CLASSIFIED DOCUMENT ACCOUNTABILITY RECORD

• Document Type: CREST
• Collection: STARGATE
• Document Number (FOIA) /ESDN (CREST): CIA-RDP96-00788R001600410003-8
• Release Decision: RIFPUB
• Original Classification: K
• Document Page Count: 1
• Document Creation Date: November 4, 2016
• Document Release Date: May 16, 2000
• Sequence Number: 3
• Content Type: FORM

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SECTION A.- GENERAL
FROM
CONTROL. LOG I CLASSIFI- I NUMBER OF
OR FILE NO. CATION COPIES
CL-061-03 I0/NOFORf 1
SECTION C - DESTRUCTION CERi
MATERIAL DESCRIBED HEREON HAS BEEN:
0 DESTROYED
DESCRIPTION (Type. File Ref.. Unelassifred Subject
or Short Tale and Number of Indorsements/Incls)
Cy 1 of 1 cy Report FIU-1039/8307/O1 ...
PRINTED NAME SIGNATURE
0 TORN IN HALF AND PLACED IN A CLASSIFIED WASTE CONTAINER (AR 380-5)
SECTION G - REPRODUCTION AUTHOR9TY
AUTHORIZED BY
1DATE
ORECEIPT OF DOCUMENTIS! ACKNOWLEDGED 0 DOCUMENT(S) HAVE NOT BEEN RECEIVED
0TRACER ACTION: SIGNED RECEIPT FOR MATERIAL DESCRIBED ABOVE HAS NOT BEEN RECEIVED.
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