DOCUMENT RECEIPT

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP71T00730R000600100115-9
• Release Decision: RIFPUB
• Original Classification: K
• Document Page Count: 2
• Document Creation Date: December 12, 2016
• Document Release Date: August 10, 2000
• Sequence Number: 115
• Publication Date: May 11, 1966
• Content Type: FORM

CENTRAL INTELLIGENCE AGENCY NOTICE TO RECIPIENT COURIER NO. DATE SENT
DOCU Rfele s ' MAftle9 PO DPV*Tr@09190800060 115-9
SENDER OF DOCUMENT(S) ROOM BLDG.
DATE DOCUMENT(S) SENT
ORRI: t/P/E
4F41
Q.
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May 1966
DESCRIPTION OF
DOCUMENT(S) SEN
T
CIA NO.
DOCUMENT DATE
COPIES
DOCUMENT TITLE
ATTACHMENTS
CLASS
3 397 11 may 6 0 & I memo 7 cys of s tized S
version of EIC 114-
520 (3)
f6-#9, #39441
RECIPIENT
ADDRESS OF RECIPIENT
SIGNATURE (ACKNOWLEDGING RECEIPT OF ABOVE DOCUMENT(S))
Department of State
A
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2001/08/09 CIA
OFTiCE n
DP7'10
O RECEIPT - -
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12861 615 USE PREVIOUS EDITIONS
 TO: CIA R & r ed 'r Release 2001/08/09: CIA-RDP71TOU30R000600100115-9
Place signed receipt in outgoing messenger box for return to sender of document
through agency messenger service.
TO: NON-CIA RECIPIENT
Place signed receipt in envelope and transmit to:
P
CENTRAL INTELLIGENCE AGENCY
2430 E STREET NW.
WASHINGTON 25, D.C. Stop 64
L Approved For Release 2001/08/09 : CIA-RDP71TOOT30R000600100115-9
8 GPO: 1962 0