0 "I= -8/0 -,-.QP96,-0Q ~110QWQ 9 CIA--7R ea 0-P rov CLASSIFIED DOCUMENT ACCOUNTABILITY RECORD For us* of this form, see At 3W5; the proponent agency ;s the Offko, Assistant Chief of Staff lor Intelligence. F.,us. -4 *6 SECTION A.- GENERAL 0. TO: F ROMi NSA BATE -RECEIVED' TCTI0-N'-QF' 'r" I C -E(-S-), SUSPE NSE DATE (S I REGISTER OR CONTROL NQ. NUMBE R 0; CONTROL. LOG CLASSIFF DESCRIPTION (Type. File Ref, Upiciossifted Subject DATE OF P~ OR FILE NO. CATION orShort Title and Number of bjdovsemenisllnel,~) DOCUMENT ORIGINATOR COP 'ES S--'t CL-061-83 S/NOFOR Cy I of I ey Report [ILI-1039/8307/01 ... ....... ........... ........... ........ ........ .......... NOTHING FOLLOWS .............. SECTION 8 - ROUTING IXC KNOWL E OCF R E CE iPT 0 TO COPY NO. DATE PRINTED NAME SECTION C - DESTRUCTION CERTIFICATE (Cherl~ appropriate hlorki SIGNATURE OR COP Y N MATERIAL DESCRIBED HEREON HAS BEEN: PAGIT [3 DESTROYED Q TORN IN HALF AND PLACED IN A CLASSIFIED WASTE C'ONTAINER -5) OFF1 CESYMBOL 6A-iE PR ---- - ------ DESTRUCTION RECORD NO. [)ATE PRINTED NAME OF CERTIFYING/DESTR. OFF. SIGNATURE R J i-&~ ITi-NE-SS"ING OF FICI iil~T PAGE OR COPY NUMBI~R D M L __JSIGNATURE SECTION 0 REPRODU CrfION Zi~~RrW^ DU6- COPIES TO BE R E6-"--, AUTH IORIZ,ED BY ", JDATE SECTION E - RECEIPIJTRACER ACTION (Check appropriate blo(ki [:]RECEIPT OF DOCUMENT(S) ACKNOWLEDGED E:] DOCUMENT(S) HAVE NOT BEEN RECEIVED OTRACiR ACTION: StGNED RECEIPT FOR MATERIAL DESCRIBED ABOVE HAS NOT BEEN RECEIVED. DATE PRINTED NAME, GRADE OR TITLE -IS 14~ T U RE __01:_L z AKkF lease,-2000/=08--,VA-RDRS64X Z 04S0044000343- . ..... -mv ir