CIA-RDP96-00788R001600080010-7

#O.S. GOVERNMENT PRINTING OFFICE: 1974 -- 558 - 057
For use of Approved For Release 2000/08/08
CLASSIFIED DOCUMENT ACCOUNTABILITY PESOS8-00788R001600080010-7
A 380-3; the proponent agency is the Office, Assistant Chief of Staff 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
01 Short Title and Number of Indorsements/Incls)
DATE OF
DOCUMENT
ORIGINATOR
CL-002-82
S/NOFORN
1
Cy 1 of 2, Report CL-946/8206/01 w/1
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)
JRECEIPT 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 2000/08/08 : CIA-RDP96-00788R001600080010-7
5 Nov 82