65_HS1-834228961_62-HQ-83894_Section_009
65_hs1-834228961_62-hq-83894_section_9 · page 64 of 290
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Federal Bureau of Inves~
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Records Branch
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CJ Name Check Unit - Room 6523
CJ Service Unit - Room 6524
CJ Forward to File Review
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Attention --,..--:-T--tT------,---
DZJ Return to
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Supervisor
Room
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Type of References Requested:
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Regular Request (Analytical Search)
CJ All Refer{:lnces (Subversive & Nonsubversive)
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Subversive References Only
l==:J Nonsubversive References Only
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Main _____ References Only
Type of Search Requested:
D
Restricted to Locality of ______
CJ Exact Name Only (On the Nose)
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Buildup
l==:J Variations
CJ Check for Alphabetical Loyalty Form
a/;f;.v;I l<, ~
Subject ____ ____________ _
Birfhdate _& Place _____________
Address ________________
Localities ------------
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Searcher
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Initials -+~~
FILE NUMBER
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