OFFICIAL ROUTING SLIP

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP78-06180A000300240019-9
• Release Decision: RIFPUB
• Original Classification: K
• Document Page Count: 1
• Document Creation Date: November 11, 2016
• Document Release Date: February 28, 1998
• Sequence Number: 19
• Content Type: FORM

Approved For Release 1999/09/26 : CIA-RDP78-0618OA000300240019-9
SENDER WILL CHECK CL IFICATION TOP AND BOTTOM
UNCLASSIFIED -CONFIDENTIAL SECRET
OFFICIAL ROUTING SLIP
TO
NAME AND ADDRESS
DATE
INITIALS
Chief, Medical Services
2
(Dr. T.)
3
4
5
6
ACTION
DIRECT REPLY
PREPARE REPLY
APPROVAL
DISPATCH
RECOMMENDATION
COMMENT
FILE
RETURN
CONCURRENCE
INFORMATION
SIGNATURE
Remarks :
FOLD HERE TO RETURN TO SENDER
FROM: NAME. ADDRESS AND PHONE NO.
DATE
'Assistant to The Director - iFOl
UNCLASSIFIED CONFIDENTIAL
SECRET
FO1-RM67 237 NO. G237 Use previous editions
Approved For Release 1999/09/26 : CIA-RDP78-0618OA000300240019-9