CIA STARGATE release
CIA-RDP96-00788R001900320003-5
Opens with: CLASSIFIED DOCUMENT ACCOUNTABILITY RECORD
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.
Approved For Release 2000/08/08 : CIA-RDP96-00788R001900320003-5 CLASSIFIED DOCUMENT ACCOUNTABILITY RECORD For use of this form, soo AR 360-5; the proponent agency is the Office, Assistant Chief of Staff for Intelligence. DATE TO: NSA SECTION A - GENERAL FROM: DATE RECEIVED ACTION OFFICEIS! SUSPENSE DATE(S) REGISTER OR CONTROL NQ 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-056-83 S/NOFORN 1 Cy 1 of 1 cy, Report HU-1031/8309/01 .. NOTHING FOLLOWS. SECTION B - ROUTING ! ACKNOWLEDGE 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 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COMMENTS Approved For Release 2000/08/08 : CIA-RDP96-00788R001900320003-5 DA FORM 3964, 1 Jul 79 EDITION OF 1 NOV 72 IS OBSOLETE. # U.S.GPO:1980-0-319-050