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Flying Discs
Page 90
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2h SS GAM
"4-22 (Rev- 12-10-58) ne ea
es Federal Bureau of estigation
- Records @:
oe SS , 1959
Name Check Unit - Room 6523
Service Unit - Room 6524
Fogward to File Review
ttention =
Return to M/ [TI TF, L505
Supervisor Room Ext.
References Requested:
Pete Request (Analytical Search)
All References (Subversive & Nonsubversive)
Subversive References Only
Nonsubversive References Only
Main References Only
Type _of Seafch Requested: y
tARestricted to Locality of __U“A/’ _
(___]Exact Name Only (On the Nose)
Buildup (“1 variations
Check for Alphabetical Loyalty Form
Subject A tsitfe LAL. (haqact
Birthdate & Place (J G
Address
Localities
Searcher
Re Date co? — 3 __ Initials pie
FILE NUMBER RIAL
Sk
Bucs
De,
LE
To
gee
2 é 7 WY x2
RL
zee Vere Aeoccted
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