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For use of this form, too A* 380-5; the proponent agency is the Office, Assistant Chief of Staff for Intelligence. 2B April 1983
SECTION A - GENERAL
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                               FROM;
F
CIA
                            DATE RECEIVED ACTION OFFICE451 SUSPENSE DATE(S) REGISTER OR CONTROL NQ.
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CONTROL, LOG CLASSIFI- NUMBER OF DESCRIPTION (Type. File Ref. Unclassified Subject DATE OF ORIGINATOR
OR FILE NO. CATION COPIES or Short Title and Numbet of hidursenietitsIbicisj DOCUMENT
CL-029-83 5/NOFORN 1 Cy 1. of 1 cy Report 1010/8302/08 ...... ........
........................... .......... NOTHING FOLLOWS ..................... ...........
SECTION 8 - ROUTING
i AC KNOWLEDGE RFCE1F3-T-c;-F--T w 1-6
       t MATER1rL-De.-5C ED HEREON
TO COPY NO. DATE PRINTED NAME SIGNATURE
SECTION C DESTRUCTION CERTIFICATE (chccl( app,opriate bluckj
-HAS- PAGE OR COPY NO
DESTROYED TORN IN HALF AND PLACED IN A CLASSIFIED WASTE.7 CONTA INER (AR 38Ui)
     (5-TICE SYMBOL DATE PRINTEDNAME OF CUSTODIAN OR REP SIGNATURE
     -L-)-A--T-E--,--,--"-P--RI-N-TE-0 -NA-ME-OF,-C-E,R-TIF-Y[N-Q/DE-ST-V?--, -0, FT -S-IG---N-A-TU R-C
     F~ii 0"'WE-6~Y -N--U-M-"-B- -D--AT-E- -PR-IN-T-ED -NAME OF -WI T-NE-~,SIN-GOF-f I-C-1-A--L-
SECTION D - REPRODUCTION AUTHORITY
                     A-6THORI y kTE
SECTION E - itECEIPT/TRACER ACTION (Check appropricite block)
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EITRACER ACTION: SIGNED RECEIPT FOR MATERIAL DESCRIBED ABOVE HAS NOT BEEN RECEIVED.
DATE PRINTED NAME, GRADE OR TITLE SIGNATURE
COMMENTS
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"`Aff%Jd'd"V8r Release 2000/08/08.: CIA-RDP
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