FORM: CLASSIFIED DOCUMENT ACCOUNTABILITY RECORD

• Document Type: CREST
• Collection: STARGATE
• Document Number (FOIA) /ESDN (CREST): CIA-RDP96-00788R002000230003-3
• Release Decision: RIFPUB
• Original Classification: S
• Document Page Count: 1
• Document Creation Date: November 4, 2016
• Document Release Date: June 29, 1998
• Sequence Number: 3
• Publication Date: October 29, 1980
• Content Type: FORM

CLASSIF*,ED DOCUMENT ACCOUNTABILITY RECORD
DATE -___
29 Oct 80
For use of this form, sea AR 380-5; the proponent agency Is thw Office, Assistant Chief of Staff for InteTIIgeace.
SECTION A - GENERAL
TOt
NO, Department of the Army
FROM:
Commander, US Army Missile Command
ATTN: DAMI-ISH/MAJ John Hay
ATTN: DRSMI-YST/Charles Carter
Washington, DC 20310
Redstone Arsenal, AL 35898
DATE RECEIVED
ACTION OFFICE(S)
SUSPENSE DATE(S)
REGISTER OR CONTROL NO.
CONTROL, LOG
OR FILE NO.
CLASSIFI-
CATION
NUMBER OF
COPIES
DESCRIPTION (Type, Pilo Rol, Unclassified Subject
or Short Title and Number of Indorsements/Incls)
DATE OF
DOCUMENT
ORIGINATOR
802074
S/NOFOR
I 1
Cy 2 of 11 cys of report, subj: Remote
7 Nov 7
MICOM
ORCON
Perturbation Techniques, Project Descri
-
tion and Experimental Protocol (U) (con
sisting of the following secret pages:
front & back covers & pgs i.i, iii, 1
thru 12, 14 thru 24, 26 thru 32, 37 thr
39 and 42 thru 45)---------------------
--
802075
SEC
1
Oriel cy of secret working papers, subj:
29 Oct
O MICOM
Remote Perturbation Techniques (U)
Managerial Summary (6 pgs plus cover)--
----------
-------
-------
------------NOTHING FOLLOW'S------------
---------
------------
SECTION B - ROUTING
TO
COPY NO.
DATE
PRINTED NAME
SIGNATURE
4.
.~.
S.
SECTION C - DESTRUCTION CERTIFICATE (Check appropriate block)
MATERIAL DESCRIBED HEREON HAS BEEN:
DESTROYED TORN 1111 HALF AND PLACED IN A CLASSIFIED WASTE CONTAINER (AR 380-5)
JF'FICE SYMBOL.
DATE
PRINTED NAME OF CUSTODIAN OR REP. I
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
UMBER OP COPIES TO Sr- REPRODUCED
AUTHORIZED BY
DATE
SECTION E - RECEIPT/TRACER ACTION (Chock appropriate block) -
JRECFIPT OF DOCUMENT(S) ACKNOWLEDGED DOCUMENT(S) HAVE NOT BEEN RECEIVED
TRACER ACTION: SIGNED RECEIPT FOR MATERIAL DESCRIBED ABOVE HAS NOT BEEN RECEIVED.
SATE PRINTED NAME, GRADE OR TITLE
SIGNATURE
OMMENTS
A
- -
Approved For Feel'6aa#2OO1T/Q4F 212 C1AQ1RM "00788R002000230
R A W'. 'P
9Q
548,11 OCT 63, WHICH ARE OBSOLETE,
230003-3
- 3964, 1 44bv 72