◆ SpookStack

lte :-2 4} ; , ( ( UNITED STATES DEPARTMENT OF JUSTICE . a FEDERAL BUREAU OF INVESTIGATION in Reply, Please Refer to File No. Directur Federa! Bureas of Investigetion United States Department of Justice Washington, D, CT. 20635 Dear Sir: Pot inelusios in the fund to be paid to the designated beneficiary of any Special Agent cf the FBI who has previously contributed ta this fund and who dies from any cause except self-destruction while employed as a Special Agent, l am for- warding herewith (by Check - Money Order) the sum of $10, payable to S.A.1.F., to be included tn said fund. Payment will be made for death by seit-destruction after the Agent has been a member of the tund for a continuous period of two years, It is understuod and ajreed that the sum tendered herewtth is a voluntary, gratuitous contribution to said fuad which | underatand is tc be administered in the following manner, The Director of the FBI will appoint a committee which shall consider ajl matters pertaining to the acquimition, sale keeping and expending of said fund, which commiltee will recommend Sppropridie action to the Director in pertinent matters, The Assistant Uirecior of the Administrative Division of the FBI shall receive all coniributions and account for same to the Directo:;. Upon the death of any Special Agent who is o member of eaid fund the appointed committee will consider the case and submit aq recummendation to the Director as to ita conclualona, Appropridis instructions will then be iasued to the A aatat- ant Director of the Administrative Division, directing him to pay to the deaignated beneficiary the sum of $10,000, The liability of the fund shal} not under any circumstances exceed the amount of monies in the fund at the time any liability shatl occur, EXECUTE IM DUPLICATE AND SUBMIT BOTH COPIES TO THE BUREAU Official Buresu Name (please type or print) Date Office of Assignment lor 8OG Division) SA J. Edgar Hoover May 25, 1964 Director, FEI The following Person is designated as my beneficiary for Special Agenta Insurance Fund: i r Ti ; , rr. ‘ iT £. j 3 + . Name (primary beneficiary; use given firat name if female} | Relationship Address Name (contingent beneficiary, if desired; use given firat same if female} Address 7.) of duty, other than travel accident « Estate Name (primary beneficiary; use given firat name if female) The following person is designated aa my henaficiary under the Chae. beneficiary of agente killed In the li Address Relationahip Name (contingent beneficiary, if desired; use given first name if female) Address — Very truly yours, Spo AGS adie badid