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CLASSIFIED                                              DATE   
DOCUMENT                                                       
ACCOUNTABILITY                                                     
RECORD                                                         
                                                               

For use                                                 11 Mar 
of this                                                 83     
form,                                                          
so* At                                                         
330-5;                                                         
the proponent                                                     
agency                                                         
is the                                                         
Office,                                                        
Assistant                                                      
Chief                                                          
of Staff                                                       
for Intelligence.                                                     
                                                               

SECTION                                                        
A - GENERAL                                                     
                                                               

TO:                                 FROM:                      
                                                               

CIA                                                            
                                                               

DATE RECEIVED      ACTION              SUSPENSE DATE       REGISTER
                QFFICE(Sl             IS)                 OR     
                I                   I                   CONTROL
                                                        NQ.    
                                                               

CONTROL.  CLASSIFFNUMBER -                                DATE   
LOG             OF     DESCRIPTION                          OF     
                       (Type,                                  
                       File                                    
                       Ref.                                    
                       tInclassified                                 
                       Subject                                 
                                                               

OR FILE   CATIONCOPIES 0 1-                             DOCUMENTORIGINATOR
NO.                    Shwl                                    
                       Title                                   
                       and                                     
                       Number                                  
                       of                                      
                       IndorsementslIncls)                                 
                                                               

CL-016-'83S/NOFOR4 I    Cy I                             ................
                       of                                      
                       cy,                                     
                       Report                                  
                       CL-997/8302/08                                 
                       ......                                  
                                                               

....      ........................                          ....................
                       NOTHINC                                 
                       FOLLOWS                                 
                       .................                                 
                                                               

SECTION                                                        
6 - ROUTING                                                     
                                                               

IAtKNOWLEDGE                                                     
RECEIPT                                                        
OF~ THE                                                        
MATERIAL                                                       
DESCRIBED                                                      
HEREON'                                                        
                                                               

TO COPY                                                        
NO, DATE                                                       
PRINTED                                                        
NAME SIGNATURE                                                     
                                                               

                                                               
                                                               

2.                                                             
                                                               

3.                                                             
                                                               

4.                                                             
                                                               

                                                               
                                                               

SECTION                                                        
C - DESTRUCTION                                                     
CERTIFICATE                                                     
(Check                                                         
appropriate                                                     
block)                                                         
                                                               

MATERIAL                                                       
DESCRIBED                                                      
HEREON                                                         
HAS BEEN:                                                      
PAGE R                                                         
COPY NO                                                        
                                                               

0 DESTROYED                                                     
0 TORN                                                         
IN HALF                                                        
AND PLACED                                                     
IN A CLASSIFIED                                                     
WASTE                                                          
CONTAINER                                                      
(A                                                             
                                                               

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                                                        
WITNESSING                                                     
OFFICIAL                                                       
SIGNATURE                                                      
I I                                                            
                                                               

I -                                                            
SECTION                                                        
0 - REPRODUCTION                                                     
AUTHORITY                                                      
                                                               

NUMBER                                                         
OF COPIES                                                      
TO BE                                                          
REPROb-occo                                                     
AUTHORIZED                                                     
BY DATE                                                        
                                                               

SECTION                                                        
E - RECEIPT/TRACER                                                     
ACTION                                                         
(Check                                                         
appropriate                                                     
bloek)                                                         
                                                               

ORECEIPT                                                       
OF DOCUMENT(S)                                                     
ACKNOWLEDGED                                                     
F] DOCUMENTIS)                                                     
HAVE NOT                                                       
13EEN                                                          
RECEIVED                                                       
                                                               

[DTRAcER                                                       
ACTION:                                                        
SIGNED                                                         
RECEIPT                                                        
FOR MATERIAL                                                     
DESCRIBED                                                      
ABOVE                                                          
HAS                                                            
NOT BEEN                                                       
RECEIVED.                                                      
                                                               

_                                                              
DATE PRINTED                                                     
NAME.                                                          
GRADE                                                          
OR TITLE                                                       
3IGNATURE                                                      
                                                               

cia-gnegfi-0078                                                     
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