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RE CREAR ~~ . a FD-253 (11-22-54) UNIT ~ STATES DEPARTMENT OF JU °.ICE FEDERAL BUREAU OF INVESTIGATION In Reply, Please Refer to WASHINGTON 25, D. G File No. Director Federe] Bureau of Investigat United States Nenaertesnt so BiteG CVeves appeal waen. Oo Washington, D.C. tion RE: es dohn Edgar_Hoover __ J “ m Dear Sir: For inclusion in the fund to be peid to the designated beneficiary of any Specis] Agent of the FB] who hes previously contributed to this fund and who dies from any cause except self-destruction while employed as a Special Agent, I am forwarding herewith (by CHECK - MONEY ORDER) the eum of $10, pay- able to the Assistant Director, Administrative Division, FBI, to be included in said fund. Payment will be made for death by self-destruction after the Agent has been a nember of the fund for a continuous period of two years. It is underatood and agreed that the sum tendered herewith is a voluntary, gratuitous contri- bution to aald fund which I understand ia to be sdministered in the following manner. The Director of the FBI will eppoint s comsittes which shal] consider al) matters perteining to the acquisition, safe keeping and expending of said fund, which committes will recommend appropriate action to the Director in pertinent matters. The Assistant Director of the Administrative Division of the FRI shell receive sll contributions end account for same to the Director. Upon the death of any Special Agent who is a wenber of said fund the appointed committees will consider the case and subait « recommendation to the Director as to ite conclusions. Appropriate instructions will then be iasued to the Assistant Director of the Administrative Division, directing him to pay to the designated beneficiery the sus of $10,000. The liability of the fund shall not under any circumstances exceed the amount of monies in tbe fund et the time any liability shell occur. The following person is designated ss my beneficiary for FBI Agents' Insurance Funi: Neme Estate Relationship §.—=s—s— Ci att Addrese The following person 1a designated as omy beneficiary under the Chas, 5. Rose Fund providing $1500 death benefit to beneficlary of ggenta killed in the line of duty, oe____Egtate —____ a a __ relationship Date__ i Addresa Of1161959 77 4) Very truly yours, PIINT & { “ , Special] jAgent wee poem ee Tse yagi ret at toe