DOCUMENT RECEIPT

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP71T00730R000600100110-4
• Release Decision: RIFPUB
• Original Classification: K
• Document Page Count: 2
• Document Creation Date: December 12, 2016
• Document Release Date: August 10, 2000
• Sequence Number: 110
• Publication Date: July 28, 1966
• Content Type: FORM

CENTRAL INTELLIGENC NS1ied
DOCUMENT REIPT
or ReleaWI6?1Tl@> PiVb-RI P71 T
wrSign and Return as Shown on everse ide
SENDER OF DOCUMENT(S)
taxi/St/Plc
28 Jui 66
r RREC. NO. DATE SENT
~~(IR00060010 110-4
~8 July 1966
C Weft 2/26s (8)
FIC WGR 1/z66 (1)
EIC WGR 1. 1267 (3)
EtC WGR 11268 (3)
RECIPIENT
SIGNATURE (ACKNOWLEDGING RECEIPT OF ABOVE DOCUMENT(S))
partm a"tIa er Release 2001/08/09
DESCRIPTION OF DOCUMENT(S) SENT
b 0 f0ff 10-4
cations Custer
 Approved F Release 2001/08/09 : CIA-RDP71TO R000600100110-4
TO: CIA RECIPIENT
Place signed receipt in outgoing messenger box for return to sender of document
through agency messenger service.
TO: NON-CIA RECIPIENT
Place signed receipt in envelope and transmit to:
F 1
CENTRAL INTELLIGENCE AGENCY
2430 E STREET NW.
WASHINGTON 25, D.C. Stop 64
I Approved For Release 2001/08/09 : CIA-RDP71TOQ73OR000600100110-4