CIA STARGATE release
CIA-RDP96-00788R001600220003-9
Opens with: CLASSIFIED DOCUMENT ACCOUNTABILITY RECORD
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1 page, machine transcribed from the CIA’s released scan.
Approved For Release 2000/08/08 : CIA-RDP96-00788R001600220003-9 411.S. GOVERNMENT PRINTING OFFICE: 1974 --- 558 . 057 CLASSIFIED DOCUMENT ACCOUNTABILITY RECORD For use of this form, see AR 380-5; the proponent agency is the Office, Assistant Chief of Staff for Intelligence. DATE 15 FEB. 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. Fde Ref .. Unelasstfied Subject or Short Tille and Number of Endorsements/ Inclsy DATE OF DOCUMENT ORIGINATOR CL-010-83 S/NOFORN 1 Cy 1 of 1 cy, Report CL-990/8211/08. 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 (Chek 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 Approved For Release 2000/08/08 : CIA-RDP96-00788R001600220003-9 DA FORM 3964, 1 Nov 72 REPLACES DA FORMS 1203. 1 SEP 58: 1204, 1 JAN 60: 631, 1 MAR 62 AND 545. 1 OCI 63, WHICH ARE OBSOLETE. 1