CLASSIFIED DOCUMENT ACCOUNTABILITY RECORD

• Document Type: CREST
• Collection: STARGATE
• Document Number (FOIA) /ESDN (CREST): CIA-RDP96-00788R002000010008-2
• Release Decision: RIFPUB
• Original Classification: K
• Document Page Count: 1
• Document Creation Date: November 4, 2016
• Document Release Date: July 1, 1998
• Sequence Number: 8
• Publication Date: November 21, 1978
• Content Type: FORM

Approve RW%11"2ftW&WQUNPAI MR
-
For use of1his form, see AR 380-5; the proponent agency is the Office, Assistant Chief of Staff for Intelligence.
21 N O V 7 $
,w SECTION A - GENERAL
TO:
FROM:
HQDA (DAMI--ISH)
WASH DC 20310
DATE RECEIVED
ACTION OFFICE(S)
SUSPENSE DATE(S)
REGISTER OR CONTROL NO.
CONTROL, LOG
OR FILE NO.
CLASSIFI-
CATION
NUMBER OF
COPIES
DESCRIPTION (Type, File Ref., Unclassified Subject
DATE OF
or Short Title and Number of Indorsements/Incls)
DOCUMENT
ORIGINATOR
/ORCO
2
Memo for USofA, subject: USofA
20Nov7
DAMI-ISH
GRILL FLAME Request (U) w/TABS
A and B.
==========NOTHING FOLLOWS=======
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SECTION B- ROUTING
TO
COPY NO.
DATE
PRINTED NAME
SIGNATURE
C S A
2/V7/
W. M, /I/OL ,9 //
2.
USofA
3.
4.
5.
SECTION C - DESTRUCTION CERTIFICATE (Check appropriate block)
MATERIAL DESCRIBED HEREON HAS BEEN:
7
^ DESTROYED 0 TORN IN HALF AND PLACED IN A CLASSIFIED WASTE CONTAINER (AR 380-5)
OFFICE SYMBOL DATE PRINTED NAME OF CUSTODIAN OR REP SIGNATURE
DESTRUCTION RECORD NO.
DATE
PRINTED NAME OF CERTIFYING/DESTR. OFF.
SIGNATURE
PAGE OR COPY NUMBER
DATE
PRINTED NAME OF WITNESSING OFFICIAL
SIGNATURE
SECTION D - REPRODUCTION AUTHORITY
NUMBER OF COPIES TO BE REPRODUCED
AUTHORIZED BY
DATE
SECTION E - RECEIPT/TRACER ACTION (Check appropriate block)
F-JRECEIPTOF DOCUMENT(S) ACKNOWLEDGED 0 DOCUMENT(S) HAVE NOT BEEN RECEIVED
EITRACER ACTION: SIGNED RECEIPT FOR MATERIAL DESCRIBED ABOVE HAS NOT BEEN RECEIVED.
DATE
PRINTED NAME, GRADE OR TITLE
SIGNATURE
COMMXTS
pproved For Release 2001/03/07 : CIA-RDP96-00788R002000010008-2
' U.S. GOVERNMENT PRINTING OFFICE: 1974 -558 - 057