OFFICIAL ROUTING SLIP

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP76-00183R000500030012-5
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 1
• Document Creation Date: November 17, 2016
• Document Release Date: August 3, 2000
• Sequence Number: 12
• Content Type: FORM

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OFFICIAL ROUTING SLIP
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NAME AND DDRESS
DATE
INITIAL.
2
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5
6
ACTION
DIRECT REPLY
PREPARE REPLY
APPROVAL
DISPATCH
RECOMMENDATION
COMMENT
FILE
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INFORMATION
SIGNATURE
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FOLD HERE TO RETURN TO SENDER
FR DATE
8 RO I
FORM
2-61?' 237
0030012-5
STATINTL
30012-5
(40)