Far use of this form, see AR SMS; the proponent NSA TE RECEIVED ACTION QFFICE(S~ 29 Jul 83 REGISTER 01;~, CONTROL NO. is the Office, Assistant Chief of Staff for Int*11 SECTION A - GEN ERAL SUSPENSE DATE(Si CONI ROL. LOG- CLASSIFI- NUMBER OF DESCRIPTION (Type. Fric Ref. Unclassified Subject DATE OF OR FILE NO. CATION (_oP' FS ot-Shoil Tille and Nurnbet ol Mdopsenjer1rsIllycls) DOCUMENT ORIGINATOR CL-053-83 S/NOFORN I Cy I of cy Report 1029/8307/01 ........ ....... 1.0 ......... ............................ ............... NOTHING FOLLOWS ....................... I T 4 SECTION 8 - ROUTING T-D-- -----------T- COPY NO ~GV RTI DATE [-----Pr,7N-TE t;AME SE CTION C - DESIRUCTION CERTIFICATE (Che(k app,.1),2ate MATERIAL DE-13CRIBED HEREON HAS BEEN DESTROYED DATE Fice-biib-P~6 DATE I-AGE OR COPY NUMBER DATE SIGNATURE 0 W -E O-PV IORN IN HALF AND PLACED IN A CLASSIFIED WAsrE CONTA~NER (AH380-5) PRINTED NAME OF CUSTODIAN OR REP TSZCI~iTURE PRINTED NAME OF CERTIFYING/r.)ESTR OF F SZ'i~ATURE .... ....... .... ------ PRIN7ED NAME OF Wl'INESS!NG OFFICIAL iSIGNATURE __~_1!214 0 - REPRODUCTION AUTHOOITY OF~jT- -~5-dj"~7 C)EE15 THORIZE67iii' SECTION E - RECEIPT/lItACER AC'1ION ~ Cherk approorrate blork) C_]RE(-EIF-r Or DOCUMENT(S) ACKNOWLEDGED j DOCUMENr(s~ HAVE NOT BEEN RECEIVED E.1TRACFR ACTION: SIGNED RECEIPT FOR MATERIAL DESCRIBED ABOVE HAS NOT 13EEN RECEIVED. ~DAT-E----------'------ --------jW1NTFC~WAME, GRADE OR TITLE SIGNATURE DA FOR% 1 Jul 79 EDITION OF NO 7 bupgsI"L A 6 -'06788R00160"zr; ovedfor-Release 2000/08/08 Q1 Pn W~