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CLASSIFIED DOCUMENT ACCOUNTABILITY RECORD DATE
 For wse of Ais form, so* AN 3MS; Aq propon*nt agency is tho Offict, Assistant Ch;*I aI Staff for Inteffig *"Co. 28 April 1983
SECTION A - GENERAL
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TE RECEIVED I ACTION QFFiCE(S,
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OR FILE No. CATION COPIES tji-ShwY Tilleand Nurnbet (if flidorsemewslIncisj DOCUMENT ORIGINATOR
CL-027/83 S,"NOFOR4 I Cyl of 1 cy Report CL-1009/0302/01 ........................
...................................... NOTHING FOLLOWS ................................
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SECTION B, ROUTING
I ACKNOWLEDGE I~CCE
COPY NOJ DATE PRIN F76 NAf~'E
F
SIGNATURE
     SECTION C - DESTRUCTION CERTIFICATE (Check appropriate bloch)
DE-';E"I E6 EREON HAS BECN.
---11;'AC;F- OR COPY N
DESTROYED TORN IN HALF AND PLACED IN A CLASSIFIED WASTE CONTAINER (AR 3
                    ---------7SICNATURE
OFFICE SYMBOL I DATE PRINTED kl~E 6~ CUSTODIAN OR REP
                DESTRUCTION RECORD NO, )ATE RINTED NAME OF CERTIFYING/DESTR. Or F, 5 ' NATU
DJ~Ti'___JP
PAG E OR COPY NU M 6 FR PRINTED NAME OF WITNESSING OFFICIAL RE
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WU-fi-8iW6FiEQI;iki TS-B F~6 E15 '16i DATE
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C:]RECEip-r OF DOCUMENTIS) ACKNOWLEDGED DCKUIVIENDS~ HAVE NOT BEEN RECEIVED
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&ATE N GRADE OR TITLE
Fc`vhq~~rove~'For eiease 2000/08/08 : CIA-RDP96-00788 ROO 1600260003-5
D A FORM 3%4,1 Jul 79 EDITION OF I NOV 72 IS OBSOLETE. U.S~GPO:1980-0-319-059