CIA-RDP96-00788R001600150004-6

Approved For Release 2000/08/08 : CIA-RDP96-00788R001600150004-6
RUS GOVERNMENT PRINTING OFFICE: 1974 -558 - 057
CLASSIFIED DOCUMENT ACCOUNTABILITY RECORD
For use of this form, som AR 380-5; the proponent agency is the Office, Assistant Chief of Staff for Intelligence.
DATE
16 FEB 82
SECTION A - GENERAL
TO:
FROM:
DATE RECEIVED
ACTION OFFICEISI
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/ Inels)
DATE OF
DOCUMENT
ORIGINATOR
CL -- 11-83
S/NOFORN
1
1 cy of 1 cy, Report CL-994/8210/01.
NOTHING FOLLOWS.
1
SECTION B - ROUTING
TO
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1.
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5.
SECTION C - DESTRUCTION CERTIFICATE (Check appropriate hinck)
MATERIAL DESCRIBED HEREON HAS BEEN:
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TORN IN HALF AND PLACED IN A CLASSIFIED WASTE CONTAINER (AR 380-5)
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SIGNATURE
DESTRUCTION RECORD NO.
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RECEIPT OF DOCUMENT(S) ACKNOWLEDGED
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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 60 831, 1 MAR 62 AND
546 ! OCT 64, WHICH ARE OBSOLETE
Approved For Release 2000/08/08 : CIA-RDP96-00788R001600150004-6