Apnmvinel For Release 2000/08/08 : CIA-RDP96-0078BROO1600360003-4            
                                                                                

   CLASSIFIED DOCUMEM AC NTABILITY RECORD ATE                                   
                                                                                

   For use of this form, zoo Alt 380-5; the proponent agency io the Office, Assistant
   Ch;of of Staff for IntoHigonco                                               
                                                                                

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   ) TE RECEIVE ACTION OFFICEIS) SUSPENSE DATEAS) REGISTER OR CONTROL NO.       
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   CONTROL. LOG CLASSIFI- NUMBEROF DESCRIPTION (Type. File Ref. Uticl(rsstfied  
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   OR FILE NO. CATION COPIES Or Short Tille and Number )/ Indorsemeraslin cis)  
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   C'L - 04 9 -8 3 S./NOFORLNT I Cyl of I cy, Report 1026/8307/01 ...... ....   
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   SECTION 8 - ROUYiNG,                                                         
                                                                                

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   TO COPY NO. DATE PRINTED NAME SIGNATURE                                      
                                                                                

                                                                                
                                                                                

                                                                                
                                                                                

                                                                                
                                                                                

                                                                                
                                                                                

                                                                                
                                                                                

                                                                                
                                                                                

                                                                                
                                                                                

   SECTION C - DESTRUCTION CERTIFICATE (Chreh appropriatc block)                
                                                                                

   ;~ATEi?IAL DESCRIBED HEREON HAS BEEN                                         
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   DESTROYFD EJ TORN IN HALF AND PLACED IN A CLASSiFIED WASTE CONTAINER (A.R    
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   DATE                                                                         
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   -6EST~i-UF-56-N-RECORD NO. DATE PRINTED NAME OF CERTIFYiNG/L)USTR OFF. SIGNATURE
                                                                                

   PAG E OR COPY NU M 6 FR DATE PRINTED NAME OF WITNESSING OFFICIAL SiGNATURI:  
                                                                                

   SECTION 0 REPRODUCTION AUTHORITY                                             
                                                                                

   WIUMBF~4 O-F ~E-6F?E -TO HE REPRODUCED U1 HORIZED BY TF                      
                                                                                

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   EIRECEIPT OF DOCUMENT(S) ACKNOWLEDGED DOCUMENT(SI HAWNCT Blii~ ~~FCEIVED     
                                                                                

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   DATE PRi TE NA F. RADEORTITLE S GNAfU-F~E'--'------'--                       
                                                                                

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   ", TZ 79 EDITION OF I NOV 72 IS OBSOLETE. *U.S.GPOAM-0-319-OW                
                                                                                

   --Approv-ed-For-Releaser,2-000/08/08 ~,CIA-RDP96-GOT88R'0016OG3-6ON3-4k-z:~~---.~-ti-~;~v;~-~