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  yl I Fri                                                                 
                                                                           

  For va* of this form, see AN 380-5;                                      
  the propon*nf agency is the Office,                                      
  Assistant Chief of Staff for Intelligence.                                      
                                                                           
  ;F-,                                                                     
  F                                                                        
                                                                           

                                                                           
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  SECTION A - GENERAL                                                      
                                                                           

  701 FROW                                                                 
  ,                                                                        
                                                                           

  ACSI                                                                     
                                                                           

                                                                           
  AT'                                                                      
  DATE RECEIVED ACTION OFFICE4S) SUSPENSE                                      
  DATE(SI E ISTER OR CONTROL NQ.                                           
                                                                           

  [                                                                        
                                                                           

  CONTROL. LOG CLASSIFF NUMBER OF                                          
  DESCRIPTION (Type. File Ref.. Unclassified                                      
  Subject DATE OF                                                          
                                                                           
  CO                                                                       
  ORIGINATOR                                                               
                                                                           

  C                                                                        
  OR FILE NO. CATION COPIES o r Short                                      
  Title and Number of IndorsementslIncls)                                      
  DOCUMENT                                                                 
                                                                           

  C1-044-83 g/NOFM I Cy I of I cy,                                         
  Report 1020/8305/01 .............                                        
  ............                                                             
                                                                           

  ......................................                                      
  NOTHING FOLLOWS .....................                                      
  ...........                                                              
                                                                           

                                                                           
                                                                           

  SECTION 6 - ROUTING                                                      
                                                                           

  I L4:KNOWLEDGE RECEIPF -OF -C4E                                          
  MA R1 REON                                                               
  I AL C)!LCRIBED H                                                        
                                                                           

  TO COPY NOL DATE PRINTED NAME SIGNATURE                                      
                                                                           vow
                                                                           

                                                                           
                                                                           

  2,                                                                       
                                                                           

  3,                                                                       
                                                                           

                                                                           
                                                                           

                                                                           
                                                                           

  SECTION C - DESTRUCTION CERIIFVCA7E                                      
  (Check opproprialu Nock)                                                 
                                                                           

  jWAT IACii~SE.WiEl HEREON HAS BEEN:                                      
  PAGE OR COPY NO                                                          
                                                                           

  El DESTROYED [:]TORN IN HALF AND                                         
  PLACED IN A CLASSIFIED WASTE CONTAINER                                      
  (AR 380-5]                                                               
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  -                                                                        
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  6 FF TE E                                                                
  5Y i ~ 0                                                                 
  6 7L. DATE PRINTED NAME OF CUSTODIAN                                      
  OR REP SIGNATURE                                                         
                                                                           

  DESTRUCTION RECORD NO. DATE PWI-NTE-O                                      
  NAME -OFCERIIFYING-/-DF-STR O-F-F-,---                                      
  -SIGNATURE                                                               
                                                                           

  PAGE OR COPY NUMBER DATE PRINTED                                         
  NAME OF WITNESSING OFFICIAL SIGNATURE                                      
                                                                           

  SEC710M 0 REPRODUCTION AUTHORITY                                         
                                                                           

                                                                           
  vUM6ER OF ES TO BE REPRODU E                                             
  AUTHORIZED BY                                                            
                                                                           

  SECTION E RECEIPT/TRACER ACTION                                          
  (Check appropriate block)                                                
                                                                           

  [:]RECEIPT OF DOCUMENT(S) ACKNOWLEDGED                                      
  DOCUMENTIS) HAVE NOT BEEN RECEIVED                                       
                                                                           

  TRACER ACTION: SIGNED RECEIPT FOR                                        
  MATERIAL DESCRIBED ABOVE HAS NOT                                         
  13EEN RECEIVED.                                                          
                                                                           

  DATE FPRINTE'D NAME. GRADE OR TITLE                                      
  SIGNATURE                                                                
                                                                           

  COMMENTS                                                                 
                                                                           

                                                                           
                                                                           
  
  
  DA FORM 14, 1 Jul 79 CU`J N ROO 1 900-1-900024"w
  nn oved For Release 26089/68 :'M'
  ,3 .
  0.