SIGNATURE RECORD AND COVER SHEET

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP61S00750A000700030002-8
• Release Decision: RIPPUB
• Original Classification: T
• Document Page Count: 1
• Document Creation Date: December 9, 2016
• Document Release Date: September 29, 1998
• Sequence Number: 2
• Publication Date: May 26, 1952
• Content Type: FORM

TOP SECRET
Approvea or ease 2000109/13 : IA-RDP61 S@875OA000700030002-8
SIGNATURE RECORD AND COVER SHEET
DOCUMENT DESCRIPTION
REGISTRY
SOURCE
DDT
CIA CONTROL NO.
63620
DOC. NO. -
DATE DOCUMENT RECEIVED
6
2
TE 26
la
5/2
DOC. DA
r
~
COPY NO. ~O1 S
LOGGED BY
PAGES
NUMBER OF
NUMBER OF ATTACHMENTS
ATTENTION: This form will be attached to each Top Secret document received by the Central Intelligence Agency or classified Top Secret
within the CIA and will remain attached to the document until such time as it is downgraded, destroyed, or transmitted outside of
CIA. Access to Top Secret material is limited to those individuals whose official duties relate to the material. Each alternate or assist-
ant Top Secret Control Officer who receives and/or releases the attached Top Secret material will sign this form and indicate period of
custody in the left-hand columns provided. The name of each individual who has seen the Top Secret document and the date of han-
dling should be indicated in the right-hand columns.
REFERRED TO
RECEIVED
RELEASED
SEEN BY
OFFICE
SIGNATURE
DATE
TIME
DATE
TIME
NAME AND OFFICE SYMBOL
DATE
E.
25X1A9a
0
5126
1 635
25X1 A9
r. 1 3
25X1A9a
NOTICE OF DETACHMENT: When this form is detached from Top Secret material it shall be completed in the appropriate spaces below and
transmitted to Central Top Secret Control for record.
THE TOP SECRET MATERIAL DETACHED FROM THIS FORM WAS:
BY (Signature)
DOWNGRADED ^
DESTROYED ^
_ -
DISPATCHED (OUTSIDE CIA) TO
OFFICE DATE