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CLASSiFIED                                                    
DOCU,%FNT                                                     
ACCCRINTABIMY                                                    
RECORD                                                        
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of this                                                       
fare ,                                                        
see AM                                                        
3M5; the                                                      
proponent                                                     
agency                                                        
is the                                                        
Office,                                                       
Assistant                                                     
Chief                                                         
of SWf                                                        
fe, Intelliqanc*.                                                    
                                                              

SE01ON                                                        
A - G~NERAI,                                                    
                                                              

FROM:                                                         
                                                              

ACSI                                                          
                                                              

                                                              
                                                              

DATE RECEIVED                                                    
ACTION                              SUSPENSE DATE(S)     REGISTER
OFFICF(S)                                               OR    
                                                        CONTROL
                                                        NO    
                                                              

                                                              
                                                              

CONTROL.  ci-Assirl-                                        DATE  
LOG       NUMBER                                        OF    
T         OF                                                  
rCON R    DE5C-RIPTION                                              
          (Type.                                              
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                                                              ORIGINATOR
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RF I      COPIES                                              
OR FILE   or                                                  
NO,       S',ort                                              
          Title                                               
          and                                                 
          Number                                              
          (if                                                 
          Indorsenieuts1locls)                                              
                                                              

CL-022-83 VNOFORN                                        ...................
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          CL-1003/8305/01                                              
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          NOTHING                                              
          FOLLOWS                                              
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SECTION                                                       
8 - ROUTING                                                    
                                                              

[A KNOWL                                                      
EDGE RECEIPT                                                    
OF THE                                                        
MAT ER                                                        
L DESCRIBED                                                    
HEREON                                                        
                                                              

TO COPY                                                       
NO. DATE                                                      
PRINTED                                                       
NAME -'-SIGNATURE                                                    
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i-                                                            
                                                              

2.                                                            
                                                              

                                                              
                                                              

                                                              
                                                              

                                                              
                                                              

SECTI.014                                                     
C - DESTRUC71ON                                                    
CERTIFICATE                                                    
(Check                                                        
appropriate                                                    
block)                                                        
                                                              

MATERIAL                                                      PAGE Oli
DESCRIBED                                                     COPY NO
HEREON                                                        
HAS BEEN                                                      
                                                              

DESTROYED                                                     
TORN IN                                                       
HALF AND                                                      
PLACED                                                        
IN A CLASSIFIED                                                    
WASTE                                                         
CONTAINER                                                     
(AR 380,5)                                                    
;)                                                            
                                                              

---                                                ----       
OFFICE                                             SIGNATURE      
SYMBOL                                                        
DATE PRINTED                                                    
NAME OF                                                       
CUSTODIAN                                                     
OR REP                                                        
-                                                             
                                                              

DESTRUCT10                                         SIGNATURE      
UCTIO RECORD                                                    
NO. DATE                                                      
PRINTED                                                       
NAME OF                                                       
CERTIFYING/DESTR.                                                    
OFF.                                                          
                                                              

PAGE OR                                                       
COPY NUMBE~R                                                    
DATE PRINTED                                                    
NAME OF                                                       
WITNESSING                                                    
OFFICIAL                                                      
SIGNATURE                                                     
                                                              

SECTION                                                       
0 - REPRODUCTION                                                    
AUTHORITY                                                     
-                                                             
-                                                             
-                                                             
-                                                             
                                                              

                                                              
WU                                                 DATE       
MBER (~~                                                      
COPICS                                                        
TOR                                                           
REFR                                                          
iD                                                            
ODtJC AUTHORIZED                                                    
BY                                                            
                                                              

I - RECFITT/TRACER                                                    
ACTION                                                        
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appropric.1,,                                                    
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*E:]1P-;CEPyr                                                    
OF DOCUMENTI(S)                                                    
ACKNOWLEr)GED                                                    
DOCUMENT(S~                                                    
HAVE NOT                                                      
BJN RECE.-,17ED                                                    
                                                              

E]YRAC,                                                       
ACTION:                                                       
S;GNED                                                        
RECEIPT                                                       
FOR MATERIAL                                                    
DE SCRIBED                                                    
ABOVE                                                         
HAS NOT                                                       
BEEN RECEIVED.                                                    
                                                              

DAIE PRINTED                                                    
NAME.                                                         
GRADE                                                         
OR TITLE                                                      
SIGNATURE                                                     
                                                              

08108--                                                       
CIA-ADES                                                      
- QZR                                                         
I 1000:2                                                      
2VPfGV6d-F                                                    
                                                              

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