46]Jul 67-19 Aug 72-Mexi State-womina\
[47]1 Sep 72-27 Jun 74-Hqs-Ca ah
[48]22 Jun 74-10 Nov 76<Trinidad-s Ptate-Int \I(.2I
[49]11 Fov 76-26 Feb 77-Bgs(State-Int aN
[50]27 Feb 77-.. . ~Hgs{State- Nomina 40