CIA-RDP96-00788R000700130022-8

Approved For Release 2000/08/07 : CIA-RDP96-00788R000700130022-8
#U.S. GOVERNMENT PRINTING OFFICE: 1974 -- 558 .057
CLASSIFIED DOCUMENT ACCOUNTABILITY RECORD
For use of this form, see AR 380-5; the proponent agency is the Office, Assistant Chief of Staff for Intelligence.
DATE
23 October 1981
SECTION A - GENERAL
TO:
FROM:
DATE RECEIVED
ACTION OFFICE(S)
SUSPENSE DATEIS)
REGISTER OR CONTROL NO.
CONTROL, LOG
OR FILE NO.
CLASSIFI-
CATION
NUMBER OF
COPIES
DESCRIPTION { Type. File Rep., Unclassified Subject
or Short Title and Number of Indorsements/ Incls)
DATE OF
DOCUMENT
ORIGINATOR
GF-066-81
S/NOFORN
one
Cy 2 of 2 Cys, Session SPEC-812, Two
folders, 104 pages, no date.
///nothing follows/
SEP81
IAOPS-H-S
SECTION B . ROUTING
TO
COPY NO.
DATE
PRINTED NAME
SIGNATURE
1
2
3.
4
5.
SECTION C - DESTRUCTION CERTIFICATE
( Check appropriate block;
MATERIAL DESCRIBED HEREON HAS BEEN:
DESTROYED
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 (Cherk: appropriate block)
RECEIPT OF DOCUMENTISI ACKNOWLEDGED
DOCUMENT(S) HAVE NOT BEEN RECEIVED
TRACER ACTION: SIGNED RECEIPT FOR MATERIAL DESCRIBED ABOVE HAS NOT BEEN RECEIVED
DATE
PRINTED NAME, GRADE OR TITLE
SIGNATURE
COMMENTS
Approved For Release 2000/08/07 : CIA-RDP96-00788R000700130022-8
DA FORM 3964, 1 Nov 72
REPLACES DA FORMS 1203, 1 SEP 58 1204. 1 JAN 60. 631, 1 MAR 62 AND
546. 1 OCT 63. WHICH ARE OBSOLETE.