CIA STARGATE release
CIA-RDP96-00788R001900150002-5
Opens with: For :'te of this for , tes AR 380-5; the proponent ogancy 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.
ApprovedForideade7000/98/0MBRIA-ROB96-00788R001900150002-5 For :'te of this for , tes AR 380-5; the proponent ogancy is the Office, Assistant Chief of Staff for Intelligence. SECTION A - GENERAL TO: FROM: ACSI DATE RECEIVED ACTION OFFICI (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-026-83 S/NOFORN 1 Cy 1 of 1 cy, Report CL-1007/8305/01 .. .NOTHING FOLLOWS SECTION B - ROUTING I ACKNOWLEDGE RECEIPT OF THE MATERIAL DESCRIBED HEREON TO COPY NO. DATE PRINTED NAME SIGNATURE 2. 3. 4. 5. SECTION C - DESTRUCTION CERTIFICATE (Check appropriate block) MATERIAL DESCRIBED HEREON HAS BEEN: PAGE OR COPY NO JDESTROYED 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 - RECEIST/TRACER ACTION (Check appropriate block) PACEIPT OF DOCUMENTIS) ACKNOWLEDGED DOCUMENT(S) HAVE NOT BEEN RECEIVED TRACI . ACTION: SIGNED RECEIPT FOR MATERIAL DESCRIBED ABOVE HAS NOT BEEN RECEIVED. DATE PRINTED NAME. GRADE OR TITLE SIGNATURE DA FORM : 464, 1 Jul 79 EDITIL N OF 1 NOV 72 IS OBSOLETE. Approved For Release 2000/08/08 : CIA-RDP96-00788R001900150002-505 COMMEI'TS MAY 3 19 93