CIA STARGATE release
CIA-RDP96-00788R000700320010-0
Opens with: CLASSIFIED DOCUMENT ACCOUNTABILITY RECORD
Warning: text for all documents has not been verified. Errors are possible. Check the original by document ID on CREST.
1 page, machine transcribed from the CIA’s released scan.
U.S. GOVERNMENT PRINTING OFFICE: 1974 -558 - 037 CLASSIFIED DOCUMENT ACCOUNTABILITY RECORD DATE Approved For Release 2000/08/07 : CIA-RDP96-00788R0007003200101 Nov 82 For use of this form, see AR 380-5; the proponent agency is the Office, Assistant Chief of Sfatt for Intelligence. SECTION A - GENERAL TO: CIA FROM: 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 or Short Title and Number of Indorsements/ Incls) DATE OF DOCUMENT ORIGINATOR CL-001-82 S/NOFORN 1 Cy 1 of 2, Report CL-957/8204/01W/1 E. 5 Nov82 Exhibit. .NOTHING FOLLOWS ? 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 (Check appropriate block) RECEIPT OF DOCUMENT(S) 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 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. Approved For Release 2000/08/07 : CIA-RDP96-00788R000700320010-0 .