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mario-savio — Part 03
Page 20
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F-22Rev.5-13-71
PTIONAL POM NO.10
5010-10
GSA GE.G.NO.27
71962EION
UNITED STATES GOVERNMEN'T
Memorandum
TO
Director, FBI (Bufile- _10C-443052
)DATE:
12/14/71
FROM
SAC. LOS ANGELES (137-984) (P)
Corrected ADkx cards
SM - C
attached. Substitute for cards
OO: LA
In rile and destroy old cards.
Place photograph and description on
Re:
FD 122 dated 10/29/71
reverse side of geographical card.
Recommend: sI Card
Subject removed (succinct summary attached)
Name
Aliases
Tab
DECLASSIFIED BY .:.9.803RAD/c.
Native Bom
PriorityP
ON ..AUG.12.1993
Naturalized
Prioy
# 291,790
Alien
CAVA
BPp
MIN
pLp
prn
snc
swp
CAwc
COMMUNIST
NoI
ppA
sDs
] spL
wwp
BNT
jfG
Miscellaneouy(Specify)
Date of Birth
Place of Birth
Cassinedny spiteGiny
Race
Sex
Declasshy Ox OADR
Male
Female
Business Address, Name of Employing Concem and Address,
Nature of Employment, and Union Affiliation, if apy.
Residence Address
Dc 9
CR
b6
n..
CSIFIED
EN37WHE
HCAN
OTHERWISE
Key Facility Data
Geographical Reference Number
Responsibility
2.- SUREAU (RM)
D.
LOS ANGELES
YLED
I7
S
b1C
b G
De
bp
h6
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