CLASSIFIED DOCUMENT ACCOUNTABILITY RECORD

Document Type: 
Collection: 
Document Number (FOIA) /ESDN (CREST): 
CIA-RDP96-00788R001600380003-2
Release Decision: 
RIFPUB
Original Classification: 
K
Document Page Count: 
1
Document Creation Date: 
November 4, 2016
Document Release Date: 
June 19, 1998
Sequence Number: 
3
Case Number: 
Content Type: 
FORM
File: 
AttachmentSize
PDF icon CIA-RDP96-00788R001600380003-2.pdf104.35 KB
Body: 
pr 7 for use of this form, torn AR 3M5; the proponent y ogancyis the Office, As*islanl Chi,l of Staff for Intellig iro - SECTION A - GENERAL FROM: NSA DA ERECEIVED ACTION OFFICEISI SUSPENSE DATEISl 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 Tate and Number of lndorsemenis/lncl-c) DOCUMENT CL-051.83 S/NOFOR 1 Cy of 1 cy, Report IILJ-1028/8307/0]....... ...... ........... .......... ...... ...... ...N.........NOTIIINC FOLLOWS......... ...... .......... SECTION 8 - ROUTING I A,.KNOW,-E GE RECEIPT Gf' T!-f MAT?RI !_ ( t~S~E`$ f ',,+Irw.'.-...~_..., TO COPY NO. DATE PRINTED NAME SIGNATURE 2. Q, SECTION C - DESTRUCTION CERTIFICATE (Check appropriate block) MATERIAL DESCRIBED HEREON HAS BEEN: PAGE OR COPY NO CJ DESTROYED C~ TORN IN HALF AND PLACED IN A CLASSIFIED WASTE CONTAINER (AR 3805) OFFICE SYMBOL DATE PRINTED NAME OF CUSTODIAN OR REP SIGNATURE DESTRUCTION RECORD NO. DATE PRINTED NAME OF CERTIFYING/DESTR. F. SIGNATURE P AGE OR COPY NUMBER DATE PRINTED NAME. OF WITNESSING OFFICIAL SIGNATURE SECTION 0 - REPRODUCTION AUTHORITY NUMBER OF COPIES TO BE REPRODUCED Al1fNOR12ED BY _ ~~ - DATE SECTION E - RECEIPT/TRACER ACTION (Check appropriate block) ]RECEIPT Of DOCUMENTISI ACKNOWLEDGED c DOCUMENTISI HAVE NOT BEEN RECEIVED [ Y L-ITRACER ACTION SIGNED RECEIPT FOR MATERIAL DESCRIBED ABOVE HAS NOT BEEN RECEIVED. DATE PRINTED NAME GRADE OR TITLE SIGNATURE s COMbiRE#dT s D A FORM , 1 Jul 79 EDITION OF 1 NOV 72 IS OBSOLETE. App A-RDP96 00788R001600 A roved For Release 2000/08/08 CI 4~ __ 0