CIA STARGATE release
CIA-RDP96-00788R002000160002-2
Opens with: For use of this form, see AR 380-5; the proponent 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.
> U. S. GOVERNMENT PRINTING OFFICE: 1973-490-574 For use of this form, see AR 380-5; the proponent agency is the Office, Assistant Chief of Staff for Intelligence. SECTION A - GENERAL 5 Sep 78 TO: CDR, 902d MI Gp ATTN: IAGRA-F-OPO Ft Meade, MD 20755 FROM: CDR, INSCOM AHS Arlington, VA 22212 DATE RECEIVED ACTION OFFICE(S) SUSPENSE DATE(S) 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. SAVE-759 78 S 1 Letter dtd 25 Aug 78, Sj: Gondola Wish Assessment Report (U)/ Aug 78 TAGPA-F-OPO 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 WITNES SING 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-RDP96-00788R002000160002-2 DA FORM 3964, 1 Nov 72 REPLACES DA FORMS 1203, 1 SEP 58: 1204, 1 JAN 60: 631, 1 MAR 62 AND 546, 1 OCT 63, WHICH ARE OBSOLETE. -