Q
  Q
  T"
  Iq
  R I rvkNA-T                 DATED      CLASSIFICATION              
  0 R                                    CONTROL              
                                         NUMBER              
                                                             

  ATE RECEIVED          SPENSE           REGISTERED              
  IN DIA                DATE             NUMBER              
                                         FILE                
                                         DESIGNATION              
                                                             

  ESCRIPTION                                                 
  OF MATERIAL                                                
                                                             

  OFFICE COPY   DATE/TIMESIGNATURE        OFFICE      COPY DATE/TIMESIGNATURE
                                                             

                                      4                      
                                                             

                                      5                      
                                                             

                                                             
                                                             

  (D                                                         
  DESTRUCTION                                                
  CERTIFICATE                                                
  (Check appropriate                                             
  box)                                                       
                                                             

  THE MATERIAL                                               
  LISTED HEREON                                              
  HAS BEEN F7                                                
  DESTROYED                                                  
  F-1 TORN AND                                               
  PLACED IN                                                  
  BAG NO.                                                    
  ZAND COMMITTED                                             
  TO THE AUTHORIZED                                             
  DESTRUCTION                                                
  FACILITY (DIAR                                             
  50-2)                                                      
                                                             

  OGNATURE CERTIFYING        OFFICE        SIGNATURE                    
  OFFICIAL              SYMBOL        WITNESSING                    
  L.                                  OFFICIAL                    
  0                                   OFFICE                    
                                      SYMBOL                    
                                                             

  LL                    DATE          DATE                    
  V                                                          
                                      DtFORM13(1-68)                    
                                                             

  



 DIA ROUTING& CONTROL RECORD
  2u- S. GOVERNMENT PRINTING OFFICE: 1975-629-784/1139 3-1
  CL
  (Previous Edition is Obsolete) GPO 899-614 DIAR 50-2
  Q
  CD
  Q
  Q
  cq
  T-
  Q
  00
  co
  cq
  Q
  It
  Q
  T"
  Q
  Q
  N
  (D
  U)
  co
  (D
  0
  LL
  0-
  CL
  CL