I mod Sep Rmisaw rmomv-MUM Uuub
il U.S. GOVERNM ENT PRINTING OFFICE; 1974 -558 - 057
CLASSIFIED                                              -5ATE  
DOCUMENT                                                17 June
ACCOUNTABILITY                                              1980   
RECORD                                                         
1                                                              
                                                               

Fo, use                                                        
of this                                                        
form,                                                          
see AR                                                         
380.5;                                                         
the proponent                                                     
agency                                                         
is the                                                         
Office,                                                        
Assistant                                                      
Chief                                                          
of Staff                                                       
for Intelligence.                                                     
                                                               

SECTION                                                        
A - GENERAL                                                     
                                                               

TO: COMMader                          FROM: US ArMy              
                                    Material Systwe            
                                    Analysis Act,              
                                                               

INSCON                              ATTRi DRXSY-PS             
                                                               

ATTU, urtf-ws-Hc                          Abor4ean Proving            
(LTC H.B.                           Orouud,, ND                
watt)                               21005                      
                                                               

t4, &ads,                                                      
XD 20755                                                       
                                                               

bATE14ECEIVED       ACTION             SUSPENSE DATE(S)     REGISTER
                 OFFICE($)                                OR     
                                                        CONTROL
                                                        NO.    
                                                               

8 Ifay           1                  1 1                        
1980                                                           
                                                               

Cf)NTROL, CLASSIFI-NUMBER DESCRIPTION                          DATE   
LOG              OF     (Type,                          OF     ORIGINATOR
                        File                                   
                        Ref.,                                  
                        Unclassified                                 
                        Subject                                 
                                                               

OR FILE   CATION COPIES ar                              DOCUMENT-
NO.       -      -      Short                                  
          -             Title                                  
                        and                                    
                        Number                                 
                        of                                     
                        hidorseinewsllncls)                                 
                        -                                      
                        -                                      
                        -                                      
                                                               

kMSAA-WQ- -      I      Tn                              ~Jay   MISAA
          S             terizi                          80     MD.
                        Wo                                     
                        te                                     
                        No.                                    
                        C-91,                                  
                        Title:                                 
                        GRLLL                                  
                                                               

1.9so 6-31sA            FLAM                                   
                        Special                                 
                        9ftdy                                  
                        No.                                    
                                                               

C~r 3                                                          
                                                               

                                                               
                                                               

                                                               
                                                               ON:
                                                               T
                                                               7
                                                               

                                                               98
                                                               

SECTION                                                        
8 - ROUTING                                                     
                                                               

TO COPY                                                        
NO~ DATE                                                       
PRINTED                                                        
NAME SIGNATURE                                                     
                                                               

                                                               
                                                               

2.                                                             
                                                               

3.                                                             
                                                               

4.                                                             
                                                               

5.                                                             
                                                               

SECTION                                                        
C - DESTRUCTION                                                     
CERTIFICATE                                                     
(Check                                                         
appropriate                                                     
block)                                                         
                                                               

MATERIAL                                                       
DESCRIBED                                                      
HEREON                                                         
HAS BEEN:                                                      
                                                               

0 DESTROYED                                                     
MTORN                                                          
IN HALF                                                        
AND PLACED                                                     
IN A CLASSIFIED                                                     
WASTE                                                          
CONTAINER                                                      
(AR.380-5)                                                     
                                                               

~OFFICESYMBOL       DATE   PRINTED                     SIGNATURE       
,                       NAME                                   
                        OF                                     
                        CUSTODIAN                                 
                        O~                                     
                        REP                                    
                                                               

DESTRUCTION       DATE   PRINTED                     SIGNATURE       
RECORD                  NAME                                   
NO.                     OF                                     
                        CERTIFYING/DESTR.                                 
                        OFF.                                   
                                                               

PAGE OR          DATE   PRINTED                     SIGNATURE       
COPY NUMBER              NAME                                   
                        OF                                     
                        WITNESSING                                 
                        OFFICIAL                                 
                                                               

SECTION                                                        
D - REPRODUCTION                                                     
AUTHORITY                                                      
                                                               

NUIV.BER                AUTHORIZED                     DATE        
OF COPIES               BY                                     
TO BE                                                          
REPRO                                                          
77                                                             
                                                               

SECTION                                                        
E - RECEIPT/TRACER                                                     
ACTION                                                         
(Check                                                         
appropriate                                                     
b[ock)                                                         
                                                               

RECEIPT                                                        
OF DOCUMENT(S)                                                     
ACKNOWLEDGED                                                     
. r7 OOCUMENT(S)                                                     
HAVE NOT                                                       
BEEN RECEIVED                                                     
                                                               

TRACER                                                         
ACTION:                                                        
SIGNED                                                         
RECEIPT                                                        
FOR MATERIAL                                                     
DESCRIBED                                                      
AE30VE                                                         
HAS NOT                                                        
BEEN RECEIVED.                                                     
                                                               

DATE             PRINTED                                       
                 NAME,                                         
                 GRADE                                         
                 OR                                            
                 TITLE                                         
                                                               



COMMENTS
                        DA FORM 3964, 1 Nov 72 REPLACES DA FORMS I Z03. I SEP 5a: 1204, 1 JAN 60: 6al. I MAR 62 AND
11 .3. IIHIC14 ARE CSSOLETE.
Approved For W611ease 2000/08/07 : CIA-RDP96-00788RO01 100080012-0