ApprcmgstFqn" Fer use of Ibis form, sea At 3M5; the NSA ant agency is the Office, Assistant Chief of Staff for SECTION A - GENERAL IF i6m: t~-,,~E, X E_ N OFFICE(S; E -F IS) REGISTER OR CONTROL NO. CONTROL, LOG CLASSIFI- NUMBER OF DESCRIPTION (Type. File Ref. Unclassified Subject DATE OF OR FILE NO. CATION COPIES t) r Short Tate and Number of Indorsemenislincls) DOCUMENT ORIGINATOR CL-051-83 S/NOFOR4 1 Cy of I cy, ReporL IILJ-1028/0307/01 ....... ................. .................. ............ N ......... NOTHINC FOLLOWS ............................. SECTION 9 - ROUTING _~('K~NOWLLE GE RECEIP T T TO COPY NO. [ DATE 7-RIUTE ~NAME=-------T~ ---- --- -S~ iGtV 7TUTC--- -5 E-CTION -C - DESTRUCTION CERTIFICATE (Ched? appropriate blocks MATERIAL DESCRIBED HEREON HAS BEEN. 1~13E OR COPY N D DESTROYED TORN IN HALF AND PLACED IN A CLASSIFIED WASTE CONTAINER (AR 38 Z~FICE SYMBOL DA Ti- -1 N'T-E D--N-A`M'E-6F--C-U'S-"T-0-D -IA-N-O--R---R'-E-P------'-- SIGNATURE 6-F-E-CRTi-F-Y-Ti SIGNATURE Wk6-E~ ~R E~~i 46-Ni -6A-T'E-- -f;6 I -N--T-E--[) NA --ME 0 F W -IT -N-- -E-S S. -IN-G- -0F-F,I-C -1A L-- SIGNATURE SECTION 0 - REPRODUCTION AUTHORITY DA E SECTION E - RECEIPT/TRACER ACTION (Check appropriate block) [7]RECEIPT OF DOCUMENT(S) ACKNOWLEDGED DOCUMENTIS) HAVE NOT BEEN RECEIVED L-ITRACER ACTION SIGNED RECIZIPT FOR MATERIAL DESCRIBE[) A13OVE HAS NOT BEEN RECEIVED. DATE S. IG-N-,A--T-U R-E,--- - ------ NTED NAME. GRADE OR TITLE D A FORM 3W4, 1 Jul 79 EDIT16N OF I NOV 72 IS OBSOL TE. For Release 2000/08/08 C A-RDP96-00788 ROO 1 60OAMTV"