CONTROL AND COVER SHEET FOR TOP SECRET DOCUMENT

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP66B00664R000400130004-9
• Release Decision: RIPPUB
• Original Classification: T
• Document Page Count: 2
• Document Creation Date: November 17, 2016
• Document Release Date: April 27, 2000
• Sequence Number: 4
• Publication Date: March 16, 1964
• Content Type: FORM

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to SECRET when filled in form is detached from controlled ocumen .
CONTROL AND COVER? SHEET FOR TOP SECRET DOCUMENT
DOCUMENT DESCRIPTION
REGISTRY
SOURCE
25X1A
CIA CONTROL NO.
_ 6 4/A
DOC. NOTT-.162 1.1. D
DATE DOCUMENT RECEIVED
DOC. DATE 16 Mar 64
8 Apr 64+
COPY NO.
LOGGED BY
NUMBER OF PAGES 1
NUMBER OF ATTACHMENTS
ATTENTION: This form will be placed on top of and 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 matter is limited to Top Secret Control personnel and those individuals whose official
duties relate to the matter. Top Secret Control Officers who receive and/or release the attached Top Secret material will sign this form
and indicate period of custody in the left-hand columns provided. Each individual who sees the Top Secret document will sign and
indicate the date of handling in the right-hand columns.
REFERRED TO
RECEIVED
RELEASED
SEEN BY
OFFICE
IGNATURE
DATE
TIME
DATE
TIME
SIGNATURE
OFFICE/DIV.
DATE
a
R
AFF
t
a~
~
Intel/OS
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.
DOWNGRADED
DESTROYED
DISPATCHED (OUTSIDE CIA)
TO
BY (Signature)
TO
BY (Signature)
WITNESSED BY (Signature)
BY (Signature)
OFFICE Approved F
DrTkelease
0616108/28 : CIA-R ` T66B0066
Kbcd0400130004- DATE
ToP SECRET
FOffM
9-60 26 USE PREVIOUS EDITIONS. TOP SECRET (40)
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m.,
_.. _ .~, ~.. .. wngrade
UNCLA 1~~~~E1eSI~E~BH/i~tt i~(d~09~00 V d
to SECRET when filled in form is detached from controlle document.
CONTROL AND COVER SHEET FOR TOP SECRET DOCUMENT
DOCUMENT DESCRIPTION REGISTRY
CIA CONTROL NO.
SOURCE
25X1 A TS-162954A
C. N0. -162 ~. A DATE DOCUMENT RECEIVED
DO C. APr 64+
DOC. DATE
36 -Mar 64 LOGGED BY
COPY NO.
NUMBER OF PAGES 1 P
NUMBER OF ATTACHMENTS
ATTENTION: This form will be placed on top of and 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 matter is limited to Top Secret Control personnel and those individuals whose official
duties relate to the matter. Top Secret Control Officers who receive and/or release the attached Top Secret material will sign this form
and indicate period of custody in the left-hand columns provided. Each individual who sees the Top Secret document will sign and
indicate the date of handling in the right-hand columns.
REFERRED TO
RECEIVED
RELEASED
SEEN BY
OFFICE.
25X1 A IGNATURE
DATE
TIME
DATE
TIME
SIGNATURE
OFFICE/DIV.
DATE
Irr
A
Ap,
-
Intel/OSA
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.
DOWNGRADED
DESTROYED
DISPATCHED (OUTSIDE CIA)
TO - - --- - --- -
BY (Signature)
TO
BY (Signature)
WITNESSED BY (Signature)
BY (Signature)
OFFICE Approved F ~TIkelease
V~V~8/28 CIA-R
0~E6B0066
DR000400130004 DATE
ECRET
s-60
TOP SECRET