CIA STARGATE release
CIA-RDP96-00788R001300070004-8
Opens with: For use of this form, see AR 380-5; the proponent agency is the Office,
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 - 057 Apprese diFODRelease/2000/0STABILITY |AF ROPP96-00788R00130007000 For use of this form, see AR 380-5; the proponent agency is the Office, Assistant Chief of Staff for Intelligence. SECTION A - GENERAL TO: FROM: DAMI-ISH WASH DC 20310 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 SWNINTEL 1. SRI 9-4107, Proposed GRILL FLAME Protocol (U), cy #9 =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 69179 PRI 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. SG11 Approved For Release 2000/08/07 : CIA-RDP96-00788R001300070004-8 SG11 DATE RECEIVED ACTION OFFICE(S) 23Mar79 SRI