CIA-RDP96-00788R001300020002-5

DATC
CLASSIFIED DOCUMENT ACCOUNTABILITY RECORD
For uso of this foxpistAled' For Release 2001/04/02 : CIA-RDP96-00788R001300020002-5
SECTION A - GENERAL
TO:
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, Filo Ref., Unclassified[ Subject
or Short Title and Number of Indorsements/ Inels)
DATE OF
DOCUMENT
ORIGINATOR
SAVE-157-78 S
S
1
Cy of Bklt, SUBJ: Controlled off-
ensive Behavior-USSR (U) dtd :
Jul 72,Wcy #218/////
Nothing Follows
Jul72
DIA
SECTION B - ROUTING
T.O
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, I JAN 60: 631, 1 MAR 62 AND
546, 1 OCT 63, WHICH ARE OPSOLETE.
Approved For Release 2001/04/02 : CIA-RDP96-00788R001300020002-5