--Appemm C For k-se of this forr see AN 3MS; the i-0 is the Office, Assistant Chief *I Staff for I nc MA4 83 figo SECTION A - GENERAL L FROM: NSA ~CTI&1415~FICETS) SUSPENSE DATE(S) IREGISTER OR CONTROL NQ. CONTROL. LOG CLASSIFi- NUMBER OF DESCRIPTION (Type, File Ref. Unclassified Subjeci DATE OF OR FILE NO. CATION COPIES or Short Title and Number of IndopsementslIncls) DOCUMENT ORIGINATOR --------- - CL-035-83 S/NOFORN 1 Cyl of I cy Report CL-1015/8304/08 ........................ .................. ................. NOTHING FOLLOWS .................................. SECTION 8 - ROUTING I ACKNOWLEDGE RE~ TO COPY NO. DATE PRINTED NAME 5 SIGNATURE SECTION C - DESTRUCTION CERTIFICATE (Check app,opitate block) MATERIAL DESCRIBED HEREON HAS B~EW.- PAGE OR COPY NO DESTROYED T(:)RN IN HALF AND PLACED IN A CLASSIFIED WASTE CONTAINER (AR 38a5) OFFICE Sy TDAT PRINTED NAME OF CUSTODIAN OR REP SIGNATURE WiEE D-NO. -- I,_- DESTRGCi:16F A~f PRINTED NAME OF CERTIFYING/DESTR. OFF. SIGNATURE TAG E C~R C OPY N U M 6 E~ C;iiE PRINTED NAME OF WITNESSING OFFICIAL SIGNATURE SECTION D - REPRODUCTION AUTHORITY "iTU -MB E Fi TW'E&F; -IE-~ 70-6 i-R -EP 96065-C E CTTAUITi46~i-IZED 6~ ..... .------ SECTION E - RECEIPT/TRACER ACTION (Check approprrate block) [:]RECEIPT OF DOCUMENT(S ACKNOWLEDGED DnCUMENT4S) HAVE NO1 BEEN RECEIVED OTRACER ACTION: SIGNED RECEIPT FOR MATERIAL DESCRIBED AE30VE HAS NOT BEEN RECEIVED. DATE I~izlt4TED NAME, GRADE OR TITLE SIGNATURE 0A FORM) T., I Jul 7Q EDITION OF I NOV 72 TE ppro