CLASSIFIED DOCUMENT ACCOUNTABILITY RECORD

• Document Type: CREST
• Collection: STARGATE
• Document Number (FOIA) /ESDN (CREST): CIA-RDP96-00788R000700320010-0
• Release Decision: RIFPUB
• Original Classification: U
• Document Page Count: 1
• Document Creation Date: November 4, 2016
• Document Release Date: June 17, 1998
• Sequence Number: 10
• Publication Date: November 9, 1982
• Content Type: FORM

A rove r elease
4NOVa2
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TO:
CIA
DATE RECEIVED
ACTION OFFIC
E(S) -- --~
SUSPENSE DATE(S)
REGISTER OR
CONTROL NO.
CONTROL., LOG
CLASSIFI-
NUMBER OF
DESCRIPTION (Type. File Ref., Unclassified Subject
DATE OF
ORIGINATOR
OR FILE NO.
CATION
COPIES
or Short Title and Number of Endorsements/Incls)
DOCUMENT
CL-001-82
S/NOFOR
1
Cy 1 of 2, Report CL-957/8204/01W/1
5 Nov82
Exhibit ..............................
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...........NOTHING FOLLOWS...........
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SECTION B - ROUTING
TO
COPY NO.
DATE
PRINTED NAME
SIGNATURE
2.
3.
4.
SECTION C - DESTRUCTION CERTIFICATE (Check appropriate block)
MATERIAL DESCRIBED HEREON HAS BEEN.
--11
Cl DESTROYED L_i TORN IN HALF AND PLACED IN A CLASSIFIED WASTE CONTAINER (AR 380-5)
OFFICE SYMBOL
DATE
PRINTED NAME OF CUSTODIAN OR REP
SIGNATURE
DESTRUCTION RECORD NO.
DATE
PRINTED NAME OF CERTIFYING/DESTR. OFF.
SIGNATURE
PAGE OR COPY NUMBER
DATE
PRINTED NAME OF WITNESSING OFFICIAL
SIGNATURE
SECTION D - REPRODUCTION AUTHORITY
WW~
_
NUMBER OF COPIES TO BE REPRODUCED AUTHORIZED BY -
DATE
SECTION E-RRECEIPT/TRACER ACTION (Check appropriate block)
LiRECEIPT OF DOCUMENT(S) ACKNOWLEDGED Li DOCUMENT(S) HAVE NOT BEEN RECEIVED
TRACER ACTION: SIGNED RECEIPT FOR MATERIAL DESCRIBED ABOVE HAS NOT BEEN RECEIVED.
DATE
PRINTED NAME, GRADE OR TI;FLE
SIGNATURE
COMMENTS
REPLACES DA FORMS 1203, 1 SEP 58: 120
646. 1 OCT 63. WHICH ARE OBSOLETE.
roved For Release 2000108/47 :-Q.LA-F pP96-?fl7$8F k1070 3 (dQ1a0- -