04 -A RDP -8R ved Por~Release 2000108108.: CIA -0078 001'600,1- 003-;-9--. pprp CLASSIFIED DOCUMENT ACCOUNTABILITY RECORD DATE F-r -t. For ut* of this form, a** AR 380-S, Ph* proponont agency is the Officc Aosislant Chief of Staff for Intelligenco. SECTION A - GENERAL TO: FROM: rD-ATIERECi~lViE AC-Ir:IO FTIEDS SUSPENSE DATE(S) NO. IREGISTER OR CONTROL CONTROL. LOG CLASSifi- NUMBER OF DESCRIPTION tType. File Ref. Unchissifted Subjert DATE OF ORIGINATOR OR FILE NO, CATION COPIES or Shoi,t Tille and Nurnbe, of lndursenrvntsllyicis~ DOCUMENT CL-005-83 S.NOFOD I -y 1 of 2, Report CL-989/8210/08 W/1 -XHIBIT ........................................ ........... ................................. NOTHING FOLLOWS .......................... .......... SECTION 8 - ROUTING ---T-'--1-KZ-KN6-LE-GF -RECEIPT TO COPY NO. DAT E PRINTED i~ fame SIGNATURE SECTION C ~ DESTRUCTION CERTIFICATE (Check appropriate Work) PAGE OR COPY N DESTROYED TORN IN HALF AND PLACED WAS-TE CONTAINER (AR 38t) IN A CLASSIFIED 5) OFFIEFSWei.4667~ DATEPRINTED NAME OF CUSTODIANSIGNATURE OR REP DESTRUCTION RECORD PRINTED NAME OF CERTIFYING/DESIR.SIGNATURE NO. DATE OFF. PAGE OR COPY NUMBER PRINTED NAME OF WITNESSINGSIGNATURE DATE OFFICIAL SECTION 0 - REPRODUCTION AUTHORITY R ~6P,~6 T - __ Ei~~,iiPWO UCED~ Y~ zrFi6R'zE6 B SECTION E - RFCEWT/TRACER ACTION (Check appropriate Nocki [-]RLCEIPT OF DOCUMENT(S) ACKNOWLEDGED DOCUMENTISI HAVE NOT BEEN RECEIVED OTRACER ACTION SIGNED RFC-EIPT FOR MATERIAL DESCRIBED ABOVE HASS NOT BEEN RECEIVED. DATE ~4T (,RADE OR TITL~~ SIGNAT E6 NA URE COMMENTS D A FORM 3964, 1 JUI 79 EDITION OF 1 NOV 72 IS OBSOLETE. *U.&GPO1980-40-319-060 Ami Approved For Release 2000/08/08 CIA-RDP96-00788ROO1600130003-9