CIA STARGATE release
CIA-RDP96-00788R001600380003-2
Opens with: For use of this form, see AR 380-5; the proponant 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.
For use of this form, see AR 380-5; the proponant agency is the Office, Assistant Chief of Staff for Intelligence SECTION A - GENERAL TO: NSA FROM: DATE RECEIVED ACTION OFFICE(S) 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 Indorsements/Incls) DATE OF DOCUMENT ORIGINATOR CL-051-83 S/NOFORN 1 Cy of 1 cy, Report HU-1028/8307/01 N . . . . . NOTHING FOLLOWS. SECTION 8 - ROUTING I ACKNOWLEDGE RECEIPT OF THE MATERIAL DESCRIBED HEREON TO COPY NO. DATE PRINTED NAME SIGNATURE 1. 2. 3. 4 5. 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) C RECEIPT OF DOCUMENT(S) ACKNOWLEDGED DOCUMENTIS) 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 DATE PRINTED NAME, GRADE OR TITLE SIGNATURE COMMENTS DA FORM 3964, 1 Jul 79 EDITION OF 1 NOV 72 IS OBSOLETE. Approved For Release 2000/08/08 : CIA-RDP96-00788R001600380003-2 -059 SECTION C . DESTRUCTION CERTIFICATE (Check appropriate block)