Form · Indices Search Slip marked SPECIAL (subject redacted) · 2 December 1971 · 1 pageAIType, title and date: machine-written — generated by an AI model from the transcripts, and it can be wrong. The scan is the source; the transcript is machine-generated from it.
Document date 2 December 1971AIDates: machine-written — generated by an AI model from the transcripts, and it can be wrong. The scan is the source; the transcript is machine-generated from it.
The scan is the source; the transcript is machine-generated from it.
SPECIAL
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Date
Su [REDACTED] Social Security Account #
Al [REDACTED]
Ad [REDACTED] Birth Date Birthplace Race Sex
☐ Male
☐ Female
☐ Exact Spelling ☐ Main Criminal Case Files Only ☐ Restrict to Locality of
☐ All References ☐ Criminal References Only
☐ Main Subversive Case Files Only ☐ Main Subversive (if no Main, list all Subversive References)
☐ Subversive References Only ☐ Main Criminal (if no Main, list all Criminal References)
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File & Serial Number Remarks File & Serial Number Remarks
[REDACTED rows]
[handwritten:] [guess: plus] refs
(NO [guess: X])
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Requested by Squad Extension File No.
[handwritten: 13]
Searched by
[handwritten signature] (date) 12/2/71
Consolidated by
[handwritten: 0] (date)
Reviewed by
(date)
File Review Symbols
I - Identical ? - Not Identifiable
NI - Not Identical U - Unavailable reference ☆ GPO: 1971-O-423-290