CONTROL AND COVER SHEET FOR TOP SECRET DOCUMENT

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP79B00972A000100190034-4
• Release Decision: RIPPUB
• Original Classification: T
• Document Page Count: 1
• Document Creation Date: December 9, 2016
• Document Release Date: September 24, 1998
• Sequence Number: 34
• Publication Date: May 23, 1963
• Content Type: FORM

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CONTROL AND COVER SHEET FOR TOP SECRET DOCUMENT
DOCUMENT DESCRIPTIor
REGISTRY
SOURCE'.
CIA CONTROL NO.
Defense
DDI 2638-63TS
TS # 174679
?OC. Nb.
DATE DOCUMENT RECEIVED
`DOC. DATE
COPY NO. Thermo No. 10
LOGGED BY
NUMBER OF PAGES one
NUMBER OP ATTACHMENTS
none
';A?TENTION: This form will be placid on top of and attached to each Top Secret document receTveT-b1j th2 `CenfraT"Tntelligenee Agency
of -classified To?i Secret` within the CIA and will remain attached to the document until such time as it is downgraded, destroyed, or
trgns-h tt'ed`outslde-of CIA. Access to Top Secret matter is limited to Top Secret Control personnel and those individuals whose official
duties reiate'to-the matter. Top Secret Control Officers who receive and/or release the attached Top Secret material will sign this form
indicate pertod of custody in the left-hand columns provided. Each individual who sees the Top Secret document will sign and
-ZYrd
3tz~tcate''the-date of handling in the right-hand columns.
i3,,17R'~D TO
CIb' _
RELEASED
SEEN BY
-0ATE
TIME
DATE
TIME
SIGNATURES
OFFICE/DIV.
DATE
77
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.
7SlQTIL`E 0F D1 TAC~Hh?E7PT' Teri ibis Th s tttt~hed from lop Secret mater' Il., icompleted in the appropriate spaces b,-?,,w
frd t?smitte-d-taCentral Top Secret Control for record.
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rt)--ffNESED 'BY'Signat
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ICE x x
DATE
iSFFYCE DATE
OFFICE
DATE.
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