CLASSIFIED DOCUMENT ACCOUNTABILITY RECORD

• Document Type: CREST
• Collection: STARGATE
• Document Number (FOIA) /ESDN (CREST): CIA-RDP96-00788R000700130022-8
• Release Decision: RIFPUB
• Original Classification: K
• Document Page Count: 1
• Document Creation Date: November 4, 2016
• Document Release Date: December 7, 1998
• Sequence Number: 22
• Content Type: FORM

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{2 U.S. GOVERNMENT PRINTING OFFICE 1977-150 057
CLASSIFIED DOCUMENT ACCOUNTABILITY RECORD
DATE
23 October 1981
one of this form, see AR 380-5; the proponent agency is the Office, Assistant Chief of Staff for Intelligence.
LO
1
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TO:
FROM:
DATE RECEIVED
ACTION OFFIC
EIS)
SUSPENSE DATEIS)
REGISTER OR
CONTROL NO.
CONTROL., LOG
CLASSIFI-
NUMBER OF
DESCRIPTION (7'yj:'. File Rej.. UH:lu.. oJi :l Subj='r(
DATE OF
ORIGINATOR
OR FILE NO.
CATION
COPIES
or 5hm't TN0 and Number of h1:/I) . 01::1 ti/lnc1.5)
DOCUMENT
GF--066-81
S/NOFOR
one
Cy 2 of 2 Cys, Session SPEC-812, Two
SEP81
IAOPS-H-S
folders, 104 pages, no date.
SECTION 8 ROUTING
TO
COPY NO.
DATE
PRINTED NAME
SIGNATURE
SECTION C- DESTRUCTION CERTIFICATE
MATERIAL DESCRIBED HEREON NAS f-4EEN:
CI] DESI ROYED El TORN IN HALF AND PLACED IN A CLASSIFIED WASTE: CONTAINER o I? 380.12
OFFICE S YMBOL DATE PRINTED NAME OF CUSTODIAN OR REP NIGNATURE
DESTRUCTION RECORD NO. DATE PRINTED NAME OF CERTIFYING/DE-SIR OFF. 1+IGNATLJRE
PAGE OR COPY NUMBER DATE PRINTED NAME OF WITNESSINr_; OFFICIAL SIGNATURE
SECTION 0 - REPRODUCTION AUTHORITY
NUMBER OF COPIES f0 BE REPRODU,. ED AUTHORIZED BY DATE
0I'i::Ie hluclu
SECTION E - RECEIPT TRACER ACTION (Ch",-l; ufJf p
RECEIPT OF DOCUMENTISI ACKNOWLEDGED Li I>"TCUMENTISI HAVE r,401 SEEN RECEIVED
L. TRACER ACTION: SIGNED RECEIPT FOR MATERIAL DESCRIBED ABOVE HAS NOT BEEN RECEIVED
DATE PRINTED NAME, GRADE OR TITLE Tru IG r2E
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pproved For Release 2000/08/07 : CIA-RDP96-00.788R000700130022-8
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DA FORM 3964, 1 1 Nov 72 REPLACES DA FORMS 1203, 1 Lr' 58 1204,
846, 1 OCT 63. WHICH ARE OBSOLETE.