7,
T_
-A-' oked_F'dK:R:
                                                              
F                                                             
CLASSIFIED                                                     
DOCUMENT                                                      
ACCOUNTABILITY                                                     
RECORD                                                        
                                                              

                                                       SO K441L
F-,                                                           
For vs*                                                       
of this                                                       
for&                                                          
, so*                                                         
AR 3W5;                                                       
the proponent                                                     
agency                                                        
is the                                                        
Office,                                                       
Assistant                                                     
Chie(                                                         
of Staff                                                      
Jav intelligence.                                                     
                                                              

SECTION                                                       
A - OLNERAL                                                     
                                                              

-                                   FROIA:                    
0.                                                            
TO-                                                           
T                                                             
                                                              

NSA                                                           
                                                              

4__                                                           
                                                              

DATIE           ACTION              SUSPENSE DATE(S)    REGISTER
RECEIVED        QFFICr                                 OR     
                (S)                                    CONTROL
                                                       NO,    
                                                              

CONTROL, cLAssn'NUMBER DESCRIPTION                         DATE   
LOG             OF     (Type.                          OF     ORIGINATOR
                       File                                   
                       Ref.                                   
                       Unclassified                                
                       Subjeci                                
                                                              

OR FILE  CATION COPIES oi-                             DOCUMENT
NO.                    Short                                  
                       Title                                  
                       and                                    
                       Number                                 
                       of                                     
                       bulorsentemislIncls)                                
                                                              

CL-018-83S/NOFOffiI      Cy l                            ..................
                       of                              I      
                       I cy                                   
                       Report                                 
                       CL-999/8303/01                                
                       ....                                   
                                                              

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

SECTION                                                       
8 - ROUTING                                                     
                                                              

                              1 ACKNOWLEDGE               E          
                              RECEIPT               MATERtIL       
                              OF                   DESCWIBE       
                              TH                   E          
                                                              

TO              COPY   DATE   PRINTED               SIGNATURE       
                NO.           NAME                            
                                                              

2.                                                            
                                                              

3.                                                            
                                                              

4.                                                            
                                                              

                                                              
                                                              

                SECTIO N C                         ck)        
                       - DESTRUCTION                                
                       CERTIFICATE                                
                       (Check                                 
                       appropriate                                
                       blo                                    
                                                              

MATERIAL        AS BEEN:                            OPY        
DESCIBED                                           NO         
HEREON                                                        
H                                                             
                                                              

0 DESTROYED              E3 TORN                     ONTAINER       
                       IN                          (AR        
                       HALF                        36         
                       AND                                    
                       PLACED                                 
                       IN                                     
                       A CLASSIFIED                                
                       WASTE                                  
                       C                                      
                                                              

OFFICE          DATE   PRINTED                     SIGNATURE       
SYMBOL                 NAME                                   
                       OF                                     
                       CUSTODIAN                                
                       OR                                     
                       REP                                    
                                                              

DESTRUCTION       DATE   PRINTED                     SIGNATURE       
RECORD                 NAME                                   
NO.                    OF                                     
                       CERTIFY                                
                       I NG/DESTR.                                
                       OFF.                                   
                                                              

PAGE OR         DATE   PRINTED                     SIGNATURE       
COPY            I      NAME                        I          
NUMBER                 OF                                     
                       WITNESSING                                
                       OFFICIAL                                
                       I                                      
                                                              

SECTION                                                       
D - REPRODUCTION                                                     
AUTHORITY                                                     
                                                              

NUMBER                                                        
OF COPIES                                                     
TO BE                                                         
REPRODUCED                                                     
AUTHORIZED                                                     
BY DATE                                                       
                                                              

SECTION                                                       
E - RECFIsT/TRACER                                                     
ACTION                                                        
(Check                                                        
approprial.,                                                     
block)                                                        
                                                              

[3P--'CEIPT                                                     
OF DOCUMENT(S)                                                     
ACKNOWLEDGED                                                     
M D(XUMENT4S)                                                     
HAVE                                                          
NOT BEEN                                                      
RECEIVED                                                      
~                                                             
                                                              

CITRACL                                                       
ACTION:                                                       
SiGNEO                                                        
RECEIPT                                                       
FOR MATERIAL                                                     
DESCRIBED                                                     
ABOVE                                                         
HAS NOT                                                       
BEEN                                                          
RECEIVED.                                                     
                                                              

DATE PRINTED                                                     
NAME.                                                         
GRADE                                                         
OR TITLE                                                      
NAT U                                                         
R E                                                           
LS IG                                                         
                                                              

- - -                                                         
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I OVIVI&                                                      
Re'ease                                                       
200WOW98                                                      
: GIA                                                         
R1312giz-07.8                                                     
~ 0016                                                        
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