CIA STARGATE release
CIA-RDP96-00788R001600200003-1
Opens with: histori, see All 380-5; the proponent agency in the Office, Assistant Chief of
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Approved For Release- CLASSIFIED DO.CLU65/05/06CCIALKAB96160158R851600200003-1 DATE histori, see All 380-5; the proponent agency in the Office, Assistant Chief of Staff for Intelligence SECTION A - GENERAL TO: FROM: DATE RECEIVED ACTION OFFICEIS) SUSPENSE DATEIS) 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 Endorsements/Incls) DATE OF DOCUMENT ORIGINATOR CL-006-83 S/NOFORM 1 1 cys of 2, Report CL-984/8211/01, W/] EXHIBIT .NOTHING FOLLOWS SECTION B - ROUTING IACKNOWLEDGE RECEIPT OF THE MATERIAL DESCRIBED HEREON TO COPY NO. DATE PRINTED NAME SIGNATURE 1. 2. 3. 4. 5. SECTION C - DESTRUCTION CERTIFICATE ( Check appropriate block) MATERIAL DESCRIBED HEREON HAS BEEN: PAGE OR COPY NO 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 DOCUMENTIS) 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 DATE PRINTED NAME, GRADE OR TITLE SIGNATURE COMMENTS DA FORM 3964, 1 Jul 79 EDITION OF 1 NOV 72 IS OBSOLETE. ₼ U.S.GPO:1980-0-319-059 Approved For Release 2000/08/08 : CIA-RDP96-00788R001600200003-1 For use of