CLASSIFIED DOCUMENT ACCOUNTABILITY RECORD

• Document Type: CREST
• Collection: STARGATE
• Document Number (FOIA) /ESDN (CREST): CIA-RDP96-00788R001600240002-8
• Release Decision: RIFPUB
• Original Classification: K
• Document Page Count: 1
• Document Creation Date: November 4, 2016
• Document Release Date: May 10, 2000
• Sequence Number: 2
• Publication Date: March 11, 1983
• Content Type: FORM

CLASSIFIED DOCUMENT ACCOUNTABILITY RE-CORD
For use of this form, so* At 9345; the proponent agency is the Office, Assistant Chief of Staff for Intelligence,
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CONTROL. LOG
OR FILE NO.
CLASSIFI-
CATION
NUMBER OF
COPIES
DESCRIPTION (Type. File Ref. Unclassified Subject
or Short Title and Number of ln(lorsenu'fts/lncls)
DATE OF
DOCUMENT
FL-O16--83 S/NOFOR 1 Cy 1 of C R t C
I ACKNOWLEDGE )7 EC EIPT OF TH MA7.EA1 L, pEg r H
PRINTED NAME OF CERTIFYING/D ESTR. OF
SECON
D REPROD
UCTION AUTHORITY
NUMBER OF COPIES TO BE REPRODUCED AUTHOR ZED B
SECTION E - RECEIPT/TRACER ACTION (Check appropriate block)
RECEIPT OF DOCUMENT(S) ACKNOWLEDGED
M TRACER HAVE NOT BEEN RECEIVED
0TRACER ACTION: SIGNED RECEIPT FOR MATERIAL DESCRIBED ABOVE HAS NOT BEEN RECEIVED.
SIGNATURE
0002-8