CLASSIFIED DOCUMENT ACCOUNTABILITY RECORD

Document Type: 
Collection: 
Document Number (FOIA) /ESDN (CREST): 
CIA-RDP96-00788R001600310003-9
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: 
Publication Date: 
March 30, 1983
Content Type: 
FORM
File: 
AttachmentSize
PDF icon CIA-RDP96-00788R001600310003-9.pdf98.47 KB
Body: 
~,a Apps ~ ('%1~~'~~- ~ 007~8R00 DATE 3_ I~~~~~~ Fn ulsr o6 ihis Inrm, srr AR ~80~3; thr proponrnt ay?ncy ie thr ONicr, A~sbinnt hir 01 5f for Infolloganw. SECTION A - OENERAI __....__.__-__..___.__._ ~._~..___~~_ TO: T ____~ FROM: f~iSA ~ _ ~ ^ ~ _ DATE h"'ECEIVED ACTION QFFICE(5~ SUSPENSE DATE~SI REGISTER OR CONTROL Nq. _._ -.~._~ I ___~_,_ .~~__1___,__~_,___ _ ~.r CONTROL, LOG CIASSIFI? NUMBER OF DESCRIPTION (Type File Ref. Clnrlnssified Subjrrf DATE OF ORIGINATOR OR FILE. NO. CATION COPIES or Shorn Ti!!e avtd h[unabrr of lndorsernrn(s/!ncla) DOCUMENT CL-020->33 S/NOFOR 1 Cy 1 of 1 ey, Report CL-1001/Q303/Ol .. ........ ........... NOThIING FOLLOWS...... ...... >......... ......... ...... .... ................ SECTION B -ROUTING -- "~`~-"'~"`"` '~~~~ "-~' I ACKNOWLEDGE RECEIPT OF TFI ~MATER~I~~U ES RIBED H~E~iE~S- TO COPY NO DATE F'RINTEU NAM[ SIGNATURE -_.._-~..r--. _~,____. 9. .~_ ____._-__ .-___._-__._._ _--..____------_.._.____.-- ---.__ _ ____.-___~ s~~---- _~~__..._.___,__._,__.e 2. ~~___..__.. __.,.._-___~ ___-.__.__,_.__._..._._-_...---.._.__-_.__. _.~___. __-___ _~.___ .~__~ _____.__-_-~._.__?_____q~-_ 3. __~ ~.__-___ -------. ~_.._.~---._ _------_ ______ ._ ~-~.~ __ _ ____~______ ~l. S. .~~w.._...m,._.~~.,~. .~.,.~..,. 5ECTION C - DESTRUCTION CERTIFICATE ([.'heck appropriate bfocit) CF21gED HEREON HAS BEEN. PA!.vE OR CDPY NO MATERIAL D E 5 ~ ? -y [.._! DESTROYED ?TORN IN HALF AND PLACED IN A CLASSIFIED WASTE CONTAINER (AR 3801-0) OFFICE SYMBOL DATE PRINTED NAME OF CUSTODIAN OR REF' SIGNATURE DESTRUCTION RtvCORD NO. DATE PRINTED NAME OF CERTIFYING/DESTR. OFF. 'SIGNATURE PAGE OR COPYNUMBE~R DATE PRlNTEGNAME OF WITNESSING OFFICIAL SIGNATURE ~~.m.,~. _.__... _ ~~~?~~~~ ........~,..~.,~.-...,~ ,.~,.,.....~.~. ~~.?hSECTiON D"REPRODUCTION AUTItORTTY _ -._ ~., . - ___-~.__-_._.___r-._~__.__.._..N_._.s _.___-_ .. ___. NUMBER OF COPIES T.7 BE FYEPRODUCED AUTHORIZED BY DATE ~ appruprintc h(unk) SECTION E -RECEIPT/TRACER ACTION (Chec?k RECEIPT OF DOCUMENT(SI ACi(NOWLEDGED ca DOCUMENT(SI HAVE NOT BEEN RECEIVED ~[---11 L_..ITRACF.R ACTION: SIGNED RECEIPT FOR MATERIAL DESCRIBED ABOVE HAS NOT BEEN RECEIVED. __~__~-. .._,..~____~__...r. ..,~-__ __._ __.. ~.._ ~_ _--~_~ ._ ._ __ _ _.. __ _-., _, DATE PRINTED NAME, GRADE OR TITLE SIGNATURE COMMENTS D A FCa~iFA , 1 Jvf 7S ~,- ~:~. ~p~r~ued==Fa'r:~~~fease_ 2Q~Oi7Ci~87a~ :'~~