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PG 9a 3778 = ee Z LY¢ “Led ao uw _ _ @ MAN'S , VA OFFICE DENTIFICANON NOS. (C, Xe, SS, XSES, ‘ed: ; . V, K, etc ith - REPORT OF | i CONTACT Hightand Drive VAMC RS . " NOTE: This form: mutst be filled out tt ink or on typewriter, Pittsbu rgh »PA. 15206 [ 0 hee as it becomes a permanent , record in veterans’ folders, |" “e . 1 j ‘A : | LAST NAME—TIRST NAME—MIDDLE NANE OF VETERAN (Type er print} . | DATE OF CONTACT 26-87 _ b6é ADDRESS OF VETERAN TELEPHONE NO. OF VETERAN bic PERSON CONTACTED _— ; TYPE OF CONTACT (CAeck) , C] PERSONAL TELEPHONE ¢, [ADDRESS OF FERSON CONTACTED: TELEPHONE HO, OF PERSON CONTACTEO | He AC P On ¢~4 BRIEF STATEMENT OF INFORMATION REQUESTED AND GIVEN -].Received a call from[___J in regards to pt.[ making threats | bé ‘toward two Supreme Court Judges {hudge Blackman and Judge Marshall) because of pic their stand on abortion. He also informed me that[ pent three years in Farview State Hospital (1972-1975) for setting fire to an airplane and that he has numerous arrest for theft and arson. ' fa 2. 1 contacted the Secret Service and spoke with Agent[ _] about these threatt b6 and he informed me that that they do have a file of He also informed me pie that the FBI will be informed by his office for they are the division that handles these types of threats. 3] called[ spn 4-4 East and informed him of my conversation with Agent —_ [ and if the FBI wishes to speak with the patient they will get in touch with our office and we will make the arrangements. At this point[ informed me that] sis inquiring about writing an AMA J advised] to be care-- ful with this patient. 4.At 11:50A I received a call from Lt.[ oor the Justic Department bon Police requesting information on Pt.[__]. He spoke about his admission so I had the call transferred tof the RN working the admission area when he was admitted. He also requested to speak with the ward physician[ it After speaking with these people Lt.[——_s|called back and asked us to cal? the Justic Department Police at 202-479-3340 any time if the patient leaves the hos- pital. He request that the police ID themselfs and leave the message, 5.At 2:15 P Agent{ of the FBI called to inquire about the patient, when J Be informed him that the Justic Department is already on the case he thanked me and hung up. (OVER} DIVISION OR SECTION EXECUILD 87 [Segnature and title) V. fh. Pye. VA FORM 1 19 EXISTING STOCKS OF YA FORM It?, JUL 1977 JUL 1974, WIth BE USED.