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CLASSIFIED                                                     
DOCUMENT                                                      
ACCOUNTABILITY                                                     
RECORD                                                        
                                                              

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of this                                                       
form.                                                         
see At                                                        
SMS;                                                          
th* proponent                                                     
agency                                                        
is the                                                        
Office,                                                       
Assistant                                                     
Chief                                                         
of Staff                                                      
for Intelligence.                                                     
                                                              

SECTION                                                       
A---GENERAL                                                     
                                                              

TO:                                 FROM:                     
____                                                          
                                                              

DATE RECEIVED       ACTION              SUSPENSE DATE(S    REGISTER
                QFFICE(S)             I                  OR     
                A-_                                    CONTROL
                                                       NQ.    
                                                              

CONTROL. CLASSIFI-NUMBER DESCRIPTION                     DATE   
LOG             OF     iType. File                     OF     
                       Ref. Unclossified.Subject                          
                                                              

OR FILE  CATION COPIES o r Shod Title                   DOCUMENTORIGINATOR
NO,                    and Number                             
                       of Indorsemenislinchs)                          
                                                              

CL-015-83                                                     
S/NOFOR                                                       
I C                                                           
I of I                                                        
c                                                             
Re                                                            
ort CL-996/8210/08                                                     
                                                              

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.................                                                     
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60*00#                                                        
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NOTHING                                                       
FOLLOWS                                                       
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I...........                                                     
                                                              

SECTION                                                       
8 - ROUTING                                                     
                                                              

I ACKNOWLEDGE                                                     
RF-CE17T                                                      
_0FTHff_M_AT_ERIX_L                                                     
_D0'_S~RtBED__H_EWE_Z7r                                                     
                                                              

TO COPY                                                       
NO. DATE                                                      
PRINTED                                                       
NAME                                                          
SIGNATURE                                                     
                                                              

2.                                                            
                                                              

3.                                                            
                                                              

4.                                                            
                                                              

5.                                                            
                                                              

SECTION                                                       
C - DESTRUCTION                                                     
CERTIFICATE                                                     
(Check                                                        
appropriate                                                     
block)                                                        
                                                              

MATERIAL                                                      
DESCfRIBED                                                     
HEREON                                                        
H EEN:                                                        
PAGE                                                          
OR COPY                                                       
NO                                                            
                                                              

[3 DESTROYED                                                     
ED TORN                                                       
IN HALF                                                       
AND PLACED                                                     
IN A                                                          
CLASSIFIED                                                     
WASTE                                                         
CONTAINER                                                     
(AR 380-5)1                                                     
                                                              

OFFICE                                                        
SYMBOL                                                        
DATE                                                          
PRINTED                                                       
NAME                                                          
OF CUSTODIAN                                                     
OR REP                                                        
SIGNATURE                                                     
                                                              

DESTRUCTION                                                     
RECORD                                                        
NO. DATE                                                      
PRINTED                                                       
NAME                                                          
OF CLRTIFYING/DESTR.                                                     
OFF.                                                          
_'__~_,_GNATURE                                                     
                                                              

PAGE OR                                                       
COPY                                                          
NUMBER                                                        
DATE                                                          
_7_R_1NTiE_D_P~A_r~_E_0F                                                     
WITNESSING                                                     
OFFICIAL                                                      
SIGNATURE                                                     
                                                              

SECTION                                                       
D ~ REPRODUCTION                                                     
AUTHORITY                                                     
                                                              

NUMBER                                                        
OF COPIES                                                     
TOEIF                                                         
REPRODUCED                                                     
-r-'RIZEDDY                                                     
DATE                                                          
                                                              

SECTION                                                       
E - WECEIPT/TRACER                                                     
ACTION                                                        
(Check                                                        
appropriate                                                     
block)                                                        
                                                              

[:]RECEIPT                                                     
OF DOCUMENT(S)                                                     
ACKN                                                          
LEDGED                                                        
DOCUMENT(S)                                                     
HAVCNOT                                                       
13EEN                                                         
RECEIVED                                                      
                                                              

E3TRACFR                                                      
ACTION:                                                       
SIGNED                                                        
RECEIPT                                                       
FOR MATERIAL                                                     
DESCRIBED                                                     
ABOVE.                                                        
HAS Nor                                                       
BEEN                                                          
RECEIVED.                                                     
                                                              

DATE PRINT                                                     
D NAME.                                                       
GRADE                                                         
OR TITLE                                                      
TURE                                                          
=                                                             
                                                              

m-eei6eees--&-                                                     
COMMENTS                                                      
ApproveaFor                                                     
Release                                                       
2UILIUM0108                                                     
C1A-Kr)Fq6-()()                                                     
I oor-.Vv                                                     
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D A FORM 3964. 1 Jul 79 EDITION OF I NOV 72 IS OBSOLETE. I I q npn'100.11 rL110-Agn