JFK Assassination System Date Identification Form 4nano1 ‘Agency Information AGENCY: HSA RECORD NUMBER: — 180-10144-10282 RECORD SERIES: CIA SEGREGATED COLLECTION AGENCY FILENUMBER: 34-23-03 Document Information ORIGINATOR: HSCA FROM: TO: TITLE felessed under the Joa DATE: 00/00/0000 eenacay) PAGES: 3 hssassination Records ollection Act of 1992 eu se) a4 usc 2107 Note) ORTIZ, MANUEL, aseff:NY 53080 Date: CIA, FILES. DOCUMENT TYPE: NOTES CLASSIFICATION: Unclassified RESTRICTIONS: 1A. CURRENTSTATUS: Redact DATEOF LASTREVIEW: 01/01/2003 OPENING CRITERIA : COMMENTS: — Box 26 wh NW'53080 Docta:32272569 Page 1a Ae oo OO . bn Qa RW NW 53080 Docla:32272569 Page 2Ye BY OM, | HE “Bolan “tromerg Due deo hs Ge aes” a a Lin Gig ee pf (ahora Ge = Oped — EE = SL op ae ee a Ly _ _ i ~~ gall ps 4) fromng 4 1%, ie dues a ofp de cos oe rede - Gy Ha ~ Ha | nga ka pi ig a - “| ye ub “hall — C0993 =k he ito be Tr ia mo eeas (df b(~ Gh We aa 1 Pe gos = 0 Tt ‘ele (3-=—-~ 7 ee oe OS Sul 62 e-3 udu boy 258 Du ba a “Gos 13 in flomax —— - ee intkody eek Cxaomit-—— ing eet et bl - + hem peat A Fabra Ele tif Sonn yg htt ed Tl Fe Gg he