GENERAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP83-00423R001500620004-3
• Release Decision: RIPPUB
• Original Classification: U
• Document Page Count: 1
• Document Creation Date: November 9, 2016
• Document Release Date: May 5, 1999
• Sequence Number: 4
• Publication Date: July 29, 1954
• Content Type: FORM

(`submit to HQ-OO/C in triplicate with process sheet attacheup
DI ST: ORI G- GRAPHICS; DUPL- CASE FILE; TRI PL- SOURCE FILE; QUAD- FO RECORD GIFT LO MI
t 1ptbergen) 25X1 A
NUMBER OF ITEMS AND CATEGORY (Still photographs, negatives, or slides)
DATE OF EXPOSURE I =
CHECK CLASSIFICATION OF PHOTOGRAPHS WHEN SEPARATED FROM THIS FORM. (The classification need not be the same.)
PRES'ENTAT I ON FOR
TR I CTED
IS SOURCE APT TO MAKE ADDITIONAL PHOTOGRAPHIC MATERIAL AVAILABLE? LJ Yes
25X1A2g
= CIA OFFICIALS ONLY
Yes
MAY SOURCE'S NAME BE REVEALED TO GRAPHICS REGISTER, OCD, IF REQUIRED? A%"
16 ' B ion ictur'+
UNCLASSIFIED
25X1X6
No 25X1X6
TRA F LM EXPL Y EXP SS UNDER srGCi nr ( ...[ Z' Avva.n a a ' V '
FORM
FEB 1953 57_27 PREVIOUS EDITIONS NOT TO BE USED.