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Malcolm X — Part 22
Page 28
28 / 128
* FD-122 (Rev, 4-17-63) a.
" ornons Pen wd. 16 . 1. SB10- 166 "4 1
a UNITED STATES GOVERNMENT
ay Memorandum
fo FBI (Bufile- 100-399321 ) » 2/19/65
: por : sac, NEW YORK(105-8999)
ze _X supject: MALCOLM yur, aka
aw 1S-MMI
ae | } (00: NEW YORK)
a ri It is recommended that a Security ¥) The Security Index Card on the
. - Index Card be prepared on the captioned individual should be
above-captioned individual. changed as followa (specify
change only):
(_] Naturalized
(_] Native Born
[_] Communist {__} Socialist Workera Party {_ ] Independent Socialist League
L_] Miscellaneous fspecify?
Date of Birth Place of Birth
Business Address (show name of employing concern and address
ALL INFORMATION CONTAINED y, Tb J
ae 34
Of
2 ionbehih hl . * ' oT as ms
MESVTN TS UNCT ESAT PTS
~~ -~ — _ m™ Ar wf
LAIE AL poRY 4 7
Key Facility Data
Geographical Reference Number
Interested Agencies
Residence Address
some Qleeg ur em pee ttt eT
Soe maa tet
Race Sex
[|] Tab for Detcom [] Male [_] Female
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