For us* of d%is form, soo A* 380-5; the propon*nf agency is the Office, Assistant Chioi of Staff for h 7046"Ce. 15 Jul 83 SECTION A - GENERAL FROM: NSA SUSPENSE DATE(S)) OL. ~TE CEiV REGISTER OR CONTRE. NO. CONTROL., i.OG CLASSIFI- NUMBER OF DESCRIPTION (Type. File Ref.. Unclassifred Subject DATE OF OR FILE NO. CATION COPIES o r Short Title und Number of IndorsemenislInds) DOCUMENT ORIGINATOR CL-050-83 S/NOFOR I Cy I of I cy,.,Report 1027/8307/01 ..... .... ............ ... ........ NOT51k FOLLOWS ........... SECTION B - ROUIINO I ACKNOWLEDGE RECEI~TT I BED HEREON To COPY NO~ DATE PRINTED NAME ------;;tGNATU5r ----------- SECTION C - DESTRUCTION CERTIFICATE (Check (ippropriate bloch) FWAiiR L. DESCFZIBED HEREON HAS BEEN: PA~- R COPY NO El DESTROYED DTORN IN HALF AND PLACED IN A CLASSIFIEDWASTE CONTAINER (AR 38a5) -6~FTi(:T V'466C DATE PRINTED NAME OF CUSTODIAN OR f;Z EP SIGNATURE DEST1,1JUCTLION RECORD NO. DATE PRINTED NAME OF CERTIFYING/DESTR. OFF. SIGNATURE NTE6 N M 6~~ TC NAME OF WITNESSING OFFICIAL- SIGNATURE SECTION 0 - REPRODUCTION AUTHORITY SECTION E - RECEIPT/TRACER ACTION (Check appropriate block) F-JRE<-EIP-i C ~ IKKUMENT(S I ACKNOWLEDGED DOCUMENT(S) HAVE NOT BEEN RECEIVED OTRACER ACTION SIGNED RECEIPT FOR MATERIAL DESCRIBEDABOVE HAS NOT BEEN RFCEIVED. DATE RINTED NAME, GRADE OR TITLE P S16 ZO-MMENT~,--' 7: Z% C.- 3'~' Approved For Release 2000/08/08 CIA-RDP96-00788ROO1600370005-1