RECEIPT FOR CLASSIFIED INFORMATION

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP78-03424A002100010041-4
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 1
• Document Creation Date: December 22, 2016
• Document Release Date: July 10, 2012
• Sequence Number: 41
• Publication Date: April 24, 1958
• Content Type: MISC

Declassified in Part - Sanitized Copy Approved for Release 2012/07/10: CIA-RDP78-03424AO02100010041-4
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RECEIPT FOR CLASSIFIED INFORMATION
Date 14/214158
To: U. 8. Go-ermlent Receipt No. 126
Reference
Original Source
Signed Original to be returned to:
Number Of
Copies
Ltr. to U. S. Go esn^nt dated 24 April 1958
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REASON
I acknowledge receipt of the classified material listed and accept full responsibility for the safe handling, storage and trans-
mittal elsewhere of these items in accordance with existing regulations governing the handling of classified material.
SIGNED I
TITLE
DATE
CONF1DENTIA
THIS RECEIPT UNCLASSIFIED UPON REMOVAL OF ENCLO RE(S)
25X1
25X1
25X1
Declassified in Part - Sanitized Copy Approved for Release 2012/07/10: CIA-RDP78-03424AO02100010041-4