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Clarence Smith Aka 13x — Part 3
Page 5
5 / 32
SUBJECT:
SUH
INT,
2D ENCLO
AND Ar
Vy Memorandum
fiytf
“ FROM
-_
”
# O8Tadzep
=D) SEPARATELY
a
t
Bee!
t
+ 2 te,
FD-122 (Rev. 9-18-64) * .
~ Grmortal POam MO. 1¢ . gate 106
mat 10462 tOtTION
O60 Ofn, 8G. OO. 27
UNITED STATES GOVERNMENT
i: Director, FBI (Bufilee 100-4446 36 )
‘84, NEW YORK (100-150520)
CLARENCE EDWARD SMITH aka
SM-NOI
(00: NEW YORK)
Re:
(J It is recommended that a Security
Index Card be prepared on the
above-captioned individual.
} )
HERE
DATE: 2-17-66
ib'a| The Security Index Card on the
captioned individual should be
changed as follows (specify
change only):
a
rTty
Uist A V
115 UNCLASSIFIED
DATE 10:28 SU BY
[J Native Born (_) Naturalized
{1} Communist [_] Socialist Workere Party
([) Miscellaneous (specify)
Sex
Date of Birth Place of Birth
Business Address (show name of employing concern and address!
Key Facility Data
Geographica) Reference Number
Interested Agencies
Residence Address
vy ae
NOT RECORSES~
a
Matteawan State Hospital for Criminally Insane
Beacon, New York
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